Health Insurance Information

26-27 CVT Certificated Rate Sheet

26-27 CVT Benefit Summary

CVT New Hire Enrollment Instructions

CVT Open Enrollment Instructions

26-27 SISC Classified Rate Sheet

26-27 SISC Benefit Summary

Eligibility Document Checklist

Kaiser Enrollment Form

SISC Enrollment Form

SISC Plan Selection Form

WABE Form

26-27 Declination of Coverage Form

Management, Confidential, & Unrepresented

• 26-27 Certificated Rates Sheet
• 26-27 Classified Rate Sheet
• 26-27 Benefit Summary

Forms

• Kaiser Enrollment Form
• Plan Selection Form
• SISC Enrollment
• WABE Form

Certificated Retirees

• 26-27 Retiree Rate Sheet
• 26-27 Retiree Benefit Summary
• CVT Enrollment Instructions

Classified Retirees

• 26-27 Retiree Rates
• 26-27 Retiree Benefit Summary
• 26-27 Retiree Plan Selection Form

Management, Confidential & Unrepresented

• 26-27 Retiree Rates
• 26-27 Retiree Benefit Summary
• 26-27 Retiree Plan Selection Form

Forms

• Kaiser Enrollment Form
• SISC Enrollment Form

25-26 CVT Certificated Rate Sheet

25-26 Health Benefit Summary

25-26 Dental PPO Plan Summary

CVT Steps for Account Set-up

25-26 SISC Classified Rate Sheet

25-26 SISC Benefit Summary

Eligibility Document Checklist

Kaiser Enrollment Form

SISC Enrollment Form

Plan Selection Form

WABE Form

25-26 Declination of Coverage Form

Management, Confidential & Unrepresented

• 25-26 Certificated Rate Sheet
• 25-26 Classified Rate Sheet
• 25-26 Benefit Summary

 

Forms

• Wabe Election Form
• Kaiser Enrollment Form
• Anthem Enrollment Form
• Plan Selection Form

Certificated Retirees

25-26 Certificated Retiree Rates

Classified Retirees

25-26 Classified Retiree Rates

25-26 Classifed Retiree Benefit Summary

25-26 Kaiser Form

25-26 SISC Enrollment Form

25-26 Plan Selection Form

Management, Confidential & Unrepresented Retirees

25-26 Certificated Management & Unrepresented

25-26 Classified Management, Confidential & Unrepresented

25-26 SISC Enrollment Form

25-26 Kaiser Form

24-25 CVT Rate Sheet

23-24 CVT Rate Sheet

22-23 CVT Rate Sheet

22-23 Rate Sheet

23-24 Rate Sheet

24-25 Rate Sheet

23-24 Rate Sheet hired before 1992

Certificated

2024-2025

2023-2024

Classified

2024-2025

2023-2024

Certificated 

2024-2025

2023-2024

Classified 

2024-2025

2023-2024

Management/ Confirdential/ Unrepresented

2024-2025

2023-2024