douglas school district i board of education agenda monday ...€¦ · douglas school district...
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DOUGLAS SCHOOL DISTRICT BOARD OF EDUCATION
AGENDA
MONDAY, APRIL 25, 2016
VANDENBERG ELEMENTARY SCHOOL
Library Conference Room 561 Briggs Street
Box Elder, SD
5:00 P.M.
PLEDGE OF ALLEGIANCE & MOMENT OF SILENCE IN HONOR OF FALLEN SOLDIERS AND ACTIVE DUTY PERSONS.
1. APPROVE AGENDA. 2. APPROVE REGULAR BOARD OF EDUCATION MINUTES OF APRIL 11, 2016.
3. APPROVE PERSONNEL ACTION - APPENDIX A. 4. APPROVE FINANCIAL REPORTS – APPENDIX B. 5. APPROVE THE PURCHASES AND ISSUING OF ACCOUNTS PAYABLE AS FOLLOWS:
GENERAL FUND $78,080.97 CAPITAL OUTLAY 3,198.26 SPECIAL EDUCATION 3,633.33 FOOD SERVICE 67,116.59 TOTAL $152,029.15 6. OPEN FORUM.
7. JAPAN SOCIETY JUNIOR FELLOWS LEADERSHIP PROGRAM. [Shannon Bonner]
8. DC TRAVELERS FAMILY FUN NIGHT. [Val Knauer]
9. “LET’S ALL GO TO THE LIBRARY” PRESENTATION. [Mavis Schipman]
10. APPROVE REQUEST TO OFFER SUMMER OPEN GYM. (COPY ATTACHED) [Naomi Hatfield] 11. CONSIDER RECOMMENDATION FROM HEALTH INSURANCE COMMITTEE [Trista Hedderman] FOR 2016-17 HEALTH INSURANCE RATES. (COPY ATTACHED) 12. CONSIDER RECOMMENDATION FROM HEALTH INSURANCE COMMITTEE [Trista Hedderman] ON CRITERIA FOR AN INSURANCE PREMIUM HOLIDAY. (COPY ATTACHED) 13. CONSIDER RECOMMENDATION FROM HEALTH INSURANCE COMMITTEE [Trista Hedderman] FOR OPTIONAL VISION INSURANCE. (COPY ATTACHED)
II’LL NEED ITEMS BY WEDNESDAY AFTERNOON IN ORDER TO DROPBO
14. IDENTITY THEFT PROGRAM INFORMATION. [Trista Hedderman] 15. APPROVE AWARD OF BID ITEM #360—ONE (1) 77 PASSENGER BUS [Trista Hedderman] (DIESEL). (COPY ATTACHED) 16. CONSIDER NEGOTIATIONS FOR THE 2016-17 SCHOOL YEAR BETWEEN [Alan Kerr] THE DOUGLAS EDUCATION ASSOCIATION AND THE DOUGLAS SCHOOL. 17. APPROVE STUDENT ASSIGNMENT REQUEST SA-16-52 TO ATTEND [Alan Kerr] DOUGLAS FOR THE 2015-16 SCHOOL YEAR. 18. APPROVE THE REELECTION OF ONE HUNDRED NINETY-SIX (196) [Alan Kerr] CERTIFIED STAFF FOR THE 2016-17 SCHOOL YEAR. (COPY ATTACHED) 19. APPROVE THE REELECTION OF THIRTEEN (13) ADMINISTRATORS FOR [Alan Kerr] THE 2016-17 SCHOOL YEAR. (COPY ATTACHED) 20. CONSIDER REQUEST OF E. ORANGE JOHNSON TO RESIGN AS HIGH SCHOOL [Alan Kerr] SCIENCE DEPARTMENT HEAD EFFECTIVE AT THE END OF THE 2015-16 SCHOOL YEAR. 21. APPROVE VOLUNTARY RESIGNATION OF RITA NICELY, GIFTED RESOURCE [Alan Kerr] TEACHER, EFFECTIVE AT THE END OF THE 2015-16 SCHOOL YEAR. 22. CONSIDER REQUEST OF KATHY ROSE FOR RETIREMENT EFFECTIVE AT [Alan Kerr] THE END OF THE 2015-16 SCHOOL YEAR. AGENDA ITEMS 23 THROUGH 35 ARE SECOND READINGS OF NEW/REVISED/RENAMED BOARD POLICIES AND MIGHT LEND THEMSELVES TO A COMPREHENSIVE MOTION. EXCEPTIONS TO THE ONE MOTION MAY BE NECESSARY IF BOARD MEMBERS WISH TO DISCUSS OR REVIEW ANY ITEM IN MORE DETAIL. 23. HEAR SECOND READING AND APPROVE NEW BOARD POLICY JHC— [Alan Kerr] STUDENT HEALTH. (COPY ATTACHED) 24. HEAR SECOND READING AND APPROVE TO REVISE AND RENAME BOARD [Alan Kerr] POLICY JHCB—SCHOOL IMMUNIZATION PROGRAM TO JHCA—STUDENT IMMUNIZATIONS AND PHYSICAL EXAMINATIONS. (COPY ATTACHED) 25. HEAR SECOND READING AND APPROVE TO RENAME BOARD POLICY [Alan Kerr] REGULATION JHCB-R TO JHCA-R—SCHOOL IMMUNIZATIONS. (COPY ATTACHED) 26. HEAR SECOND READING AND APPROVE REVISED BOARD POLICY JHCC— [Alan Kerr] STUDENT COMMUNICABLE CONDITIONS. (COPY ATTACHED) 27. HEAR SECOND READING AND APPROVE REVISED BOARD POLICY REGULATION [Alan Kerr] JHCC-R—STUDENT COMMUNICABLE CONDITIONS GUIDELINES. (COPY ATTACHED) 28. HEAR SECOND READING AND APPROVE REVISED BOARD POLICY JHCD— [Alan Kerr] ADMINISTERING MEDICATIONS TO STUDENTS. (COPY ATTACHED) 29. HEAR SECOND READING AND APPROVE REVISED BOARD POLICY EXHIBIT [Alan Kerr] JHCD-E—CONSENT FOR MEDICATION ADMINISTRATION FORM. (COPY ATTACHED) 30. HEAR SECOND READING AND APPROVE REVISED BOARD POLICY JHCDA— [Alan Kerr] STUDENT SELF-ADMINISTRATION OF ASTHMA OR ANAPHYLAXIS MEDICATION. (COPY ATTACHED)
31. HEAR SECOND READING AND APPROVE REVISED BOARD POLICY EXHIBIT [Alan Kerr] JHCDA-E—AUTHORIZATION FOR SELF-ADMINISTRATION OF PRESCRIPTION ASTHMA OR ANAPHYLAXIS MEDICATION FORM. (COPY ATTACHED) 32. HEAR SECOND READING AND APPROVE NEW BOARD POLICY JHCDB— [Alan Kerr] EPINEPPHRINE AUTO-INJECTORS. (COPY ATTACHED) 33. HEAR SECOND READING AND APPROVE NEW BOARD POLICY JHCDC— [Alan Kerr] DIABETES HEALTH CARE AND INSULIN ADMINISTRATION. (COPY ATTACHED) 34. HEAR SECOND READING AND APPROVE NEW BOARD POLICY JHD— [Alan Kerr] STUDENT PSYCHOLOGICAL SERVICES. (COPY ATTACHED) 35. HEAR SECOND READING AND APPROVE NEW BOARD POLICY JHDA— [Alan Kerr] STUDENT WELFARE CRISIS INTERVENTION. (COPY ATTACHED) AGENDA ITEMS 36 THROUGH 43 ARE FIRST READINGS OF REVISED/ NEW / REPEALED BOARD POLICIES AND MIGHT LEND THEMSELVES TO A COMPREHENSIVE MOTION. EXCEPTIONS TO THE ONE MOTION MAY BE NECESSARY IF BOARD MEMBERS WISH TO DISCUSS OR REVIEW ANY ITEM IN MORE DETAIL 36. HEAR FIRST READING OF REVISED BOARD POLICY GDN—EVALUATION [Alan Kerr] OF SUPPORT STAFF. (COPY ATTACHED) 37. HEAR FIRST READING OF REVISED BOARD POLICY REGULATION GDN-R— [Alan Kerr] IMPLEMENTATION PROCEDURES FOR SUPPORT STAFF EVALUATION PROCESS. (COPY ATTACHED) 38. HEAR FIRST READING TO REPEAL EXISTING BOARD POLICY GDG— [Alan Kerr] SUPPORT STAFF PROBATION. (COPY ATTACHED) 39. HEAR FIRST READING OF NEW BOARD POLICY LA—EDUCATION AGENCY [Alan Kerr] RELATIONS GOALS. (COPY ATTACHED) 40. HEAR FIRST READING OF NEW BOARD POLICY LAA—STUDENT TEACHERS. [Alan Kerr] (COPY ATTACHED) 41. HEAR FIRST READING OF NEW BOARD POLICY LB—RELATION WITH OTHER [Alan Kerr] SCHOOLS AND SCHOOL DISTRICTS. (COPY ATTACHED) 42. HEAR FIRST READING OF NEW BOARD POLICY LBB—COOPERATIVE [Alan Kerr] EDUCATIONAL PROGRAMS. (COPY ATTACHED) 43. HEAR FIRST READING OF NEW BOARD POLICY LI—RELATIONS WITH [Alan Kerr] EDUCATION ACCREDITATION AGENCIES. (COPY ATTACHED) 44. SUPERINTENDENT’S REPORT. 45. COMMENTS FROM BOARD MEMBERS. 46. ADJOURN.
