Printable Claim Forms
- Dental Claim Form
- Vision Claim Form
- Hearing Claim Form
- Medical Form Reimbursement 2023
(download and upload to google drive to edit in docs) - Medical Form Reimbursement 2023
(download as a pdf to print out)
Fee Schedules
Open Enrollment
September is Open Enrollment Month for members to add eligible spouses and dependents to the Welfare Fund’s Supplemental Dental Coverage
Enrollment for September of 2021 begins Sept 1st and ends on Sept 28th. All forms and documentation must be received by this date.
- Supplemental Coverage Enrollment Form 2022-2023
- Enrollment Documentation Requirements
- Important Information for Dependent Coverage
- Domestic Partner Letter
- DENTAL OPEN ENROLLMENT
Benefit and Program Information
Summary Plan Description (SPD) 2022-2023
BENEFITS AT A GLANCE 2022-2023
Statement of Grandfathered Status
UNUM Life Insurance
Stacey Braun Financial Counseling Program
HIPPA
** EAP Program This program is being provided by the district