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Insurance Premium Rates and Employee Cost

Monthly Employee Insurance Premium Rates 7/1/23 to 6/30/24

27J Schools Premium rate sheet for 07-01-23 to 06-30-24.pdf 205.01 KB (Last Modified on April 10, 2023)

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Using Kaiser Permanente

Get to know Kaiser Permanente

Knowing Kaiser Permanente

(Last Modified about a minute ago)

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Get Registered on KP.org

Kaiser_Registration_Flyer.pdf 427.6 KB (Last Modified on March 14, 2023)

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Cost Calculator

Cost Calculator

(Last Modified about a minute ago)

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Medical Insurance

Insurance form for Name/Address change

Enrollment form address-name change.pdf 807.86 KB (Last Modified on September 28, 2022)

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Insurance Enrollment and Change Form

27J Schools Insurance Enrollment and Change Form - Modified May 2021.pdf 264.73 KB (Last Modified on April 15, 2021)

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Waiver of Group Insurance Benefits Form

Waiver of Group Insurance Benefits Form 20190211.pdf 121.41 KB (Last Modified on February 11, 2019)

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Kaiser HDHP Summary of Benefits

27J Schools HDHP 2023-2024.pdf 573.56 KB (Last Modified on March 3, 2023)

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Kaiser DHMO Summary of Benefits

27J Schools DHMO 2023-2024.pdf 588.37 KB (Last Modified on March 3, 2023)

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Age-appropriate Preventive Screening Guidelines for men and women

Kaiser Age Related Preventive Guidelines.pdf 71.9 KB (Last Modified on March 1, 2022)

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A little prevention goes a long way

A_little_prevention_goes_a_long_way.pdf 2131210 (Last Modified on November 11, 2021)

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Understanding Preventive Care

Understanding Preventive Visits.pdf 45.3 KB (Last Modified on February 7, 2019)

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Kaiser Manage Your Care Online

Kaiser Manage Your Care Online.pdf 213.17 KB (Last Modified on November 7, 2017)

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Kaiser Care Options

Kaiser Care Options Guide 2021.pdf 1.2 MB (Last Modified on April 7, 2021)

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Medicare Creditable Non-Creditable Coverage

Medicare Creditable Coverage Notice for SD27J - August 2022.pdf 554.65 KB (Last Modified on August 26, 2022)

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Kaiser Chat with a Mental Health Specialist

Kaiser chat with a mental health specialist.pdf 73.89 KB (Last Modified on October 22, 2021)

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Kaiser Complaint Form

2022-23 Complaint Form for 27J employees to use when they have issues with Kaiser.pdf 190.63 KB (Last Modified on February 2, 2022)

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IRS Publication 502

IRS 502 2022.pdf 1.27 MB (Last Modified on April 10, 2023)

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Dental and Vision

Dental Claim form front page

Dental Claim Form - Front side.pdf 61.25 KB (Last Modified on July 25, 2014)

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Dental Claim form back page

Dental Claim Form - Back side.pdf 10.30 KB (Last Modified on July 25, 2014)

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Dental Plan Summary of Benefits

27J Schools Dental Plan Summary of Benefits 2023-2024.pdf 568.3 KB (Last Modified on April 12, 2023)

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Dental Plan Booklet

SD27J Dental Plan Doc_FINALDRAFT July 2015.pdf 358.00 KB (Last Modified on April 13, 2015)

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Vision Plan Summary

27J Schools Vision Plan Summary of Benefits 2023-2024.pdf 425 KB (Last Modified on April 12, 2023)

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Life/AD&D Insurance with The Standard Insurance Company

Life Insurance Enrollment Form for The Standard

Life Insurance Enrollment Form for The Standard - 2019 .pdf 175.57 KB (Last Modified on February 11, 2019)

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Life Services Tool Kit

Life Services Tool Kit Employee FLyer Aug 2021.pdf 336.99 KB (Last Modified on April 20, 2022)

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Travel Assistance

Travel Assistance flyer 7.2020.pdf 975.15 KB (Last Modified on April 20, 2022)

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Flexible Spending Accounts

Flex Enrollment Form 2023-2024

27J Schools 23-24 Flex Enrollment Form.pdf 435.73 KB (Last Modified on April 12, 2023)

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Flex Enrollment Booklet 2023-2024

27J Flex Open Enrollment Guide 2023-2024.pdf 1.76 MB (Last Modified on April 21, 2023)

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HealthSmart Self-Service Portal

HealthSmart FSA Participant Self-Service Portal Login Instructions.pdf 653.44 KB (Last Modified on April 29, 2021)

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HealthSmart Mobile App

HealthSmart My Flex Spending Mobile App.pdf 617.48 KB (Last Modified on April 29, 2021)

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IRS Publication 502

IRS 502 2022.pdf 1.27 MB (Last Modified on April 10, 2023)

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Health Savings Account - HSA Bank

Health Savings Accounts Frequently Asked Questions

27J Schools Health Savings Accounts - Frequently Asked Questions 2023-2024.pdf 557.25 KB (Last Modified on February 23, 2023)

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HSA Building a Stronger Retirement

HSA Building a Stronger Retirement Ebook.pdf 3.4 MB (Last Modified on April 20, 2022)

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Health Savings Account Paycheck Contribution Form

27J Schools Health Savings Account Paycheck Contribution Form - 2023-2024.pdf 320.94 KB (Last Modified on April 12, 2023)

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HSA Expense Eligibility

HSA Expense Eligibility.pdf 206.82 KB (Last Modified on April 20, 2022)

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H S A Beneficiary

HSA Designation of Beneficiary Form.pdf 431.26 KB (Last Modified on April 20, 2022)

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Retirement Options

Retirement Plans - 401K/403B

Retirement Plans 2023 2024.pdf 117.04 KB (Last Modified on March 9, 2023)

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OMNI Newsletter

Spring2023_EENewsletter_573.pdf 475.81 KB (Last Modified on May 8, 2023)

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OMNI Updates

OMNI_403_Employer_Report_Card_1st_Qtr_2023_568.pdf 327.11 KB (Last Modified on May 8, 2023)

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403B UA Notice

403 B Notice 573.pdf 242.11 KB (Last Modified on January 5, 2023)

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2023 Limits

2023 Limits.pdf 175.85 KB (Last Modified on November 1, 2022)

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