PERSONNEL ACTION APRIL 25, 2016
A. APPROVE hiring the following certified staff effective the 2016-17 school year: Dale Daugherty, MS, Science Teacher, B/12, $40,850.00 (15/16 Salary Schedule) Reason: Replace Elizabeth Peppersack Supervisor: Dan Baldwin Dale Daugherty, MS, Hd Wrestling Coach, MSCAT3C7, $2,580.00 (15/16 Salary Schedule) Reason: Replace Jeff Wilson Supervisor: Dan Baldwin Dale Daugherty, MS, Asst. FB Coach, MSCAT5A7, $1,843.00 (15/16 Salary Schedule) Reason: Replace Chuck Knauer Supervisor: Dan Baldwin Michael Kane, MS, Lang Arts Teacher, B/3, $33,600.00. (15/16 Salary Schedule) Reason: Replace Brenna Meyer Supervisor: Dan Baldwin Jennifer Larson, HS, Chorus, HSCAT4B9, $2525.00 (15/16 Salary Schedule) Reason: Replace Sheri Kelly Supervisor: Bud Gusso Cherrie Martenson, HS, Science Dept. Head, $1000.00. Reason: Replace O. Johnson Supervisor: Bud Gusso Teralyn Morriss, HS, Art Teacher, B/8, $37,850.00 (15/16 Salary Schedule) Reason: Replace Vicke Vogel Supervisor: Bud Gusso Teralyn Morriss, HS, Yearbook Advisor, HSCAT3H7, $2,580.00 (15/16 Salary Schedule) Reason: Replace Karline Clark Supervisor: Bud Gusso
B. APPROVE the following classified voluntary transfer:
Lanae Wieseler, MS, Sped Secretary to CARR, Secretary. Reason: Replace Mary Carey Supervisor: Dan Baldwin/Joan Dunmire
C. APPROVE payment for the following service factor bonus: Name Years Amount Date Patricia Burkinshaw 15 years $669.33 4/17/01-4/17/16
D. APPROVE hiring the following temporaries and substitutes:
Name Position Salary Effective Kasey Smith Activity Worker $15.00/hr 2/28/16
E. APPROVE the following resignation: Nathan Koch, HS, Custodian. Effective 4/22/16. Reason: Other Employment Supervisor: Ron Mincks
March 1, 2016 GENERAL CAPITAL SPECIAL PENSIONFINANCIAL FUND OUTLAY EDUCATION FUND
BALANCE 02/29/16 ($1,236,090.35) $442,856.64 $253,745.55 $378,587.28
RECEIPTS:TAXES $87,173.24 $35,549.45 $18,379.49 $3,554.97TUITIONINTEREST $17.88ADMISSIONS $50.00LOCAL $180.00 $209.86COUNTY $16,594.24STATE $958,867.08 $150,963.00FEDERAL $9,823.00 $26,119.36OTHER $1,010.50INTERFUND TRAN. $70.83LOANS
TOTAL RECEIPTS: $1,063,963.77 $45,582.31 $195,461.85 $3,554.97
DISBURSEMENTS:VERIFIED CLAIMS $303,609.10 $56,996.81 $27,187.60 $0.00SALARIES $1,268,002.19 $222,807.61TRANSFERS OUTBALANCE 03/31/16 ($1,743,737.87) $431,442.14 $199,212.19 $382,142.25BALANCE 03/31/15 (1,614,188.80) 29,597.55 (63,950.94) 366,138.48
March 1, 2016 FEDERAL HEALTH DENTAL UNEMPLOY-FINANCIAL PROJECTS FUND FUND MENT FUND
BALANCE 02/29/16 ($165,973.33) $869,892.46 ($16,927.85) $75,618.95
RECEIPTS:TUITIONINTERESTLOCAL STATEFEDERAL $75,795.85PREMIUMS $156,432.29 $26,360.74REIMBURSEMENTSOTHER (LOCAL) -AFROTC $209.52INTERFUND TRAN.OTHER (LOCAL) -LIBRARYOTHERTOTAL RECEIPTS: $76,005.37 $156,432.29 $26,360.74 $0.00
DISBURSEMENTS:VERIFIED CLAIMS $11,020.26 $72,430.74 $24,901.48 $0.00SALARIES $68,248.15TRANSFERS OUTEXPENDITURESBALANCE 03/31/16 ($169,236.37) $953,894.01 ($15,468.59) $75,618.95BALANCE 03/31/15 (968,260.22) 506,568.03 496.59 80,988.33
March 1, 2016 DEP CARE ENTERPRISE IMPACT AID PAYROLLFINANCIAL CLEARING
BALANCE 02/29/16 $2,098.03 $13,625.10 $10,732,694.75 $6,464.17
RECEIPTS:INTEREST $75.42TUITION $19,313.74STATEFEDERAL $260.81 $584,043.24LOCAL $787.18 $13,902.70OTHERINTERFUND TRAN.LOANS
TOTAL RECEIPTS: $787.18 $19,574.55 $584,118.66 $13,902.70
DISBURSEMENTS:VERIFIED CLAIMS $828.84 $2,304.06 $0.00 $0.00SALARIES $0.00 $20,827.92 $0.00 $0.00EXPENDITURES/TRANSFERS OUT $70.83BALANCE 03/31/16 $2,056.37 $10,067.67 $11,316,742.58 $20,366.87BALANCE 03/31/15 3,549.19 (71,230.92) 19,810,115.27 7,368.31
March 1, 2016 FOOD FIDUCIARY MEDICAL CAPITALFINANCIAL SERVICE FUNDS REIMB-125 PROJECTS
BALANCE 02/29/16 $389,230.63 $125,508.59 $1,062.44 ($3,019,985.58) RECEIPTS:INTERESTSALES $47,177.22STATEFEDERAL $72,139.34LOCAL $170.26 $44,699.87 $2,613.10OTHER $23.70INTERFUND TRAN.LOANS
TOTAL RECEIPTS: $119,510.52 $44,699.87 $2,613.10 $0.00
DISBURSEMENTS:VERIFIED CLAIMS $74,140.51 $34,424.44 $3,828.12 $0.00SALARIES $36,811.60EXPENDITURES/TRANSFERS OUTBALANCE 03/31/16 $397,789.04 $135,784.02 ($152.58) ($3,019,985.58)BALANCE 03/31/15 444,748.95 157,578.41 70.46 (3,598,657.53)
Douglas School District April 29th, 2016 Board Report
General Fund A & B BUSINESS SOLUTIONS 135.00
A & B WELDING SUPPLY COMPANY INC. 232.81
ABRAMS LEARNING TRENDS 2,373.80
AMAZON.COM 1,975.11
BEKA CORPORATION 2,061.00
BEST WESTERN PLUS RAMKOTA HOTEL 219.98
BLACK HILLS CHEMICAL CO 76.99
BLACK HILLS ENVIRONMENTAL PARTNERS LLC 60.00
BORDER STATES ELECTRIC SUPPLY CO 704.65
CARLEX, INC. 206.03
CAROLINA BIOLOGICAL SUPPLY COMPANY 4,033.41
CARQUEST AUTO PARTS 13.96
CARSON-DELLOSA PUBLISHING LLC 67.34
CASH - CO 386.00
CENTURY BUSINESS 100.44
CITY OF BOX ELDER/PUBLIC WORKS DEPT 3,156.71
CREATIVE TEACHING PRESS 70.80
CROSSROADS HOTEL 497.94
CULVERS 21.55
CUSTER HIGH SCHOOL - ACTIVITIES 100.00
DAKOTA BUS SERVICE, INC. 2,683.00
DAKOTA PUMP 933.68
DAKOTA TRAVEL 701.20
DATA MANAGEMENT, INC. 327.00
DEMCO 168.86
EDUCATIONAL INNOVATIONS 97.24
ELKHORN RIDGE GOLF CLUB 30.00
ELLISON EDUCATIONAL, INC. 794.95
EVERGREEN OFFICE PRODUCTS 3,427.37
FIDUCIARY ACCOUNT 43.25
FLOCABULARY LLC 96.00
FREESTYLE SALES COMPANY 141.51
GO ANIMATE 267.00
GODFREY BRAKE SERVICE & SUPPLY 16.00
GOLDEN WEST TECHNOLOGIES, INC. 127.50
GRAINGER, W.W., INC. 148.93 GRIMMS PUMP SERVICE, INC. 205.20
HAGGERTYS MUSICWORKS 196.04
HAUFF MID-AMERICA SPORTS INC. 856.15
HERFF JONES, INC. 26.90
HILLYARD CLEANING 416.47
INSTRUMENTALIST AWARDS LLC 198.00
JW PEPPER & SONS, INC. 70.99
K-12 SCHOOL SUPPLIES LLC 85.83
KIMBALL MIDWEST 211.74
KNECHT HOME CENTER OF RAPID CITY, LLC 627.15
KUTA SOFTWARE 581.00
LAKESHORE LEARNING MATERIALS 1,353.30
LAMINATORS.COM & BINDING MACHINE.COM 203.31
LOWE ROOFING, INC. 282.00
LYNN JACKSON SHULTZ & LEBRUN PC INC 1,400.18
MENARDS - RAPID CITY STORE 802.48
MG OIL COMPANY, INC. 4,184.75
MIDWEST BUS PARTS, INC. 424.85
MIDWEST 404.62
MONTANA DAKOTA UTILITIES COMPANY, INC. UTILITIES 8,751.35
MOSS ENTERPRISES 117.61
MOTIVE MAGIC 75.00
NASCO 1,285.57
NASP, INC. 851.00
NASSP 385.00
NETWORK SERVICES COMPANY 3,402.40
NORTH CENTRAL BUS SALES 576.02
NORTHWEST PIPE FITTINGS, INC. 25.82
O'GORMAN HIGH SCHOOL 100.00
ORIENTAL TRADING COMPANY INC 38.98
PACIFIC LEARNING 281.60
PALOS SPORTS 142.51
PIONEER DRAMA SERVICE, INC. 364.50
PLOOSTER, KEVIN 731.77
PORTWOOD, LARRY 200.40
PRUFROCK PRESS INC 263.84 RAPID CITY CENTRAL 100.00
RAPID CITY JOURNAL 422.24
ROBERT BROOKE AND ASSOCIATES 182.62
SASD 160.00
SCHOLASTIC, INC. 72.93
SCHOOL NURSE SUPPLY 1,410.08
SCHOOL SPECIALTY INC. 2,489.56
SCHOOL SPECIALTY/CLASSROOM DIRECT 531.07
SDHSAA 399.00
SHEETS, MARK 18.67
SHERATON HOTEL AND CONVENTION CENTER 1,764.00
SMILE MAKERS 141.92
SOUTH DAKOTA ONE CALL 12.60
SPARTAN STORES, LLC. 120.19
SPECIALTY INSTALLATION LLC 489.67
STAN HOUSTON EQUIPMENT COMPANY, INC. 545.06
STURGIS BROWN HIGH SCHOOL ACTIVITIES 150.00
SUPPLY WORKS 598.73
TEACHER CREATED RESOURCES 106.40
TEACHER DIRECT 219.96
TIME RENTAL 305.80
TRAINING ROOM INC. 1,845.60
TRUE VALUE 781.20
TWO WHEELER DEALER 440.00
UNITED STATES PLASTIC CORP 34.56
UNITY SCHOOL BUS PARTS, INC. 290.46
US SCHOOL SUPPLY 212.85
VOYAGER FLEET SYSTEMS, INC. SUPPORT VEHICLE GAS 189.05
WARD'S SCIENCE 30.19
WEST MUSIC CO 128.75
WEST RIVER INTERNATIONAL 171.30
WILLY'S MOWERS & CHAINSAWS, LLC 216.00
WOOD STOCK SUPPLY, INC. 917.35
GRANTS
AMAZON.COM 102.97
BETTE'S KITCHEN 104.00
CASH - CO 1,080.00
DIDAX 270.00
HEINEMANN 418.00
HERITAGE CLEANERS, INC. 39.80
ORIENTAL TRADING COMPANY INC 132.89
RED CLOUD HERITAGE CENTER 45.00
SAGE PUBLICATIONS INC 116.75
SCHOLASTIC, INC. 327.00 FOOD SERVICE 3,287.57
INSECT LORE 37.84
Total 78,080.97
CAPITAL OUTLAY ABDO PUBLISHERS 550.10
CAPSTONE PRESS 138.30
FOLLETT SCHOOL SOLUTIONS, INC 278.35
INTEGRATED TECHNOLOGY & SECURITY 2,146.01
SALEM PRESS 85.50
Total 3,198.26
SPECIAL ED
AMAZON.COM 216.88
APA PUBLICATIONS 24.90
JESSICA KINGSLY PUBLISHERS 51.90
LAKESHORE LEARNING MATERIALS 1,510.60
PRIMARY CONCEPTS 89.48
REALLY GOOD STUFF, INC. 48.91
REED, HEATHER 107.10
RIVERSIDE PUBLISHING CO 92.40
SCHOOL SPECIALTY INC. 277.69
SCHOOL SPECIALTY/CLASSROOM DIRECT 170.22
SOCIAL THINKING PUBLISHING 349.20
SPARTAN STORES, LLC. 10.03
SUPER DUPER PUBLICATIONS 437.50
THERAPRO INC 49.96
WEYMOUTH, LYNELLE 196.56
Total 3,633.33
FOOD SERVICE
BARAN, PATRICIA 7.30
CASH- FOOD SERVICE 73.55
CASH-WA DISTRIBUTING COMPANY, INC. 686.15 CASH-WA DISTRIBUTING COMPANY, INC. 1,660.44
CHERRY BERRY 323.90
CHILD AND ADULT NUTRITION 4,343.41
COCA-COLA BOTTLING CO HIGH COUNTRY 1,462.00
DEAN FOODS 4,044.42
DOMINOS PIZZA 1,693.00
DROPPERS, BRITTANY 13.40
EBEL, JOSHUA 21.60
ELLIOTT, TERESA 5.90
GENERAL FUND 24,811.12
GIBALDI, MICHELLE 10.40
HEWLETT PACKARD COMPANY 8,566.36
JORCZAK, HOLLY 4.60
MCPHERSON, SHALYN 18.60
MENARDS - RAPID CITY STORE 26.88
PAN-O-GOLD BAKING COMPANY, INC. 675.48
PEREZ, BRANDON 27.75
REINHART FOOD SERVICE, LLC 18,284.01
ROBERTS, JASON 3.35
SANTIAGO, JAMIE 13.30
SCHAVE, CARMEN 3.62
SCHIPMAN, CORY 16.10
SERVALL TOWEL & LINEN SUPPLY, INC. 310.20
WOLBERG, TARA 9.75
Total 67,116.59
Total Expenditures $152,029.15
TO: Ms. Trista Hedderman, Business Manager Mr. Alan Kerr, Superintendent Mr. Bud Gusso, Principal FROM: Naomi Hatfield, DHS Activities Director RE: Summer Gym Request DATE: April 13, 2016 With your approval, I will ask the Board for permission to offer open gym and open weight room again this summer. Summer open gym and weight room is open to all Douglas Middle School and High School students, Mondays through Thursdays, 6:00 – 8:00 pm. Please encumber the funds that will be used to pay the June, 2016 summer gym supervisors. We will be hiring two supervisors per shift. Each shift is two hours at a rate of pay of $15.00 per hour, per supervisor. Acct: 10-6900-030-400-120 May 30-June 2, June 6-9, June 13-16, June 20-23, June 27-30
80 hours x $15.00 $1200.00 Approximately 15% for FICA, etc. $180.00 TOTAL $1380.00
The July 2016 summer gym supervision will be covered on the 2016-17 budget. July 11-14, July 18-21, July 25-28
48 hours x $15.00 $720.00 Approximately 15% for FICA, etc. $108.00 TOTAL $828.00
Open gym supervisors must have current first aid training and be approved by the Board. Thank you.
