Staff Resources | Hinckley-Finlayson Schools (MN)

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Payroll and Benefits

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

To request a copy of Form 1095-C: Employer Provided health Insurance Offer and Coverage, or if you have any questions about this form, please contact us via one of the options below:

By email at bknudson@isd2165.org, by mail at PO Box 308, Hinckley, MN 55037, or by Phone at 320-384-6277 ext 1101

Staff Resources

Forms

Request for transportation
PD Request Form
District claim form
Fitness Center Agreement
Emergency Contact Form 2024-25
W-9
Lane Change Request
Final Approval of Courses Taken
Prior Approval of Coursework

Master Agreement

Support Staff Agreement

Skyward

Synergy

SMARTer

403B

Forms:

Salary Reduction Agreement

403B Change Request – download to make fillable

Approved Vendor List

Delta Dental

Forms

Enrollment/Update Form

Links:

Benefit Summary

Find a Dentist – Delta Dental

Know Your Rights

Minnesota Department of Labor Updates:

Age Discrimination

Employer-Sponsored Meetings

How MN Paid Leave Works

Minimum Wage and other requirements

Minnesota Paid Leave

Safety and Health Protection on the Job

Workers Compensation

Fact Sheet #28- Employee Protections under FMLA

Veterans Benefits and Services

Pregnant Worker and New Parents

Life Insurance, Long Term Disability

Forms:

Evidence of Insurability

Beneficiary Designation Form

Supplemental Life Information – Employee, Spouse & Child

Supplemental Group Term Life

Long Term Disability:

Attending Physician’s Statement of Claim for Long Term Disability

Employee’s Statement of Claim for For Benefits

Employer’s Statement of Claim Employer’s Statement

Employer’s Patient Authorization to Release

Reimbursement Agreement

Life Waiver of Premium Notice

Group Long-Term Disability Insurance

Lost Insurance Card

Lost Insurance Card

MN & Fed Tax Information and Forms

2025 IRS Calculator

2024 IRS Contribution Limits

PEIP

Forms:

Flex Reimbursement Form

PEIP New Enrollment Form

PEIP Enrollment with Ancillary

PEIP Change Form

PEIP Termination Form

Security Bank & Trust Account Application

Security Bank & Trust Important Information for HSA Customers

Security Bank & Trust Flyer

Family medical leave form

Flex reimbursement form

Links:

HSA Disclosures

Step by Step Guide for PEIP plans

PEIP: Everything you need to to know

PEIP renewal – summary 2024

BlueCross BlueShield

HealthPartners

Support Staff Insurance Rates

Teacher Insurance Rates 2026

TRA/PERA Login, Payroll Calendar, Skyward Codes, Direct Deposit Form

Links:

How to fill out a timesheet

TRA Login upper right hand corner

PERA Login upper right hand corner

2026 IRS Contribution Limits

2024 Health Insurance Rates

Payroll Calendar 2025-2026

Benefit Deduction Codes

Direct Deposit Form

2026 – 2027 Payroll Calendar

Vision

Forms:

Vision Summary of Benefits

Lens Upgrades Infographic

Exclusive Collection Member Flyer

Premium Collection Contact Lens Flyer

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Hinckley-Finlayson SchoolS

ADDRESS

Address :
201 Main St E

PO Box 308

Hinckley, MN 55037

Contact

Phone :
320-384-6277

Fax :
320-384-6135

Enrollment\Records Requests
jolander@isd2165.org

General Email
HFISD2165@isd2165.org

Accounts Payable Email
accountspayable@isd2165.org

About Us

The Hinckley-Finlayson District is a rural school district, located in east-central MN, about 100 miles north of the twin cities metropolitan area. We have a diverse student population of nearly 1000 students k-12.

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