Skip to Main Content

27J Schools

27J Home

Insurance Premium Rates and Employee Cost

Monthly Employee Insurance Premium Rates 7/1/22 to 6/30/23

27J Schools Premium rate sheet for 07-01-22 to 06-30-23 Final.pdf 204.64 KB (Last Modified on April 19, 2022)

Comments (-1)

Medical Insurance

Insurance form for Name/Address change

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

Comments (-1)
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)

Comments (-1)
Waiver of Group Insurance Benefits Form

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

Comments (-1)
Kaiser HDHP Summary of Benefits

27J Schools HDHP 6000 EMB 2022-2023.pdf 696.6 KB (Last Modified on April 11, 2022)

Comments (-1)
Kaiser DHMO Summary of Benefits

27J Schools DHMO 2500 2022-2023.pdf 657.81 KB (Last Modified on April 11, 2022)

Comments (-1)
Get Registered on KP.org

Kaiser Registration Flyer.pdf 427.6 KB (Last Modified on June 21, 2019)

Comments (-1)
Age-appropriate Preventive Screening Guidelines for men and women

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

Comments (-1)
A little prevention goes a long way

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

Comments (-1)
Understanding Preventive Care

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

Comments (-1)
Kaiser Manage Your Care Online

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

Comments (-1)
Kaiser Care Options

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

Comments (-1)
Kaiser Permanente 2022 Sample Fee List

Kaiser 2022 Sample Fee List.pdf 1.47 MB (Last Modified on February 28, 2022)

Comments (-1)
Medicare Creditable Non-Creditable Coverage

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

Comments (-1)
Kaiser Chat with a Mental Health Specialist

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

Comments (-1)
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)

Comments (-1)
IRS Publication 502

2021 IRS 502 Publication.pdf 1.28 MB (Last Modified on April 11, 2022)

Comments (-1)

Dental and Vision

Dental Claim form front page

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

Comments (-1)
Dental Claim form back page

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

Comments (-1)
Dental Plan Summary of Benefits

27J Schools Dental Plan Summary of Benefits 2021-222.pdf 568.3 KB (Last Modified on June 3, 2021)

Comments (-1)
Dental Plan Booklet

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

Comments (-1)
Vision Plan Summary

27J Schools Vision Plan Summary of Benefits 2021-2022.pdf 1.31 MB (Last Modified on June 3, 2021)

Comments (-1)

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)

Comments (-1)
Life Services Tool Kit

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

Comments (-1)
Travel Assistance

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

Comments (-1)

Flexible Spending Accounts

Flex Enrollment Form 2022-2023

27J Schools 22-23 Flex Enrollment Form.pdf 399.4 KB (Last Modified on April 19, 2022)

Comments (-1)
Flex Enrollment Booklet 2022-2023

FSA DCA Open Enrollment Guide - 2022.pdf 1.51 MB (Last Modified on November 7, 2022)

Comments (-1)
HealthSmart Self-Service Portal

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

Comments (-1)
HealthSmart Mobile App

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

Comments (-1)
IRS Publication 502

2021 IRS 502 Publication.pdf 1.28 MB (Last Modified on April 11, 2022)

Comments (-1)

Health Savings Account - HSA Bank

Health Savings Accounts Frequently Asked Questions

27J Schools Health Savings Accounts - Frequently Asked Questions.pdf 538.37 KB (Last Modified on April 20, 2022)

Comments (-1)
HSA Building a Stronger Retirement

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

Comments (-1)
Health Savings Account Paycheck Contribution Form

27J Schools Health Savings Account Paycheck Contribution Form - 2022-2023.pdf 319.14 KB (Last Modified on April 6, 2022)

Comments (-1)
HSA Expense Eligibility

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

Comments (-1)
H S A Beneficiary

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

Comments (-1)

27J Schools Retirement Programs

Retirement Plans - 401K/403B

Retirement Plans 2022 2023.pdf 116.99 KB (Last Modified on March 28, 2022)

Comments (-1)
OMNI Newsletter

2022_3Qtr_EmployeeNewsletter_573.pdf 703.18 KB (Last Modified on November 10, 2022)

Comments (-1)
OMNI Updates

OMNI 403 Employer Report Card 3rd Qtr 2022.pdf 387.19 KB (Last Modified on November 23, 2022)

Comments (-1)
403B UA Notice

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

Comments (-1)
2023 Limits

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

Comments (-1)

CLOSE

CLOSE