Item #10
Current Monthly Board EmployeePremiums: Premiums Contribution Contribution
Single $672 $529 $1432-Party $1,276 $529 $747Family $2,015 $529 $1,486
Proposed Employee Employee Board BoardPremiums: Monthly Board Employee Monthly Yearly Monthly Yearly
Premiums Contribution Contribution Change Change Change ChangeSingle $682 $539 $143 $0 $0 $10 $1202-Party $1,286 $539 $747 $0 $0 $10 $120Family $2,025 $539 $1,486 $0 $0 $10 $120
Current Monthly Board EmployeePremiums: Premiums Contribution Contribution
Single $590 $529 $612-Party $1,124 $529 $595Family $1,796 $529 $1,267
Proposed Employee Employee Employee EmployeePremiums: Monthly Board Employee Monthly Yearly Monthly Yearly
Premiums Contribution Contribution Change Change Change ChangeSingle $600 $539 $61 $0 $0 $10 $1202-Party $1,134 $539 $595 $0 $0 $10 $120Family $1,806 $539 $1,267 $0 $0 $10 $120
Current Monthly Board EmployeePremiums: Premiums Contribution Contribution
Single $529 $529 $02-Party $1,000 $529 $471Family $1,600 $529 $1,071
Proposed Employee Employee Employee EmployeePremiums: Monthly Board Employee Monthly Yearly Monthly Yearly
Premiums Contribution Contribution Change Change Change ChangeSingle $539 $539 $0 $0 $0 $10 $1202-Party $1,010 $539 $471 $0 $0 $10 $120Family $1,610 $539 $1,071 $0 $0 $10 $120
2016-17HealthInsurancePremiumRecommendationsOption1($1,500Deductible)
Option2($3,000Deductible)
Option3($5,000Deductible)
Item #11
Goal: 6monthsreserve* $575,122.28WellmarkFees** $90,330.00NetworkAccessFees** $17,348.00Stop-LossFees** $394,717.00PCORIFees** $533.82ReinsuranceFees** $6,642.00
$1,084,693.10
CurrentBalance(4/20/16) $1,044,148.98Prepaids(4/20/16) ($38,044.79)
$1,006,104.19
Difference $78,588.91
PremiumHolidayCostfor1month** ($28,731.00)
EstimatedHealthFundIncreaseBasedonNew16-17Premiums** $29,520.00
PremiumHolidayCalculation
*Basedon90%calculationofthelast4yearsaverageprojectedclaims**Basedoncurrentenrollment
Item #12
a vision proposal
YOUR VISIONIN FOCUS
a vision proposal created for:
date:
Item #13
TABLE OF CONTENTS
Introduction
Avesis Benefi ts
Eye Examination ..................................................................................................................... 4
Frames ....................................................................................................................................... 5
Spectacle Lenses ................................................................................................................... 5
Contact Lenses ....................................................................................................................... 6
Additional Savings ................................................................................................................. 7
LASIK .......................................................................................................................................... 7
LASIK Rider .............................................................................................................................. 7
Out-of-Network Benefi ts ...................................................................................................... 8
Limitations and Exclusions .................................................................................................. 8
Implementation
Getting Started ........................................................................................................................ 9
Plans and Rates
What is Covered ..................................................................................................................... 10
Item #13
Since 1978, Avēsis has developed, administered, and
refi ned vision care solutions in order to provide our
clients with best-in-class products and services. We
have decades of experience as a national administrator
of essential benefi ts programs, giving us the unique
experience and expertise to match exceptional providers
and products with the people who need them.
Our members are teachers and fi refi ghters, accountants
and bus drivers. Our clients are small businesses, school
systems, and municipalities. We serve commercial and
governmental health plan sponsors, unions, and TPAs.
And as we rapidly approach the nine-million-member
mark, everyone at Avēsis, from senior management
through customer service, remains committed to
delivering the best essential healthcare programs
available.
Success in business hinges on the satisfaction of our
members and partners. We strive to provide exceptional
network access at more than 47,000 access points, rich
benefi t coverage, and quick, courteous, well-trained
customer service and claims processing staff .
The result of this mission and philosophy is the delivery
of cost-eff ective benefi ts, improved patient outcomes,
and high plan and customer satisfaction rates among our
clients and members.
OUR BACKGROUNDoperational excellence & expertise
Item #13
COMPREHENSIVE EYE EXAMa look into your eyes
What easy, routine exam not only protects your vision but can detect other important medical conditions? An annual eye
exam. And Avēsis members can get them from a well-credentialed Avēsis in-network provider for free or the cost of a
low copay.
A WINDOW TO THE WORLD
A comprehensive eye exam can detect more than 301
systemic diseases, allowing for cost-eff ective early
treatment and management of these conditions.
For children, eye exams are essential. Good vision
is vital to education, as most learning is processed
through sight.
Adults to age 60 should have eye exams every two
years, while those aged 61 and older should have them
annually.
Source: 1. www.allaboutvision.com/eye-exam/importance.html
2. www.aoa.org
HERE IS WHAT’S INCLUDED:
• Case history, including chief complaint and/or reason
for visit
• Patient medical/eye health history and record of
current medications
• Record of visual acuities with and without present
correction, if applicable
• Pupil responses
• External exam fi ndings
• Internal exam fi ndings
• Screening of visual fi elds perception
• Current prescription
• Retinoscopy, when applicable
• Subjective refraction at far and near point
• Binocular and ocular mobility testing
• Test of accommodation and/or near point refraction
• Tonometry, when applicable
• Diagnosis/prognosis
• Specifi c recommendations
Item #13
EYEGLASS BENEFITsee what you’re missing
FRAME BENEFIT
The Avēsis program is designed to give each member
a frame that is covered in full. To take advantage of this
benefi t, members must stay within their plan allowance. A
copay may apply.
Avēsis members are free to choose from any model of
frame, by any designer, for any price. If the price exceeds
the plan allowance, members pay the diff erence between
their allowance and the provider’s price—which may be
less than the full retail cost of the frame.
Since retail pricing varies signifi cantly among providers,
Avēsis uses a fi xed wholesale price allowance to ensure
greater benefi t uniformity at any in-network location.
Wholesale prices are determined by the manufacturer and
are not subject to the arbitrary 200 to 300 percent markup.
This allows us to control the cost and pass verifi able
savings onto our members, no matter where they live.
SPECTACLE LENSES
Our benefi t for prescription lenses covers the necessary
optical materials and professional services connected
with eyewear ordering such as fabrication, fi tting, and fi nal
adjustments.
Once any materials copay is met, each member is entitled
to a pair of standard single-vision, bifocal, trifocal, or
lenticular lenses, covered in full. Lenses are available in
plastic or glass (includes FDA hardening) FT25, FT28,
RD22, and FT7 X 28, in all powers up to +/- 7.00SPH and
4.25 cylinder and up to +4.00D add.
Participants may choose non-standard lenses or lens
characteristics that are cosmetic and not necessary for their
visual welfare. Those who select specialized lens options
(e.g. polycarbonate, high-index, etc.) will receive our
preferred pricing—minus the standard lens plan allowance.
Optional add-ons to standard lenses such as scratch
coating, UV protection, tints, etc. are all available at Avēsis
preferred pricing.
Approximately
use some sort of vision correction
75% of adults
11% wear contact lenses
64% wear eyeglasses
where
Source: http://www.statisticbrain.com/corrective-lenses-statistics/ (2014)
Item #13
CONTACT LENS BENEFITseeing is believing
DELIVERED DIRECTLY TO YOUR DOOR
You can buy your contact lenses online for delivery
right to your home—fast. We stock all major brands and
types of contact lenses, including Acuvue®, Focus®,
FreshLook, Preference®, and more. Every lens is
shipped in safe, sealed containers and is guaranteed
to be the exact lens prescribed by your doctor—but
without the retail prices. Members can visit us online at
www.lensbenefi ts.com.
Members may choose elective contact lenses in lieu
of the frame and spectacle lens benefi ts. They can use
their allowance all at once or throughout the plan year,
as needed, and it can be applied toward the purchase
of contact lenses, the fi tting fee, or both. Copays do not
apply to the elective contact lens benefi t.
MEDICALLY NECESSARY CONTACT LENSES
If contact lenses are medically necessary—such as
in the case of cataract surgery, certain conditions of
anisometropia or keratoconus, or to correct extreme
visual conditions that can’t be corrected with spectacle
lenses—they are covered in full, and copays do not
apply. Medically necessary contact lenses require prior
authorization from Avēsis.
Item #13
AN EYE FOR VALUEmore savings
Once a member’s benefi ts have been
exhausted, vision care goods and services
from a participating provider are available at
Avēsis preferred pricing, which amounts to
about 20 percent off the provider’s usual and
customary fees. The member is responsible for
paying the provider at the time of service.
REFRACTIVE LASER SURGERY BENEFIT (LASIK)
Avēsis off ers members a one-time/lifetime
refractive laser surgery allowance, which
can be used either in or out of network. Our
national network of providers will discount their
services before applying the allowance, and
choosing one of them assures you of care from
a qualifi ed, experienced surgeon.
The discount for laser vision correction is
based on the price points of participating
surgeons. Members pay the surgeon’s lowest
advertised price, less the discount, less the
allowance. That’s how we ensure our members
enjoy signifi cant savings. Members who use
this benefi t forfeit all other benefi ts for that
plan period, and any remaining charges for
refractive laser surgery benefi ts remain the
responsibility of the member.
LASIK RIDER
As an elective option, Avēsis off ers a funded
refractive laser surgery rider in the amounts
of $300 or $600 on a one-time/lifetime basis.
Avēsis will apply the allowance toward the
cost of surgery for one or both eyes. This
service replaces all other benefi ts for that plan
period, and any remaining charges are the
responsibility of the member.
NOTE: Refractive surgery is an elective
procedure and may involve potential risks
to patients. Avēsis is not responsible for the
outcome of any refractive surgery.
Item #13
OUT-OF-NETWORK BENEFITSsee any provider
Avēsis Members get the most value when using an in-
network provider; however, our generous reimbursement
allowance off ers complete freedom of choice when it
comes to exams, spectacle lenses and frames, contact
lenses, or refractive laser surgery from providers who
don’t participate with our plan. Reimbursement is not
available for options such as tints, scratch coating, UV
protection, and other cosmetic enhancements.
Members who seek these services outside the vast
Avēsis network must pay the provider in full at the time
of service and submit a claim to us for reimbursement,
which is made in accordance with the plan-specifi ed
out-of-network reimbursement schedule. (Members can
download claims forms at www.avesis.com or contact
their group’s administrator or the Avēsis Customer Care
Center. Copayments do not apply. Out-of-network benefi ts
are subject to the same eligibility, availability, frequency,
limitations, and exclusions of the plan and are in lieu of
services provided by a participating Avēsis provider.)
LIMITATIONS & EXCLUSIONS
The managed vision plan is designed to cover eye
examinations and corrective eyewear— visual needs
rather than cosmetic options. Should a member select
options not covered under the plan as shown in the
schedule of benefi ts, the member will pay a discounted
fee to the Avēsis participating provider. Benefi ts are
payable only for expenses incurred while the group and
individual member’s coverage are in force.
Some provisions, benefi ts, exclusions, or limitations listed
herein may vary depending on your state of residence.
Under the Avēsis plan, no benefi ts are covered for
professional services or materials connected with and
arising from:
• Orthoptics or vision training
• Subnormal vision aids and any associated
supplemental testing; aniseikonic lenses
• Plano (non-prescription) lenses or plano sunglasses
• Two pairs of glasses in lieu of bifocals and blended
lenses
• Any medical or surgical treatment of the eyes or
supporting structures
• Replacement of lost or broken lenses, contact lenses,
or frames, except when the member is normally
eligible for services
• Services or materials provided by any other groups
benefi ts plan providing vision care.
• Any eye examination or corrective eyewear required
by an employer as a condition of employment
• Services or materials provided as a result of any
Workers’ Compensation law or similar legislation,
required by any governmental agency whether
federal, state, or subdivision thereof
Refractive Surgery Vision Benefi t Exclusions Benefi ts are not payable for any of the following:
1. Routine vision examinations or corrective vision
materials, including corrective eyeglasses, fi ttings,
lenses, frames or contact lenses; or
2. Medical or surgical procedures, services or
treatments:
a. not specifi cally covered under this Rider;
b. provided free of charge in the absence of
insurance;
c. payable under any Workers’ Compensation law,
or similar statutory authority;
d. payable under any governmental plan or
program whether Federal, state or subdivisions
thereof.
Item #13
GROUP IMPLEMENTATIONgetting started with avesis
PROCESSING PAPERWORK
Plan setup begins once you submit a completed Group Application with the fi rst month’s
premium (for group paid programs, only) to your sales representative. We must receive an
original copy, or eligibility setup will be delayed.
GROUP DOCUMENTS
Once your Group Application and check have been received, we will prepare enrollment
and group materials, including:
• Benefi t Summaries• HIPAA Privacy Notice• Member Enrollment Forms• Administrator’s Guide
At this time during implemenation, we’ll assign an account manager who will be available
to answer questions and support you throughout the contract.
