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Certificated Benefits

Insurance Plans



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


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


Enrollment Form


Medical Waiver Form




UNUM Basic Life Beneficiary Form  
UNUM Voluntary Benefits Application EOI



Section 125



 Tax Sheltered Annuities


Waiver Authorization Form



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



MetLife Dental

MetLife Vision