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Saratoga Union School District

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Health Benefits and Insurance Plans for Staff

Health Insurance Marketplace Coverage Options and Your Health Coverage

Health Insurance Marketplace Coverage Options and Your Health Coverage.pdf 258.23 KB (Last Modified on May 1, 2017)

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SUSD Notice of Creditable Coverage 2017

SUSD Notice of Creditable Coverage 2017.pdf 54.31 KB (Last Modified on August 16, 2017)

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Tax Deferred Solutions (TDS)

TDS Flexible Account and Dependent Care Reimbursement Claim Form

TDS-Flexible Account and Dependent Care Reimburesment Claim Form.pdf 88.91 KB (Last Modified on May 18, 2018)

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TDS Allstate Cancer Insurance

TDS-Allstate Cancer Insurance.pdf 275.56 KB (Last Modified on May 18, 2018)

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TDS Allstate Critical Illness Insurance

TDS-Allstate Critical Illness Insurance.pdf 265.06 KB (Last Modified on May 18, 2018)

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TDS Allstate Critical Illness Insurance without Cancer

TDS-Allstate Critical Illness Insurance without Cancer.pdf 264.55 KB (Last Modified on May 18, 2018)

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TDS Allstate Universal Life Insurance

TDS-Allstate Universal Life Insurance.pdf 363.15 KB (Last Modified on May 18, 2018)

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TDS Dependent Care Account Benefit Summary

TDS Dependent Care Account Benefit Summary.pdf 1.09 MB (Last Modified on May 18, 2018)

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TDS Flexible Spending Account Benefit Summary

TDS Flexible Spending Account Benefit Summary.pdf 1.21 MB (Last Modified on May 18, 2018)

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TDS Reliance Standard Voluntary Group Accident Insurance

TDS-Reliance Standard Voluntary Group Accident Insurance.pdf 763.94 KB (Last Modified on May 18, 2018)

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TDS Reliance Standard Voluntary Group Long Term Disability Insurance

TDS-Reliance Standard Voluntary Group Long Term Disability Insurance.pdf 102.2 KB (Last Modified on May 18, 2018)

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TDS Reliance Standard Voluntary Group Short Term Disability Insurance

TDS-Reliance Standard Voluntary Group Short Term Disability Insurance.pdf 99.86 KB (Last Modified on May 18, 2018)

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TDS Reliance Standard Voluntary Group Term Life Insurance

TDS-Reliance Standard Voluntary Group Term Life Insurance.pdf 124.78 KB (Last Modified on May 18, 2018)

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TDS Reliance Standard Voluntary Hospital Indemnity Insurance

TDS-Reliance Standard Voluntary Hospital Imdemnity Insurance.pdf 76.29 KB (Last Modified on May 18, 2018)

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TDS Transportation and Parking Benefit Plan Summary

TDS-Transportation and Parking Benefit Plan Summary.pdf 640.6 KB (Last Modified on May 18, 2018)

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Health and Welfare Rate Sheet

2018-2019 Certificated, Administrators, Classified Management and Confidential Staff Rate Sheet

2018.2019 SUSD HW Rate Sheet Certificated Administrators and Confidential Staff.pdf 132.26 KB (Last Modified on May 22, 2018)

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2018-2019 Classified Employees Rate Sheet

2018-2019 SUSD HW Rate Sheet-Classified.pdf 129.04 KB (Last Modified on May 22, 2018)

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Enrollment and Change Forms for Download

Benefit Selection Form 2018-2019

Benefit_Selection_Form_2018-2019.pdf 214.25 KB (Last Modified on May 30, 2018)

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Benefit Selection Form 2018-2019 New Hire

Benefit Selection Form 2018-19-New Hire.pdf 208.46 KB (Last Modified on May 17, 2018)

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Anthem Enrollment Form

Anthem Enrollment Form.pdf 268.19 KB (Last Modified on May 1, 2017)

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Kaiser Enrollment Form

Kaiser Enrollment Form.pdf 606.37 KB (Last Modified on May 1, 2017)

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Delta Dental Enrollment Form

Delta Dental Enrollment Form.pdf 126.87 KB (Last Modified on May 1, 2017)

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Life Insurance Enrollment Form

Life_Insurance_Enrollment_Form.pdf 86.80 KB (Last Modified on May 19, 2016)

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Vision Service Enrollment Form

VSP-Vision Enrollment Form.pdf 77.44 KB (Last Modified on May 1, 2017)