COMPLETE ENROLLMENT
Once the group’s initial enrollment is completed, hard copy enrollment forms must be sent
to:
AvēsisATTN: Implementation Coordinator10324. S. Dolfi eld RoadOwings Mills, MD 21117
Groups submitting enrollment to Avēsis electronically must follow a specifi ed data format
to ensure seamless data transfer and integration. (For additional information on the Avēsis
data format, please contact (800) 643-1132 ext. 12316.) Transferring electronic eligibility
data to Avēsis can be done via:
• Email to: [email protected]• Encrypted email• FTP• Postal mail using most modern storage devices
The best way to build a group’s eligibility is participation in the Avēsis E-billing program.
This system gives benefi ts administrators complete online access for enrollment, ongoing
maintenance, and billing.
Item #13
YOUR TAILORED PLAN DESIGNS
EYE EXAMINATION
Your eye examination is covered in full, after the exam
copay.
SPECTACLE LENSES
Your standard single-vision, standard bifocal, standard
trifocal, lenticular, and youth polycarbonate lenses are
covered in full, after a materials copay. Specialty lenses
are discounted up to 20 percent off retail in addition to
the corresponding standard lens allowance
FRAME ALLOWANCE
Your wholesale frame allowance is based on your plan
design below. It can equal a retail value of up to $200.
CONTACT LENS ALLOWANCE
Your contact lens allowance is based on the plan design
selected below.
3Contact lenses are in lieu of spectacle lenses and frame. Contact lenses and out-of-network benefi ts are not subject to copayment. Premium is subject to
adjustment in the event of changes in benefi ts, contributions, the number of
eligible employees, or any future additional tax, fee or assessment imposed by the
Federal or State governments with associated administrative costs and expenses.
Rates are good for 90 days from the date this proposal was created.
Rates are guaranteed for 2 years.
CONTACT:
IN-NETWORK BENEFITS
EO = Employee Only
E1 = Employee + One
ES = Employee + Spouse
EC = Employee + Child(ren)
EF = Employee + Family
PLAN NAME
COPAY EXAM
MATERIALS
FRAME WHOLESALE ALLOWANCE
RETAIL EQUIVALENT
CONTACT LENS ALLOWANCE
LENS OPTIONS* PACKAGE
REFRACTIVE SURGERY ALLOWANCE
PLAN DETAILS DETAILS
FREQUENCY
CONTRIBUTION
RATES
The plan below refl ects the combination of in-network benefi ts we designed especially for you. But a wide range of options
makes at least 300 plan designs possible, so we’re guaranteed to build the perfect package for you.
Item #13
SEEINGIS BELIEVINGsee our lens options clearly
Lens Package 2
Lens Package 3
Lens Package 4
Lens Package 5
Lens Package 6
Lens Package 7
Adult Polycarbonate
Standard Scratch-Resistant Coating
Ultra-Violet Screening
Solid or Gradient Tint
Standard Anti-Refl ective Coating
Level 1 Progressives
Level 2 Progressives
Adult Polycarbonate(Single Focus/Multi-Focal)
$40/$44
Standard Scratch-Resistant Coating $17
Ultra-Violet Screening $15
Solid or Gradient Coating $17
Standard Anti-Refl ective Coating $45
Level 1 Progressives $75
Level 2 Progressives $110
Transitions®(Single Focus/Multi-Focal)
$70/$80
Polarized $75
PGX/PBX $40
Note: Flat-rate fee schedule applies to new contracts, only.
• Our STANDARD package is up to 20% off retail• Transitions® lenses can be added to any lens
option package above: • “T” before the option number is covered
in full • “TC” before the option number is covered
with a $40 copay
• Youth Polycarbonate is included in all plans.
Options that are not included in your lens package above can be purchased at discounted Avēsis in-network preferred pricing below:
Our lens options packages include the most requested lens materials and enhancements (tints, coatings, and more)—so all
our members can see clearly. They can be added easily to any plan and you’re guaranteed to fi nd a lens option package
that’s right for you!
Underwritten by: Fidelity Security Life Insurance Company, Kansas
City, MO 64111 Policy #: VC-16, Form M-9059
Item #13
REIMBURSEMENTSAMOUNT UP TO
EXAM
LENSES AND FRAMES
STANDARD
SINGLE VISION
STANDARD
BIFOCAL
STANDARD
TRIFOCAL
STANDARD
LENTICULAR
STANDARD
PROGRESSIVE
FRAME
CONTACT LENS
ELECTIVE
CONTACT LENS
MEDICALLY
NECESSARY
CONTACT LENS
REFRACTIVE SURGERY
LASIK
Out-of-Network Benefi tsMembers maximize their benefi ts when choosing from one of Avesis’ well-credentialed providers. However, members are
free to select any vision provider for services. If you choose an out-of-network provider, the following benefi t allowances are
reimbursable to the member.
Item #13
With MyIDCare, you can:
Monitor your credit record. Keep track of your online activity 24 hours a day, seven days a week.
Have access to complete identity recovery if fraudulent activity is found.
YOUR WELLMARK HEALTH INSURANCE COVERAGE KEEPS YOU SAFE, SECURE AND PROTECTED FROM MORE THAN THE COST OF HEALTH CARE. Just by being a member, you and your dependents have exclusive access to identity protection services called MyIDCareTM. It’s just another way you get more as a Wellmark member.
STEPS TO ENROLL
Priceless peace of mindJoin thousands of people around the country who have already chosen MyIDCare, a service provided by nationally recognized identity protection provider, ID Experts®.
SAFE, SECURE AND PROTECTED
Item #14
M-2018268 02/15
Wellmark Blue Cross and Blue Shield is an Independent Licensees of the Blue Cross and Blue Shield Association. Blue365® is a discount program available to members who have medical coverage with Wellmark. This is not insurance.
MyIDCare is provided by ID Experts, an independent company providing identity protection services on behalf of Wellmark Blue Cross and Blue Shield.
Rather enroll over the phone?JUST CALL 866-486-4812 and make sure you have your Wellmark ID number and Member Enrollment Code handy.
Identity protection services aren’t the only ways you get more for being a Wellmark member.As part of your health plan, you also have access to products and services like:
myWellmark — your one-stop-shop for tools and resources to help you get the most out of your health care benefits.
BeWell 24/7SM — get connected with a real person who can help you with a variety of health-related concerns. Just call 844-84-BEWELL (239355).
Blue365® — find exclusive ways to save on top wellness services and products you use every day.
Health Care Cost Estimator — figure out how much it will cost you for a particular procedure or service. Just register or log in to myWellmark at Wellmark.com.
Enroll in identity protection services today!Register or sign in to myWellmark at Wellmark.com to get started.
Fill out the Group ID and Wellmark ID numbers, both found on your Wellmark ID card. Click “continue” and follow the directions to complete your enrollment.
Wellmark IDGroup ID
STEP
Enter your personal information and create a username and password.
STEP
Select “enroll or log in today” in the Identity Protection section of myWellmark.
STEP
To activate credit monitoring, enter your birth date and Social Security number.
STEP
4170999624
Enter the MyIDCare Member Enrollment Code: 4170999624.
STEP
Item #14
ID Experts is an independent company providing identity protection services on behalf of Wellmark Blue Cross and Blue Shield. Wellmark Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.
.
Q&A 01/16 Page 1 of 4
Enrolling in identity protection services
Q1. How can I enroll in identity protection services?
A1. Enrollment is quick and easy. All you need is the ID Experts enrollment code 4170999624
and your Wellmark ID card. To enroll, log in or register for myWellmark at Wellmark.com
and select “enroll or log in today” in the Identity Protection section. From there, follow
these easy steps.
1. Enter the ID Experts Member Enrollment Code. Then, enter the Group ID number
and Wellmark ID number from your Wellmark ID card. Click “continue” and follow
the directions to complete your enrollment.
2. At this point, you’ll need to enter your name, phone number, email, and address.
You will also be asked to create a username and password and answer a security
question.
3. To activate credit monitoring, you will need to enter your date of birth and Social
Security number, and you will be asked to answer several questions to verify your
identity.
If it’s more convenient for you to complete your enrollment over the phone, call
866-486-4812 to sign up.
Q2. Am I required to sign up for identity protection services?
A2. No. Identity protection services are optional. The service is provided to you with your
Wellmark health insurance plan at no cost to you if you purchase your health insurance
plan directly from us, or through an agent.
Q3. Do I have a limited amount of time to sign up for identity protection
services?
A3. No. You can sign up at any time after March 1, 2016.
Q4. What information will I need to provide ID Experts at the time of enrollment?
Frequently Asked Questions
Wellmark’s Identity Protection Services
Member Q&A
Learn More
Item #14
ID Experts is an independent company providing identity protection services on behalf of Wellmark Blue Cross and Blue Shield. Wellmark Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.
.
Q&A 01/16 Page 2 of 4
A4. You will need to provide the following information when you enroll for identity protection
services online or over the phone.
1. First/last name
2. Date of birth
3. Social Security number (if signing up for credit monitoring services)
4. Address
5. Phone number
6. Email address
7. Wellmark ID Number (found on your Wellmark ID card)
8. Wellmark Group Number (found on your Wellmark ID card)
9. ID Experts enrollment code: 4170999624
Q5. How do I enroll my dependents in identity protection services?
A5. You can enroll your dependents the same way you enroll yourself: through myWellmark or
by calling ID Experts.
You will need to provide your Wellmark identification number and ID Experts enrollment
code when you enroll online or over the phone.
Details of the identity protection services
Q6. What types of services are available to me and others covered by my plan?
A6. When you enroll for MyIDcare™ provided by ID Experts, you have access to credit
monitoring, fraud detection, fraud resolution support, plus other services.
Credit monitoring looks at activity that may affect your credit record. To make sure your
information stays secure on the web, cyber monitoring looks at your online activity 24
hours a day, seven days a week.
Fraud detection alerts you if any fraudulent activity has been identified. If your identity has
been compromised, you also have access to complete identity recovery, which offers
concierge-style services to help you. Along with those services, you are also covered by
$1 million dollars worth of reimbursement insurance for identity theft recovery.
Q7. Do the identity protection services cost me money?
A7. No. Identity protection services are another no-cost extra, available exclusively to you just
by being a Wellmark member.
Q8. Once I enroll, how long do the identity protection services stay in place?
A8. Your identity protection services will remain effective as long as you are a member of
Wellmark.
Item #14
ID Experts is an independent company providing identity protection services on behalf of Wellmark Blue Cross and Blue Shield. Wellmark Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.
.
Q&A 01/16 Page 3 of 4
Q9. What should I do if I know my personal or financial information has been
stolen?
A9. The ID Expert team of fraud specialists and Special Investigation Unit (SIU) will help you
with identity recovery and remediation services.
As an enrolled member, you will receive an email alert if the identity monitoring has
detected any changes to your personal information, like:
Another name or identity established with your name
Your Social Security number (SSN) used with a different name or alias established
with the SSN
A change of address processed by an unauthorized person to divert mail and/or
open a new account
An unauthorized person trying to gain employment or rent an apartment using your
personal information.
You will receive a monthly all-clear email if no changes have been detected.
Why Wellmark is offering identity protection services
Q10. Why is Wellmark offering identity protection services?
A10.
Wellmark is dedicated to both your health and financial well-being. One way we do
this is through offering you no-cost extras, like identity protection, just by being a
Wellmark member.
Identity theft can create stress and anxiety for impacted individuals. Identity
protection services can help eliminate that stress by making sure your personal
information and identity stays secure.
Q11.
Is Wellmark offering identity protection services because my personal information is at risk?
A11.
No. Wellmark is offering identity protection services because we are committed to
the privacy and security of our members. You can rest assured knowing that this
commitment includes using best in class tools to protect your information. By
offering identity protection services at no cost to you, this further extends our
commitment to ensure all members are protected in many ways with Wellmark.
Q12. How are the identity protection services through Wellmark different than those provided through other Blue Cross and Blue Shield plans who have
experienced a data breach?
Item #14
ID Experts is an independent company providing identity protection services on behalf of Wellmark Blue Cross and Blue Shield. Wellmark Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.
.
Q&A 01/16 Page 4 of 4
A12. The identity protection services offered through other Blue Cross and Blue Shield plans
are due to a specific event and valid for a certain amount of time. The services provided
through Wellmark are available to you as long as you are a member.
If you are currently enrolled in protection services through other Blue Cross and Blue
Shield plans, you don’t have to do anything until their services end. At that time, you can
enroll in Wellmark’s offers through ID Experts. Just log in or register for myWellmark at
Wellmark.com and complete the enrollment steps.
About ID Experts
Q13. What company is Wellmark using for identity protection services?
A13. MyIDcare™ is an identity protection service product offered by ID Experts. MyIDcare™
includes credit and cyber monitoring, identity theft reimbursement insurance and
concierge-style identity recovery services.
Q14. What happens if I’m already a customer of ID Experts?
A14. If you’re already an ID Experts member, you can continue with the services you have.
However, if you would like to enroll in the services provided through Wellmark, please
be sure to compare the plan details to make sure you’re enrolled in the right services
for your identity protection needs.
Q15. How do I cancel my identity protection services through ID Experts?
A15. Please contact ID Experts at 866-486-4812 to cancel your services.
