Welfare Fund Forms and Links

Printable Claim Forms
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.

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


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