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
Lumenos Subscribers (SEA and Support Staff ONLY) - HSA Contribution and Proration Information
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