Item #14
BIDDERS BUSTYPEBID
SECURITY AMOUNTTOTAL
TRADE-IN TOTAL
1 HARLOWS77PassengerBus(diesel) Bond $86,079 $1,000 $85,079
2 NORTHCENTRAL77PassengerBus(diesel) Bond $81,400 $2,500 $78,900
3 TRUCKSOFBISMARCK77PassengerBus(diesel) Check $86,950 $4,500 $82,450
BIDITEM#360
(1)77PASSENGERBUS(Diesel)BIDOPENING:April14,2016,2:00P.M.
PLANHOLDERSLIST/TABRECORDINGSHEET
Item #15
ABATA, KAREN ARCH, TAMMY ASHLEY, LORI BADURA, JUDITH BARAGAR, CATHY BATTEEN, NATHAN BAUER, LISA BECKER, MYRNA BELL, KATIE BERDAN, TOREY BETTMANN, REBECCA BLUMHARDT, MARLYS BLUNT-GROSZ, DEANNA BOEDING, JASON BONNER, SHANNON BOYLE, WANDA BROADIE, DAVID BROADIE, DEBRA BROUILLETTE, BRITNEY BURBACH, JENNA BURD, PAIGE BURNS, ANTHONY BURRESS, LORI BYRD, ANDREA CANAAN, RANDAL CARDA, PAMELA CARROLL, DAVID CHANEY, BRAD CLARK, KARLINE CLARK, TANA CLAUSON, BRENDA COATES, KELLY COATES, KIP COATES, MARY COATES, RUTH COFFIN, HEIDI COLE, LINDSEY COTE, KYLA CROOKS, TERESA CUNDALL, MARCY CURRY, DONNA DANIELS, LORETTA DARATA, KIMBERLY DEHERRERA, SHAMERA DELANEY, SHAWNA DENEKAMP, CATHLEEN DETTMAN, JAMES DEWEY, SUSAN DEYO, SUSAN DISTEL, BRETT DOERR, KATHLEEN ELDER, ERIC ELLWANGER, ELLEN EMME, RENE ENSTAD, MARLYS ERLANDSON, AMY FINNEY, LARESSA FLINT, KERI FOSS, DONNA
Item #18
FOUNTAIN, ANNETTE FRANKENFELD, LINDSAY GABRIEL, LISA GHOLSON, SEAN GLANDT, JEFF GLANDT, MARGERY GOOD, HOLLY GORDON, CONNIE HAGER, SUMMER HALLE, MARY HAM, KEVIN HANCOCK, THOMAS HARRIS, DONALD HARRIS, REBECCA HARTLEY, MELISSA HENCKE, TAMMY HERMANSON, JILLIAN HOFF, SAMANTHA HORAN, DAVID HUBBELL, MELISSA HUMKE, JOHN JACOBSON, NANCY JESSOP-RISING, JACKIE JOHNSON, E. ORANGE JOHNSTON, YOLANDA JORDAN, ARNOLD JORDAN, JENNIFER KEFFELER, KATHLEEN KENEFICK, MARK KINDLE, LORI KNAUER, VALERIE KNUTSON, KRISTIN KNUTSON, NICHOLAS KOWALESKI, AARON KRON, MARY KUEGLE, ELKE LARSON, JENNIFER LEE, TINA LEWIS, SANDRA LINDSKOV, KRISTIE LOCKEY, MARY MACIEJCZAK, REBECCA MARLER, BRANDI MARSHALL, MARLA MARTENSON, CHERRIE MARTIAN, MICHELLE MARTIN, DOLORES MAXON, SHANNON MAYNARD, MARLA MAYS, RON MCCLAIN, JENNIFER MCCORMICK, DENISE MCINTIRE, ROBERT MCNALLY, SARA MEADE, LORI MELENDEZ, PEDRO MERRILL, TAMARA MILLER, MARSHALL MILLER, TRAVIS MOGENSEN, CONNIE
Item #18
MOORE, ROSALIE MORIARTY, PATRICK MOSER, MICHELLE MRAZ, TONY MULVEHILL DEANNE MURRAY-VERNON, LISA MURPHY, MEGAN NEAL, NANCY NELSON, SANDRA NELSON, SHIREEN NORMAN, LINDA O'CONNELL, THERESA OLESON, ALICE OLESON, JOHN OLSON, JENNIFER OLSON-CANAAN, CHANDRA PACHECO-BAHR, TAMMY PARKER-GREER, BEVERLY PATAKY, ANTHONY PAULEY, KAITLYN PEARSON, BRITTANY PENA, DEBORAH PEPPER, G DALE PLOOSTER, KEVIN POPOWSKI, BART POPPE-BASHAM, PEGGE RASMUSSEN, TIMOTHY RATHKE, KJERSTEN RAY, AMIE REIMER, SARAH REYNOLDS, ROBERT RICHTER, SHERRY RISLOV, KERRY ROSE, JOELLE ROSETTER, LUANN ROSSOW, ANGELA ROWE, AMY RUDE, KELLIE SANDAL, SHANNA SAUNDERS, STEPHANNIE SCHILLING, ELIZABETH SCHLEUNING, LORRI SCHMIDT, LORETTA SCHMIDT, STACEY SCHMIDT, ZION SCHNIERS, JACQUELINE SCOTT, LINDSAY SEEFELDT, GREG SENESAC, LINDA SEVER, SARAH SHERWOOD, GAIL SIVERTSEN, SHEILA SIMON, GEORGIA SMITH, DEBORAH SNETHEN, SUSAN SPARGUR, DONALD E SPEIDEL, MCKENZIE STANFORD, ANGELA STEFFY, THERESA STEWART, CHESTER
Item #18
TAUTKUS, CAROLIE THOMAS, LORIE TREVILLYAN, ACACIA UTTER, SHANNON VAHLBERG, TONIA VAUGHN, ANNA VOGEL, MARY WALTMAN, MONICA WARREN, TARA WEBB, KYRA WELCH, BILLY WELLS, KENT WELLS, MARTHA WIEMAN, CHRIS WIEMAN, MARLEE WILLIAMS, MELINDA WILLIAMS, SARAH
Item #18
BALDWIN, DAN CASKEY, DEBORAH CLARK, JEANNIE DUNMIRE, JOAN GUSSO, BUD HATFIELD, NAOMI HEDDERMAN, TRISTA HENRICH, MICHELLE ICE, BARBARA KERR, ALAN SCHIPMAN, MAVIS SHEETS, MARK WINCE, DUANE
Item #19
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHC
STUDENT HEALTH The Board realizes its responsibility to help protect and improve the health of students. The Board, therefore, will utilize the services of a nurse to coordinate school health services. The nurse, with cooperation from school administrators, will be responsible for organizing dental, medical, and immunization clinics for students within the school district. Student health services will include the following:
Counseling for students, parents, and others concerning the findings of health examinations.
1. Help in preventing and controlling disease. 2. Emergency service for injury and sudden illness. 3. Consultation with parents and appropriate staff on the health of. 4. Maintenance of health records for all students. 5. Assessment and implementation of services for students with special needs,
administration of medications and performance of specialized health care procedures.
6. Conducting routine health screenings.
The services shall include assessment and implementation of services for students with special needs, administration of medications and performance of specialized health care procedures as per individual health care plan. Of necessity, the health services provided will be limited largely to the detection and prevention of health problems, referral of problems through parents to the family physician, and emergency care. Liability insurance will be provided employees to cover actions authorized by law. References Adoption History Legal: First Reading 4/11/16 ARSD 20:48:04.01:09 Approved 04/25/16 SDCL 13-33A SDCL 13-33A-6 Policy: JHCD JHCDA JHCDB
Item #23
RENAMED & REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHCA B STUDENT SCHOOL IMMUNIZATIONS AND PHYSICAL EXAMINATIONS PROGRAM
Inasmuch as student health and safety is a paramount need in any educational setting, the Douglas Board of Education hereby authorizes the Superintendent to implement the South Dakota state law which specifies those immunizations which are required of students prior to their admission to school. It is required in the law that appropriate school authorities receive, for each student, certification from a licensed physician stating that the student is free from certain contagious diseases and received or is in the process of receiving adequate immunizations that meet current state requirements. against those diseases specified in the law. As an alternative to the requirement for a physician’s certification, the law allows the student to present: certification from a licensed physician stating that such immunizations would endanger the life or health of the child, or a written statement by the parents that such immunizations are against the religious beliefs of the child’s family. 3. A written statement signed by one parent or guardian requesting that the local health department give the test and immunization because the parents or guardians lack the means to pay for such tests and immunizations. Physical examinations may also be required for all students who participate in interscholastic athletics and other school activities. The examination must be administered by a licensed physician and provided annually. Periodically Annually, students will also be subject to routine health screenings for hearing and visual acuity. and dental, scoliosis, and communicable diseases. References Adoption History Legal: First Reading 6/8/78 SDCL 13-28-7.1 Approved 7/13/78 SDCL 13-28-7.2 First Reading – Revised 8/25/08 Approved 9/8/08 First Reading – Renamed/Revised 04/11/16 Approved 04/25/16
Item #24
RENAMED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
Administrative Regulation
Section J Students File: JHCA B-R
SCHOOL IMMUNIZATION PROGRAM
1. At the time of registration of a student in school, the appropriate certification or one of the alternative statements will be required from the parent.
2. Students who attempt to enroll without any of the certification forms or
alternate forms will be denied enrollment until such forms are submitted. 3. In cases where the certification indicates that immunizations have begun but are
not complete, students will be allowed temporary admittance for a period not to exceed 45 days. If the proper certification is not presented by that time, indicating that the immunizations have been completed, the student will be excluded until such time as the immunizations are complete.
4. In those cases where parents fail to see that their child is properly immunized
and thus eligible for admission to school, child neglect and/or truancy proceedings will be initiated by the building principal.
Revised 9/08/08; Renamed April 25, 2016
Item #25
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY
Section J Students File: JHCC
STUDENT COMMUNICABLE CONDITIONS
The Board recognizes the need and right of all children to receive free and appropriate education. The board further recognizes its responsibility to provide a healthy environment for all students and school employees. Students, who are afflicted with a communicable parasite or a communicable, contagious, and/or infectious disease or who are liable to transmit such a parasite or disease may be excluded from school attendance. A determination of whether an infected student be excluded from the classroom or school activities shall be made on a case-by-case basis under the direction of the principal/building administrator or designee. ADVISORY COMMITTEE In situations where the decision requires additional expertise and knowledge, the building administrator will refer the case to an advisory committee for assistance in decision-making. The advisory committee may be composed of:
1) A representative from the state or county health department; 2) The student’s physician; 3) The student’s parents or guardian(s); 4) The school principal or designee; 5) The school health service’s supervisor; 6) The superintendent or designee; 7) Primary teacher(s). In making the determination, the advisory committee shall consider: 1) The characteristics of the communicable parasite or a communicable,
contagious, and/or infectious disease; 2) The behavior, developmental level, and medical condition of the student; 3) The expected type(s) of interaction with others in the school setting; 4) The impact on both the infected student and others in that setting; 5) The South Dakota Department of Health guidelines and policies; 6) The recommendation of the County Health Officer, which may be controlling.
The advisory committee may officially request assistance from the State Department of Health, Center of Disease Control, or other experts.
Page 1 of 2
Item #26
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY
Section J Students File: JHCC
If it is determined that the student will not be permitted to attend classes and/or participate in school activities, additional medical information may be needed before the student may return to school. If an infected student is not permitted to attend classes for ten consecutive school days, arrangements may will be made to provide an alternate educational program. If that requires personal contact between student and school employees, only trained volunteer employees shall be utilized. PUBLIC INFORMATION OF COMMUNICABLE CONDITION CONFIDENTIALITY Public information will not be revealed about the student who may be infected. If the student is permitted to remain in the school setting, the following procedure will be followed by the superintendent and/or principal: Information will be provided, as appropriate, to school employees who have regular
contact with the student, as to the student’s medical condition and other factors needed for consideration in carrying out job responsibilities.
HEALTH GUIDELINES It shall be the duty of the Superintendent to establish regulations in accordance with this policy. The regulations shall contain infection control practices to be observed within the schools and may include guidelines to be used as a resource in determinations related to school attendance. Health guidelines for school attendance are established and interpreted within the context of the case. The guidelines are not inclusive but are available to be used as a resource. School personnel will refer to school health professionals for specific judgments in interpreting the guidelines. Instruction in appropriate handling of blood and body fluids will be provided. Hand washing after contamination, food preparation and health/hygiene care performed in different sink and work areas, maintenance cleaning and other personal hygiene measures are part of creating a healthy environment.
