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Certificated Benefits

Insurance Plans

 

 Dental

Delta Dental Plan 6589 Benefits Enrollment Form
MetLife 100 Comp (formerly Safeguard) Benefits Enrollment Form

 


 Health
Blue Shield HMO #1 Benefits *SBC
Blue Shield HMO #2 Benefits *SBC
Blue Shield PPO Benefits *SBC
Kaiser HMO #1 Benefits *SBC
Kaiser HMO #2 Benefits *SBC
Blue Shield Anchor Bronze PPO

Benefits

Enrollment Form

*SBC


Medical Waiver Form

 

 

 Life

UNUM Basic Life Beneficiary Form  
UNUM Voluntary Benefits Application EOI

 

 

Section 125

 

 

 Tax Sheltered Annuities

TSA

Waiver Authorization Form

 

 Vision

Vision Service Plan Benefits
MetLife Vision (formerly Safeguard) Benefits

 

 

Enrollment Forms

 

Insurance Carriers

 

Our insurance carriers have valuable information and resources on their web sites that can assist you in answering questions and getting assistance regarding your plan.  You may also contact Business Services at Extension 6162, Human Resources at Extension 6173 (certificated) or 6172 (classified) and/or your Bargaining Unit representatives.

 

For more information, click on the following links.

Blue Shield

Kaiser

VSP

MetLife Dental

MetLife Vision

Delta