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Human Resources Benefits

• Kaiser Monthly Insurance Premiums (pdf)
  
  
• Kaiser and Delta Dental Monthly Part-Time Insurance Premiums (pdf)
  
  
• Kaiser Permanente Health Insurance (Web Site)
  • Mapleton Public Schools HMO Opt 1 (pdf)
  • Mapleton Public Schools DHMO Opt 2 (pdf)
  • Glossary of Medical Terms (pdf)

• Delta Dental Insurance (Web Site)
  • Delta Dental PPO Option 1 Plan Details (pdf)
  • Delta Dental PPO Option 2 Plan Details (pdf)
  • Delta Dental Monthly Premiums (pdf)
     
• VSP Vision Care Plan (Web Site)
  • VSP Plan Details (pdf)
  • VSP Monthly Premiums (pdf)

• Life Insurance
  • Life Insurance Information (pdf)

• AFLAC Plans (Web Site)

• Flexible Spending Accounts (Web Site)
  • Health Care Account (pdf)
  • Dependent Care Account (pdf)
  • Transportation Spending Account (pdf)
  • www.wageworks.com
     
• Long Term Disability
  • Voluntary Disability Insurance - Licensed (pdf)
  • Classified and Administrator Information (pdf)
     
• Sick Bank
  • Classified Information and Enrollment Form (doc)
  • Administrator Information (pdf)
  • Administrator Membership Enrollment Form (doc)

• COBRA Information (pdf)
• Health Insurance Marketplace Information (pdf)
  
  
• PERA (Web Site) 
  
  
• Tax-Sheltered Annuity (pdf)
  
  
• Employee Assistance Program Information (Web Site)
  
  
• HIPAA Information (pdf)
  
  
• Children's Health Insurance Program (CHIP) (pdf)

All forms in PDF format and can be viewed and printed from any operating system that has Adobe Reader installed. Get the free Reader.