Page 2 of 2
References Adoption History Legal: SDCL: 13-28-7.3 First Reading 04/22/89 Douglas School District Nurses’ Handbook Approved 06/12/89 First Reading of Revision 09/29/08 Approved 10/14/08 First Reading of Revision 08/12/13 Approved 08/26/13 First Reading – Revisions 04/11/16 Approved 04/25/16
Item #26
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
ADMINISTRATIVE REGULATION
Section J Students File: JHCC-R
STUDENT COMMUNICABLE CONDITIONS
REGULATIONS FOR HANDLING BODY FLUIDS/CONTAMINANTS IN SCHOOL
The following procedures/precautions should routinely be used throughout the school system to minimize the risks of transmission of communicable diseases or other conditions. These guidelines provide simple and effective precautions for all persons including pregnant women potentially exposed to the body fluids of any student. They will be updated as new information/recommendations are available from the State Department of Health.
a. “Body Fluids” applies to blood, drainage from scrapes and cuts, feces, urine, vomitus, saliva, and drainage from any orifice (i.e. nose, ears).
b. Direct skin contact with body fluids/contaminants should be avoided when
possible.
c. Gloves should routinely be worn when direct hand contact with body fluids/contaminants is anticipated.
d. Gloves and other materials used for this purpose should be put in a plastic bag or
lined trash can. Plastic bags should be changed daily and disposed of routinely. Double bagging can be used when indicated (known high risk contamination).
e. Gloves should be kept in all areas of high risk, e.g., health room, maintenance
areas, main office, any classroom where risk is particularly high.
f. Students should be taught to handle their own “body fluids” as appropriate (for age, state of health, etc.). When feasible, students should dispose of own tissue after blowing nose, apply pressure to nose and dispose of tissue/paper towels for bloody nose, wash own scrapes/cuts, etc.
g. Students should be taught good hand washing technique and encouraged to use it
routinely – before eating, after toileting, after vomiting, etc.
h. When direct skin contact or contamination of materials occurs from unanticipated skin contact with body fluids/contaminants (e.g., helping a child in the bathroom, vomiting,), proper cleaning technique should be followed.
Page 1 of 6
Item #27
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
ADMINISTRATIVE REGULATION
Section J Students File: JHCC-R
i. Hands and other affected skin areas of exposed persons should routinely be washed with soap and water after contact. Liquid soap dispensed from a wall dispenser is preferable to bar soap - especially bar soap, which sits in a pool of water.
j. Clothing or personal items should be checked for contamination and removed, placed in a plastic bag or container and sent home for treatment. Items used within the school setting should be handled according to recommended health guidelines before reuse.
k. Contaminated disposable items (tissues, paper towels, diapers) should be handled
with disposable gloves.
l. Spilled body fluids/contaminants should be removed from the environment by proper cleaning technique.
m. Grossly contaminated environmental surfaces should be thoroughly cleaned with
a freshly prepared solution containing one cup of household bleach per gallon of water. A germicide (e.g. Lysol) can be substituted if a bleach solution is unavailable. Disposable gloves should be worn.
n. Wastes and disposable cleaning equipment should be placed in a toilet or plastic
bag as appropriate. Non-disposable cleaning equipment (mops, buckets) should be thoroughly rinsed in a bleach solution (as above). The bleach should be disposed of promptly down a drainpipe.
o. Maintenance responsibilities should include daily cleaning with bleach/germicide
in all areas of high risk for contact with body fluids such as the health room, health room toilet(s), sink(s), student and staff lavatories, etc. Plastic bags should also be changed daily and disposed of routinely; and disposable gloves should be worn.
p. Contaminated areas should be cleaned according to health guidelines.
q. The clothing of persons at high risk for frequent contact with body fluids should
be protected. Lab coats for use in the health room when tending sick children are recommended.
Page 2 of 6
Item #27
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
ADMINISTRATIVE REGULATION
Section J Students File: JHCC-R
STUDENT COMMUNICABLE CONDITIONS Numerous communicable conditions diseases may affect a school-age population and/or school staff. Some of these have a high degree of communicability. Some are life threatening in nature. Some are both.
HEALTH GUIDELINES Health guidelines for school attendance are established and interpreted within the context of the situation. The guidelines are not inclusive but are available to be used as a resource. Specific needs will be addressed individually. School personnel will refer to school health professionals for specific judgments in interpreting the guidelines. Communicable Condition and Incubation Period Rules for School Attendance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Acquired Immune process Determination should be made by the Deficiency Syndrome (AIDS) team as outlined in the Communicable *6 months - 5 years Disease Policy. The State Department
of Health’s School Children with AIDS Policy shall be used as reference.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Chicken Pox The student may attend school after all *14-21 days pox are dry and scabbed. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cimex lectularius The student may attend school. Parent will (Bed Bugs) be contacted. If there is continued problem with bed bugs on student, the student may be excluded until there is documented evidence of home treatment. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cytomegalovirus (CMV) The student may attend school. Precautions Salivary Gland Viruses should be taken by contacts with immune- suppression such as anti-cancer or organ transplants, as well as anyone with suspected or known pregnancy. Good hand-
washing in all cases should eliminate risk of transfer of infection. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Fifth Disease The student may attend school if there is (Erythema Infectiosum) no fever. Often times the student does *6-14 days not see a physician. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Page 3 of 6
Item #27
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
ADMINISTRATIVE REGULATION
Section J Students File: JHCC-R
Communicable Condition and Incubation Period Rules for School Attendance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Giardiasis (Intestinal Protozoan Infection) The student may attend school if the student *5-25 days or longer practices independent hygienic bathroom skills. Other students may attend school after the third day of drug treatment. Good hand washing in all cases should eliminate risk of transfer of infection. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Enteric Infection The student may attend school if no fever. The (Giardia Salmonella, Shigella, student may attend school if the student Campylobacter, Rotovirus, E-Coli, practices hygienic bathroom skills. Good hand Pinworms) washing in all cases should eliminate risk of transfer of infection. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Herpes Simplex The student may attend school during an active *2-12 days case if the student has the ability and practices
appropriate personal hygiene precautions, and the area of lesion is covered.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Impetigo The student may attend school if treatment
*variable 4-10 days is verified and cleared by doctor to attend. area is dried.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Hepatitis A The student may attend school with *15-40 days physician’s written permission, and if the
student has the ability to take appropriate personal hygiene precautions. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Hepatitis B Treat all blood as potentially infectious. *45-160 days Universal precautions, as posted in all schools, shall be enforced. Student may attend school. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Rubeola Measles (Red, Hard, 7-day) The student may attend school after a minimum of seven days. Students who *8-14 days have had contact with Measles may attend
school if immunization is up to date. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Infectious Mononucleosis The student may attend school as directed (Glandular Infection) by the physician. The student may need *2-6 weeks adjusted school days and activities. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Page 4 of 6
Item #27
REVISED
Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
ADMINISTRATIVE REGULATION
Section J Students File: JHCC-R Communicable Condition and Incubation Period Rules for School Attendance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Mumps The student may attend school after swelling 12-21 days has disappeared. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Pediculosis The student may attend school after treatment. (Lice, Crabs) After repeated infestations of the same student, the student may be excluded until all nits are removed.
A student with live lice will may be excluded immediately and may return after treatment.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Pink Eye The student may attend school after the (Conjunctivitis) eye is clear, under treatment or with *5-12 days physician’s written permission. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plantar’s Wart The student may attend school. Student should not be permitted to walk barefoot. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ring Worm The student may attend school if the area (Scalp, Body, is under treatment and covered. Restrict Athlete’s Foot) known cases of athlete’s foot from pools and showers until under treatment. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Rubella The student may attend school after a (German Measles, 3-day) minimum of four days. Students who have *14-21 days had contact with rubella may attend school if immunization is up to date. Prevent exposure of pregnant women. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Scabies The student may attend school after (7-year itch or mites) treatment. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Streptococcal Infections The student may attend school 24 hours (Scarlet Fever, Scarletina, after initiating oral antibiotic therapy, Strep Throat) and clinically well. *1-3 days - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Page 5 of 6
Item #27
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
ADMINISTRATIVE REGULATION
Section J Students File: JHCC-R
Communicable Condition and Incubation Period Rules for School Attendance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Influenza The student may attend school if no fever free
without medication for 24 hours. Good hand washing should eliminate risk of transfer of infection. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - All communicable and chronic disease should be reported to Health Services. *Time interval between initial contact with an infectious agent and the first sign of symptom of the disease. Revised 08/12/13 April 25, 2016 Page 6 of 6
Item #27
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota Board Policy ________________________________________________________________________________________ Section J Students File: JHCD ________________________________________________________________________________________
ADMINISTERING MEDICATIONS TO STUDENTS
Students will not be given medications while at school unless the medication is given them by the school district nursing staff or other designated trained school personnel acting under specific written request (Form PP-323) of the parent or guardian and/or under the written instruction of the student’s physician.
When such a request is made by a parent or guardian, a full release from the responsibilities pertaining to the administration and consequences of such medications must also be presented to the principal by the student's parent or guardian. (Form PP-323) Parent/guardian requests to store and/or administer prescription or nonprescription medications to students must be in writing, on a Medication Release Form (PP-323). The Medication Release From must be completely filled out, signed and dated by the parent/ guardian. The Medication Release Form must be renewed annually. Any product that could be considered a drug, including “natural remedies”, herbs, vitamins, dietary supplements or homeopathic medications will be managed as a prescription medication. These products would require a written order from a physician or licensed health care provider and completion of a Medication Release Form by the parent/guardian. When medication is brought to school for a student, the student's teacher, building principal, nurse or secretary will be made aware that the student will be taking medication. If a child has medication at school without prior notification, the parent/guardian will be contacted. Medications should be transported to and from school by a parent/guardian. All medications must be stored in a locked medicine cabinet, managed by the school nurse or school personnel trained in medication administration. Prescription medications to be stored and/or administered must be in a pharmacy labeled container. The label must specify the student's name, name of physician/licensed health care provider, the date of the prescription and the directions for use. If the dosage of the medication is changed by the physician/licensed health care provider, a new bottle must be received from the parent and a new Medication Release Form completed. Non-prescription medications to be stored and/or administered should be in the original container. It is the responsibility of the student to come to the office to take his/her medication. Any student who uses the medication in a manner other than the manner prescribed may be subject to disciplinary action.
Page 1 of 2
Item #28
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota Board Policy ________________________________________________________________________________________ Section J Students File: JHCD _______________________________________________________________________________________
Prescription medication administration may be delegated only to those individuals who have successfully completed the training program as required by law. If such a request (Form PP-323) is given to the school by a parent or guardian, a full release is given to the school district from the responsibilities pertaining to the administration and consequences of such medication. No over-the-counter medications will be given by the school district nursing staff or other designated trained school personnel without the written or verbal authorization of the parent or guardian. Students, 18 years of age or older, who are their own guardian, may authorize the administration of over-the counter medications.
Page 2 of 2
References Adoption History Legal: First Reading 02/12/90 ARSD 20:48:04.01:09 Approved 02/27/90 SDCL 13-32-10 First Reading – Revision 08/25/08 SDCL 13-32-11 Approved 09/08/08 SDCL 13-32-12 First Reading – Revision 04/11/16 SDCL 13-32-13 Approved 04/25/16 SDCL 13-33A SDCL 13-33A-6 Policy Reference JHC JHCDC JHCDA JHCDB
Item #28
Grade / Room________________ JHCD-E
REVISED Douglas School District K-12
CONSENT FOR MEDICATION ADMINISTRATION RELEASE FORM
1. I am the parent/guardian of __________________________________________ and I authorize my child/ward ________________________________________________, to be administered the prescription/nonprescription medication identified below while on school property or at a school-related event or activity by the school nurse or employee trained in the administration of prescription drugs.
2. I hereby release the District and its employees and agents from liability for injury arising from the school’s administration of the medication while on school property or at a school-related event.
3. I understand that if the student identified herein uses the medication in a manner other than prescribed, the student may be subject to disciplinary action by the school, however, any disciplinary action may not limit or restrict the student’s immediate access to the medication.
4. I authorize the school to inform appropriate school employees who would have a need to know of the administration of medication (i.e., school nurse, instructors, teacher aides, school administrators, activity supervisors, bus drivers).
5. I acknowledge and agree that the school shall secure (store) the medication for the student until administration of the medication is necessary, and that in no circumstances shall the medication be stored in the student’s locker or carried by the student unless authorized.
Doctor ___________________________________________________________________________
Student Name ____________________________________________________________________
Medication _______________________________________________________________________
Dosage __________________________________________________________________________
Time of Administration ______________________________________________________________
Method of Administration (Oral, Eye, Ear, Nasal, Inhaled, Topical, other) _______________________
Expiration Date ___________________ Drug Allergies ____________________________________
Reason for Medication ______________________________________________________________
Side Effects/Precautions/Reactions to observe ___________________________________________
_________________________________________________________________________________
Phone numbers: Home _____________________ Work/Cell _____________________________
ONLY A 10 DAY SUPPLY IS KEPT AT SCHOOL
I understand the medication shall be provided in a prescription bottle showing the name and telephone number of the pharmacy, the student's name, physician's name, and time and dosage of the drug to be taken. Signed ____________________________________________________ Date ___________ (Parent or Guardian) *This medication can only be administered upon receipt of a signed release form or written note. PP-323 rev. 9/08 4/25/16
Item #29
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota Board Policy ________________________________________________________________________________________ Section J Students File: JHCDA ________________________________________________________________________________________
STUDENT SELF-ADMINISTRATION OF PRESCRIPTION ASTHMA AND ANAPHYLAXIS MEDICATION BY STUDENTS
Self-administration of prescription medication means a student’s discretionary use of
prescription asthma or anaphylaxis medication, or both.
