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Annual Benefit Enrollment Information & Forms

 

Benefit Information Booklets  2019-2020 - Click on your category of employee to download:

Teacher-SEA -  Benefits Information 2019-2020

SESPA - Full-Time -  Benefits Information 2019-2020

SESPA - Part-Time 30-34.9 HRS - Medical Insurance Info 2019-2020

Support Staff and Administration Benefits Information 2019-2020

 

Medical and Dental Application Form

Health Trust Flexible Benefits Form

Medical Insurance Opt Out Form 2019-2020

 

Lumenos Subscribers (SEA and Support Staff ONLY) - Health Savings Account Payroll Deduction Form

 

Medical And/Or Dental Insurance Application and Change Form

 

2019-2020 Flexible Spending Account Enrollment Forms for each District.  Click on the District Name to Download

Hampton Falls

Seabrook

Winnacunnet

North Hampton

South Hampton

SAU21 Office

 

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SAU 21

2 Alumni Drive
Hampton, NH 03842
phone: (603) 926-8992
fax: (603) 926-5157

 

Educational Philosophy

We, the members of the SAU 21 educational community, are committed to developing lifelong learners who are creative and critical thinkers and who contribute to a changing global society. The SAU 21 educational community consists of students, teachers, parents, administrators, school board members and the community-at-large working collaboratively towards this mission.

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