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Kaiser Plan Descriptions

2018-2019 Kaiser Permanente Plan Comparison

2018-2019 Kaiser Permanente Plan Comparison.pdf 68.07 KB (Last Modified on May 17, 2018)

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2018-2019 Benefit of Summary Kaiser HMO Deductible Plan

2018-2019 Benefit of Summary Kaiser HMO Deductible Plan.pdf 765.23 KB (Last Modified on May 17, 2018)

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2018-2019 Plan Summary Kaiser HMO Deductible Plan

2018-2019 Plan Summary Kaiser HMO Deductible Plan.pdf 125.78 KB (Last Modified on May 17, 2018)

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2018-2019 Benefit of Summary Kaiser HMO Traditional Plan

2018-2019 Benefit of Summary Kaiser HMO Traditional Plan.pdf 753.76 KB (Last Modified on May 17, 2018)

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2018-2019 Plan Summary Kaiser HMO Traditional Plan

2018-2019 Plan Summary Kaiser HMO Traditional Plan.pdf 125.12 KB (Last Modified on May 17, 2018)

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Kaiser Online Tools

Online Tools-Kaiser.pdf 215.64 KB (Last Modified on April 28, 2016)

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Kaiser Healthy Resource Guide

Kaiser Healthy Resource Guide.pdf 152.84 KB (Last Modified on May 1, 2017)

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Kaiser Permanente Video Visits

Video Visits-Kaiser.pdf 714.45 KB (Last Modified on April 28, 2016)

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Anthem-Blue Cross Plan Descriptions

2018-2019 Anthem Blue Cross Basic Life Insurance

2018-2019 Anthem Blue Cross Basic Life Insurance.pdf 130.37 KB (Last Modified on May 17, 2018)

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2018-2019 Anthem Blue Cross Plan Comparison

2018-2019 Anthem Blue Cross Plan Comparison.pdf 50.54 KB (Last Modified on May 17, 2018)

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2018-2019 Benefit of Summary Anthem Classic HMO

2018-2019 Benefit of Summary Anthem Classic HMO.pdf 193.81 KB (Last Modified on May 17, 2018)

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2018-2019 Plan Summary Anthem Classic HMO

2018-2019 Plan Summary Anthem Classic HMO.pdf 943.54 KB (Last Modified on May 18, 2018)

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2018-2019 Benefit of Summary Anthem Modified Classic PPO

2018-2019 Benefit of Summary Anthem Modified Classic PPO.pdf 432.69 KB (Last Modified on May 17, 2018)

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2018-2019 Plan Summary Anthem Modified Classic PPO

2018-2019 Plan Summary Anthem Modified Classic PPO.pdf 948.93 KB (Last Modified on May 18, 2018)

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2018-2019 Benefit of Summary Anthem Modified Solution PPO

2018-2019 Benefit of Summary Anthem Modified Solution PPO.pdf 261.86 KB (Last Modified on May 17, 2018)

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2018-2019 Plan Summary Anthem Modified Solution PPO

2018-2019 Plan Summary Anthem Modified Solution PPO.pdf 947.96 KB (Last Modified on May 18, 2018)

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2018-2019 Benefit of Summary Anthem Prescription Modified Classic PPO and Classic HMO

2018-2019 Benefit of Summary Anthem Prescription Modified Classic PPO and Classic HMO.pdf 219.6 KB (Last Modified on May 17, 2018)

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2018-2019 Benefit of Summary Anthem Prescription Modified Solution PPO

2018-2019 Benefit of Summary Anthem Prescription Modified Solution PPO.pdf 219.63 KB (Last Modified on May 17, 2018)

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Anthem Blue Cross LiveHealth Online

LiveHealth Online-Anthem Blue Cross.pdf 1.17 MB (Last Modified on April 28, 2016)

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Anthem Blue Cross Nurseline, Condition Care, Future Moms

Nurseline Condition Care Future Moms-Anthem Blue Cross.pdf 314.45 KB (Last Modified on April 28, 2016)

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Anthem Blue Cross Preventative Care

Preventive Care-Anthem Blue Cross.pdf 67.70 KB (Last Modified on April 28, 2016)

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Anthem Blue Cross Quick Care Options

Quick Care Options-Anthem Blue Cross.pdf 82.58 KB (Last Modified on April 28, 2016)

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Anthem Blue Cross Special Offers

Anthem Special Offers.pdf 291.77 KB (Last Modified on April 28, 2016)

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Anthem Blue Cross Website Registration

Anthem Website Registration.pdf 88.02 KB (Last Modified on April 28, 2016)

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