In accordance with South Dakota Law SDCL 13-32-11, any student with asthma or the potential for anaphylaxis may possess and self-administer prescription asthma or anaphylaxis medication while on school property or at a school related event or activity provided the following conditions and authorizations are obtained. The requirements for self-administrations are:
1) The prescription asthma or anaphylaxis medication has been prescribed by a physician or other licensed health care provider for that student as indicated by the prescription label on the medication;
2) The self-administration is done in compliance with the prescription or written instructions from
the student’s physician or other licensed health care provider; and
3) The parent/guardian of the student provides to the school, on a form provided by the school:
a) Written authorization, signed by the parent/guardian/student if age 18 or older, for the student to self-administer prescription asthma or anaphylaxis medication while on school property or at a school-related event or activity;
b) A written statement, signed by the parent/guardian/student if age 18 or older, in which the parent releases for release of liability for the school district and its employees and agents from liability for an injury arising from the student’s self-administration of prescription medication while on school property or at a school-related event or activity unless in cases of wanton or willful misconduct;
c) A written statement from the student’s physician or other licensed health care provider, is signed by the physician or provider and which shall be kept on file in the office of the school nurse that states:
i. The student has asthma, potential for anaphylaxis, or both, and is capable of self-administering the prescription asthma or anaphylaxis medication.
ii. The name and purpose of the medication. iii. The prescribed dosage for the medication. iv. The times at which or and circumstances under which the medication may be
administered; and v. The period for which the medication is prescribed.
4) Upon using the prescribed medication, the student shall notify a teacher, school nurse or the
office of the usage. Page 1 of 2
Item #30
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota Board Policy ________________________________________________________________________________________ Section J Students File: JHCDA ________________________________________________________________________________________
5) If any student, who uses the medication in a manner other than the manner prescribed, the
student may be subject to disciplinary action by the school. The disciplinary action may not limit or restrict the student’s immediate access to the medication.
6) The parent/guardian (or student, if 18 years old or older), authorizes the school nurse to
inform appropriate school employees (i.e., teachers, aides, school administrators, activity supervisors, bus drivers who would have a need to know) that the student may self- administer medication.
7) The parent/guardian gives permission for the student to have the prescription medication
with the student while on school property or at a school-related activity or event.
The physician or provider’s statement must be kept on file in the office of the school nurse of the school the student attends. The physician or provider’s order must be renewed annually.
Page 2 of 2
References Adoption History Legal: SDCL 13-32-10 First Reading 08/23/10 SDCL 13-32-11 Approved 09/13/10 SDCL 13-32-12 First Reading – Revision 04/11/16 SDCL 13-32-13 Approved 04/26/16 SDCL 13-33A SDCL Ad-33A-6 Policy Reference: JHC JHCD JHCDB JHCDC
Item #30
JHCDA-EREVISED
DouglasSchoolDistrict51-1SchoolHealthServices
AuthorizationForSelf-AdministrationofPrescriptionAsthmaandAnaphylaxisMedicationByStudent
MedicalAuthorizationStudent______________________________________________________________Grade_______________________
School___________________________________Teacher_____________________________________________
MedicalDiagnosis__________________________________________________________________________________
Medication_______________________________________________________________________________________
Purposeformedication______________________________________________________________________________
Dosage___________________________________Route_______________________Frequency__________________
Iauthorizethatthisstudentiscapableofself-administeringthismedication.AuthorizationStartDate:_________________________________AuthorizationEndDate:_________________________________________________________________________________________________________________________SignatureofPhysician/LicensedHealthCareProvider Addressand/orPhoneNumberofPhysician/LicensedHealthCareProvider
ParentalAuthorization
1. Iamtheparent/legalguardianof___________________________________________________________andIauthorizemychild__________________________________________________________________toself-administertheprescriptionmedicationidentifiedabovewhileonschoolpropertyorataschool-relatedeventoractivity.
2. IherebyreleasetheDistrictanditsemployeesandagentsfromliabilityforinjuryarisingfromthestudent’sself-administrationoftheprescriptionmedicationwhileonschoolpropertyorataschool-relatedeventunlessincasesofwantonorwillfulmisconduct.
3. Iunderstandthatifthestudentidentifiedhereinusesthemedicationinamannerotherthanprescribed,thestudentmaybesubjecttodisciplinaryactionbytheschool,however,anydisciplinaryactionmaynotlimitorrestrictthestudent’simmediateaccesstothemedication.
4. Iauthorizetheschoolnursetoinformappropriateschoolemployees,i.e.instructors,teachersaides,schooladministrators,activitysupervisors,busdriverswhowouldhaveaneedtoknowthatthestudentmayself-administermedication.
5. Igivepermissionforthestudenttohavetheprescriptionmedicationwiththestudentwhileonschoolpropertyorataschool-relatedactivityorevent.
6. Iauthorizetheprincipalorhis/herdesigneeofmystudent’sschooltoadministertheaboveprescriptionmedicationtomystudentifmystudentisunabletoself-administer.
_______________________________________________________________ ________________________________Parent/Legalguardiansignature DatePP-32408/23/10Rev.4/25/16
Item #31
JHCDA-EDouglasSchoolDistrict51-1
SchoolHealthServices
PolicySelf-AdministrationofPrescription
AsthmaandAnaphylaxisMedicationbyStudents
InaccordancewithSouthDakotaLawSDCL13-32-11,anystudentwithasthmaorthepotentialforanaphylaxismaypossessandself-administerprescriptionmedicationwhileonschoolpropertyorataschoolrelatedeventoractivityprovidedthefollowingconditionsandauthorizationsareobtainedandkeptonfileintheschoolofficebytheschoolnurseorprincipal.Therequirementsforself-administrationsare:
1. Theprescriptionmedicationhasbeenprescribedforthatstudentasindicatedbytheprescriptionlabelonthemedications.
2. Theself-administrationisdoneincompliancewiththeprescriptionorwritteninstructionsfromthestudent’sphysicianorotherlicensedhealthcareprovider.
3. Writtenauthorizationforthestudenttoself-administerprescriptionmedicationissignedbytheparent.4. Writtenstatementforreleaseofliabilityfortheschooldistrictandemployeesissignedbyparent.5. Writtenstatementfromthephysicianorotherlicensedhealthcareproviderissignedbythephysicianthat
states:i. Thestudenthasasthma,potentialforanaphylaxis,orboth,andiscapableofself-administeringthe
prescriptionmedication.ii. Thenameandpurposeofthemedicationiii. Theprescribeddosageforthemedicationiv. Thetimesandcircumstancesunderwhichthemedicationmaybeadministered.v. Theperiodforwhichthemedicationisprescribed.
Item #31
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHCDB
EPINEPHRINE AUTO-INJECTORS
The District may acquire and maintain a stock of epinephrine auto-injectors pursuant to a prescription issued by an authorized health care provider for use in an emergency situation of a severe allergic reaction causing anaphylaxis. Parent/legal guardian of a student with a known severe allergic reaction causing anaphylaxis needs to provide the school with an epinephrine auto-injector prescribed by a licensed physician. All epinephrine auto-injectors must be stored in a locked medicine cabinet, managed by the school nurse or school personnel trained in administration of epinephrine auto-injector or administration of medication. Epinephrine auto-injectors to be stored and/or administered must be in a pharmacy labeled container. The label must specify the name of physician/licensed health care provider, the date of the prescription and the directions for use. ��No school employee, other than the school nurse, shall be required to be trained by a licensed health care profession for the purpose of being trained in the administration of epinephrine auto-injectors, or shall be required to administer epinephrine auto-injectors, without the employee’s prior written consent. Any school nurse, or other designated school personnel trained by a licensed health care professional for the purpose of being trained in the administration of epinephrine auto-injectors, and authorized by the School Board, may:
(1) administer an epinephrine auto-injector to a student in accordance with a prescription specific to the student on file with the school;
(2) administer an epinephrine auto-injector to any student during school hours if the
school nurse or designated school personnel believe that the student is experiencing anaphylaxis in accordance with a standing protocol from an authorized health care provider, regardless of whether a student has a prescription for an epinephrine auto-injector or has been diagnosed with an allergy.
(3) prior to administering an epinephrine auto-injector made available by the school,
each designated school personnel shall be trained by a licensed health care professional:
(a) to recognize the symptoms of a severe allergy or anaphylactic reaction; (b) to know the procedure for the administration of an epinephrine auto-injector; (c) to know the procedure for storage of an epinephrine auto-injector; and (d) to know the emergency care and aftercare for a student who has an allergic or
anaphylactic reaction.�
Page 1 of 2
Item #32
NEW
Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHCDB
Pursuant to state law, no administrator, school nurse, or designated school personnel, the District or the School Board, that makes available or possesses or epinephrine auto-injectors pursuant to law, may be held liable for any injury or related damage that results from the administration of, self-administration of, or failure to administer an epinephrine auto-injector that may constitute ordinary negligence, however, this immunity does not apply to an act or omission constituting gross, willful, or wanton negligence. The District, through the student handbooks and such other means as identified by the Superintendent, shall notify the parents or guardians of each student about the policy.
Page 2 of 2 References Adoption History First Reading 4/11/16 Legal: Approved 4/25/16 ARSD 20:48:04.01:09 SDCL 13-33A SDCL 13-33A-6 Policy Reference: JHC JHCD JHCDA
Item #32
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHCDC
DIABETES HEALTH CARE AND INSULIN ADMINISTRATION The purpose of this policy is to establish procedures in the District for the administration of health care services for each student with diabetes as prescribed by that student’s personal physician. The goal of this care is to maintain blood glucose levels within a student’s target range and to enable a student with diabetes to safely and fully participate in the educational program. Douglas School Board Policy JHCD: Administering Medications to Students, shall also apply to the administration of health care services for students with diabetes to the extent Policy JHCD is consistent with and not contradictory to this policy. CARE TO BE PROVIDED A. Diabetes care may be provided by a school nurse, if available, or by an Unlicensed Assistive
Personnel (UAP) who volunteers to provide diabetes care and who has been trained pursuant to ARSD 20:48:04.01.
B. The delegation of insulin administration to an Unlicensed Assistive Personnel (UAP) is
authorized by the South Dakota Board of Nursing rules, ARSD 20:48:04.01. A registered nurse (RN), holding an active South Dakota or multi-state compact RN license, currently practicing and employed as a certified diabetes educator (CDE) or RN currently-employed as a school nurse must be identified to be the delegating nurse to train, test competency, and oversee the process. In many cases, the delegating nurse will communicate with the student and UAP during the school day via video conferencing. The delegating nurse will be referred to as the “virtual nurse” in this policy.
1. If a student with diabetes needs assistance with care for that condition at school or
school-related events, and the services of a UAP is needed, the school shall seek school employees to volunteer to provide that care. The employee must be willing to accept the delegated task of insulin administration. No employee shall be required to be a UAP as a condition of employment. The employee must meet the South Dakota Board of Nursing’s Medication Administration training requirements as set forth in ARSD 20:48:04.01, which training shall be provided at school expense.
2. Employees who provide diabetes care as a UAP shall be provided liability insurance
through the school’s insurance coverage for incidental medical malpractice liability, and the school shall defend and indemnify the employee for any and all costs for which the employee may be liable, provided the UAP’s actions were consistent with the training received.
C. If the school provides diabetes care through a UAP, the school shall decide, after consulting
with the parents/guardians, what health care provider or school nurse will provide the virtual nurse support should the school utilize a UAP to provide the necessary care. The school shall then work with that agency to provide video conference calls to the virtual nurse. A secure internet connection shall be used to dial into the virtual nurse and which shall provide sufficient clarity so the virtual nurse can see the glucose meter and insulin pump screen, insulin pen doses, and insulin syringe lines. A dedicated tablet, laptop, or desktop with video capacity to support calls used to provide services pursuant to this policy shall be securely stored when not in use by the student and UAP.
Page 1 of 3
Item #33
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHCDC
D. If diabetes care is to be provided by a UAP, the virtual nurse must be available during school
hours and must initiate a weekly interaction with UAP and student(s). The virtual nurse will maintain appropriate documentation related to interactions and weekly logs.
E. To the extent that the student is not able to perform this care independently, diabetes care
provided by the school UAP shall be under the supervision of a school nurse or Virtual Nurse, and may include:
1. Checking blood glucose level at the times and under the circumstances specified; 2. Responding to blood glucose monitoring results; 3. Administering insulin through the insulin delivery system the student uses; 4. Administering oral diabetes medication; 5. Administering glucagon and taking the additional actions set out in the DMMP; 6. Checking for ketones; 7. Recording blood glucose monitoring results and medication dosages and frequency in the
weekly log; and 8. Following instructions regarding meals, snacks, and physical activity.
