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Benefits 
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Active Employees Planning to Retire Retirees Plans and Providers Wellness

 

Active Employees' Forms and Publications

Forms:

  • Change of Address Form
  • Change of Dependent Status Form
  • Health Benefits Enrollment Form
  • Teachers' Assistant Enrollment Form
  • Half Time Enrollment Form
  • 2011 Domestic Partner Form, Rates and Information - Active
  • 2012 Domestic Partner Form, Rates and Information - Active

 

Publications:

  • 2012 Annual Benefits Guide for Active Employees
  • 2011 Annual Benefits and Enrollment Guide Book
  • 2011 comparison of Medical, Dental and Vision plans for Active employees
  • Domestic Partner Enrollment Material
  • EAP Brochure

 

Useful Website:

  • MHN website

333 South Beaudry Avenue, 28th Floor - Los Angeles, CA 90017 - Phone: 213-241-4262 - Fax: 213-241-4247 - benefits@lausd.net

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