F. If a student becomes unconscious or unresponsive due to severe hypoglycemia, school employees shall take actions as specified in the student’s Diabetes Medical Management Plan (DMMP) and contact 911. No student experiencing hypoglycemia shall be left unattended or shall be sent alone to another location to receive care.
G. All school employees who have primary responsibility for a student with diabetes at any time
during the school day or during school-sponsored activities may receive training. The training will include basic information about diabetes and its management, how to recognize symptoms of hypoglycemia and hyperglycemia, and which school employees should be contacted for assistance in providing diabetes care.
H. Notwithstanding the other provisions in this section, a parent or guardian may elect to
perform diabetes care for his/her child at school or during school-sponsored activities. The election should be made in writing and shall specify the circumstances under which the parent or guardian will provide care and the circumstances, if any, under which school personnel will provide care.
DIABETES MEDICAL MANAGEMENT PLAN (DMMP) A. The parent of a student with diabetes who requests services from the school must provide
written physician’s orders (Diabetes Medical Management Plan, or “DMMP”), signed by the student’s physician. The DMMP identifies the health care needs of, and services to be provided to, a student with diabetes. If the DMMP changes, the parents/guardians shall provide a copy of the changed DMMP, signed by the student’s physician, to the principal or principal’s designee, and to the UAP. The parents/guardians shall authorize the principal or the principal’s designee authorization to speak directly with the student’s physician related to the DMMP. The DMMP must contain:
Page 2 of 3
Item #33
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHCDC
1. A list of the equipment and supplies, if any, that the student is permitted to carry during the school day;
2. A statement that the student has been trained on the proper and safe use of medication and supplies needed at school, such as syringes and needles, if the child is to carry such supplies at school;
3. A statement as to which, if any, diabetes care tasks the student is capable of performing without assistance, which of these tasks require assistance from school personnel, and which of these tasks the student is unable to perform;
4. If the student requires assistance from the school nurse UAP with blood glucose or ketone monitoring;
5. If the student requires assistance from the school nurse UAP with insulin, glucagon or other medication administration at school, the medication to be taken, the timing of medication administration, and instructions for calculating the proper dose;
6. Instructions regarding activity monitoring and exercise plan; 7. A chart with hypoglycemic recognition and treatment; 8. A chart with hyperglycemic recognition and treatment; and 9. Instructions for emergency Glucagon administration.
B. Once the school receives a copy of the DMMP, the school shall develop and implement a Student Health Plan (SHP) for the student with diabetes that incorporates the provisions of the DMMP. The plan shall specify which school personnel or unlicensed assistive personnel (UAP) will provide diabetes care to the student, if needed. The school may use an individualized Student Health Plan, or include the DMMP in a student’s Rehabilitation Act Section 504 Plan (504 Plan), or include the DMMP in a student’s Individualized Education Program (IEP).
C. All supplies and equipment needed by the school to provide diabetes care, including insulin,
glucagon, blood glucose meters, and test strips, shall be provided by the student’s parent or guardian.
D. The school may consult with a physician of its own choosing related to any DMMP. SELF-MONITORING AND TREATMENT Where a student’s DMMP indicates that the student is able to perform specific diabetes care tasks independently, the student shall be permitted to perform these tasks independently while in school and while participating in school-sponsored activities. If specified in the student’s DMMP, the student shall be permitted to possess on his or her person all supplies and equipment needed to perform diabetes care.
Page 3 of 3 References Adoption History Legal: First Reading 04/11/16 ARSD 20:48:04.01 Approved 04/25/16 SDCL 13-33A-1 Policy Reference: JHCD JHCDA
Item #33
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHD
STUDENT PSYCHOLOGICAL SERVICES
A teacher or administrator may not refer a student for psychiatric treatment either within or outside the school without the prior written consent of the student’s parent or legal guardian. References Adoption History First Reading 04/11/16 Approved 04/25/16
Item #34
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section J Students File: JHDA
STUDENT WELFARE CRISIS INTERVENTION
The Board is committed to promoting healthy human relationships and learning environments that are physically and psychologically safe for all members of the school community. It further believes that students are the first priority and they should be protected from physical or emotional harm. A crisis impacts all members of a school community. The District believes that the school should provide support of the school community while ensuring accurate and sensitive communication. The District may develop a reporting mechanism and may designate at least one person to act as a liaison officer in the District for the purposes of identifying students in need of early mental health intervention or suicide prevention When the Administration receives a report about a student, it shall determine if the student’s parent or guardian should be notified. If so notified, the administration will also provide information about available counseling options. District policy and procedures are not intended to interfere with the rights of parents or guardians and the decision-making regarding the best interest of the child. District policy and procedures are intended to notify a parent or guardian of a need for mental health intervention so that a parent or guardian may take appropriate action. School districts do not have the authority to prescribe medications. Any and all medical decisions are to be made by a parent or guardian of a student. References Adoption History First Reading 04/11/16 Approved 04/25/16
Item #35
REVISED Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY
Section G Personnel File: GDN
EVALUATION OF SUPPORT STAFF
The Superintendent of the Douglas School District or his designee shall insure that a systematic and effective process for the evaluation of classified employees is designed, implemented and monitored. Such procedures are subject to Board approval. Classified employees shall receive a copy of the evaluation procedures and criteria in the Classified Handbook available on the District website. The evaluation process shall be designed to generate the data necessary to help determine: 1) accomplishments, 2) how services could be improved, 3) areas of strengths and areas of concern, and 4) assignment and re-employment. Each classified employee shall have a written job description and the evaluative criteria for each employee shall be a clear reflection of that job description. Support staff will receive written evaluations by their supervisor at least once during the first 90 days of employment and at least every other year thereafter. after the probation period. Additional evaluations may be made as often as once a month for employees needing assistance and improvement. Support staff employees will be evaluated at least once during the first 90 days of employment, and at least every other year thereafter. To the extent applicable to the position, the evaluation criteria will include, but is not limited to, the following components:
o Working knowledge of areas of responsibility; o Professional growth; o Judgment, logical thinking, creativity, and imagination; o Fulfillment of assigned responsibility without neglecting some areas; o Adheres to policies of the Board; o Fulfills, to the extent applicable with the position, responsibilities related to
scheduling, contracting, curriculum/program/project development and implementation;
o Staff relations; o Student relations; o Community relations; o Community skills; o Ability to adjust to unplanned situations; o Use of available financial resources, building, grounds, and other materials in the
area of responsibility;
Page 1 of 2
Item #36
REVISED
Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY
Section G Personnel File: GDN To the degree possible, the evaluation process should focus on employee strengths and professional growth and should not be a threatening experience.
Pursuant to state law, any record or document, regardless of physical form, created by the District in connection with the evaluation of support staff constitutes personnel information and is not open to inspection or copying.
Page 2 of 2 References Adoption History
Legal: First Reading 08/18/81 SDCL 13-42-70 Approved 09/10/81 Regulations Revised 01/08/90 First Reading - Revised 09/08/08 Cross: Approved 09/29/08 CBG First Reading – Revisions 07/13/15 CGB Approved 08/10/15 GCN First Reading – Revision 04/25/16 CIA
Item #36
REVISED
Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
Administrative Regulation
Section G Personnel File: GDN-R
IMPLEMENTATION PROCEDURES FOR THE DOUGLAS SCHOOL DISTRICT SUPPORT STAFF EVALUATION PROCESS
A job description has been written for each classified position in the Douglas School District. In most cases, both the supervisor and the supervisee had input into the content of that job description. The evaluation criteria and the evaluation form are an accurate reflection of that job description. Although the evaluation process must be utilized to make decisions regarding continued employment with Douglas, it is the intent of the District to make the evaluation process as professional and growth producing as possible. 1. Employees will be evaluated by the hiring supervisor using input from other
appropriate supervisory staff. Evaluations must be discussed with the employee. The district evaluation process will be used for all support staff classified employees as follows:
a. New employees (probationary) will be evaluated during or at the end of the
first three months, and b. Employees no longer on probation will be evaluated every other year, unless
their performance is considered less than satisfactory by their supervisor. In this case, evaluations will be conducted as deemed necessary by the supervisor.
2. A copy of the written evaluation will be given to the employee and to the
Superintendent’s office. The original will be placed in the supervisor’s files. 3. Each formal written evaluation will be accompanied by a conference between the
supervisor and the supervisee. Supervisee shall acknowledge that he/she has had the opportunity to review by affixing his/her signature and date to the copy to be filed. Said signature does not imply agreement with the contents. It indicates the evaluation has been viewed by the support staff member and discussed.
4. The supervisor may request the supervisee to complete a self-evaluation prior to
the formal evaluation. If a self-evaluation is requested, it is recommended that the regular evaluation form be utilized for that purpose.
Revised 09-08-08 May 2016
Item #37
REPEAL Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section G Personnel File: GDG
SUPPORT STAFF PROBATION All new employees may serve a probationary period. This will apply to former employees who are reemployed and to employees promoted to new positions. Throughout the probationary period and at the end of it, the employee’s performance will be evaluated and reviewed by their supervisor(s). If the probationer’s performance is found to be satisfactory, they will be placed on regular employment. A new or reemployed employee who performs unsatisfactorily may be terminated. References Adoption History
First Reading 07/13/15 Approved 08/10/15 First Reading – Repeal 04/25/16
Item #38
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section L Education and Agency Relations File: LA
EDUCATION AGENCY RELATIONS GOALS
The Board will cooperate to the fullest possible extent with other school districts and with other local, state, and regional agencies and organizations in the solution of educational problems of common concern. This cooperation will extend to such areas as research, exchange of information and data, coordination of curriculum, coordination of school calendars and activities, and construction of facilities that may be efficiently used on a cooperative basis, and any other activity where it may be advantageous to serve a broader area than one district.
In carrying out this policy, the Superintendent will include in his/her recommendations to the Board an evaluation of the desirability and feasibility of cooperation with other agencies in endeavors which could benefit the district. References Adoption History First Reading 04/25/16 Approved
Item #39
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section L Education and Agency Relations File: LAA
STUDENT TEACHERS
The Board endorses participation in undergraduate student teaching programs with colleges and universities for the purpose of training competent future teachers. The Superintendent is encouraged to cooperate with teacher preparatory institutions in placement of student teachers within the school system. In accepting and placing student teachers, the Superintendent shall consider local school needs including qualifications and interests of available cooperating teachers. Student teachers will be accepted on a limited basis and placed according to availability of competent cooperating teachers.
The Board authorizes the Superintendent to approve all prospective student teachers. A criminal background check will be completed. References Adoption History State: First Reading 04/25/16 SDCL13-10-12 Approved
Item #40
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section L Education and Agency Relations File: LB
RELATION WITH OTHER SCHOOLS AND SCHOOL DISTRICTS
The Board will cooperate and may develop contracts with the state, its agencies and
institutions, and any political subdivision for educational purposes and services. These contracts may be developed:
1. To share the services of employees with other school districts; 2. To provide for educational services with the Bureau of Indian Affairs, or any other
federal department or agency; 3. To provide for elementary and secondary education for students who reside within
the school district of a bordering state; 4. To provide joint educational services for students who reside within the district
with students who reside within a bordering state's school district; 5. To provide educational services for grades 7-12 within this district and an adjacent
school district. Both districts will operate grades 1-6 in the home district.
Tuition for students taught under contractual educational arrangements will be charged as provided by law. As also provided by law, approval for entrance into these contractual arrangements will be received from the Secretary of Education. References Adoption History First Reading 04/25/16 Approved
Item #41
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section L Education and Agency Relations File: LBB
COOPERATIVE EDUCATIONAL PROGRAMS
In accordance with law, the Board may establish a cooperative educational service unit with one or more school districts. This unit will be considered a legal entity, which may carry out the services of the cooperative agreement, but which will have no authority to levy taxes or issue bonds. References Adoption History State: First Reading 04/25/16 SDCL 13-5-31 Approved SDCL 13-5-32 SDCL 13-5-32.1 SDCL 13-5-33
Item #42
NEW Box Elder DOUGLAS SCHOOL DISTRICT South Dakota
BOARD POLICY Section L Education and Agency Relations File: LI
RELATIONS WITH EDUCATION ACCREDITATION AGENCIES
The district's schools will meet the requirements and standards for both basic approval and accreditation by the State Board of Education. Accreditation is required in order for the District to be eligible to receive general support foundation program funds.
In addition, each of the district's schools will seek the highest status of membership in the
North Central Association of Colleges and Schools, by cooperating in the Association's evaluations of the district schools and considering the Association's recommendations. References Adoption History State: First Reading 04/25/16 SDCL 13-1-12.1 Approved SDCL 13-13-18 SDCL 13-3-47
Item #43