HUSD - Benefits

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COBRA Notice to All Employees

Discounted Tickets

Employee Benefits Guide

Employee Guide to Health Benefits Under COBRA

FMLA Benefits and Leave Information

FMLA Notification to All Employees

HUSD HIPAA Notice of Privacy Practice Information for Open Enrollment

Medicare Made Simple Reference Guide

UHC HSA List of Preventive Meds

UHC Urgent Care Listing

VSP Provider Listing

Workers Compensation Information Forms

ASRS Beneficiary Forms

ASRS Enrollment Form

ASRS Retirement Health Insurance Form

Delta Dental Enrollment Form

FMLA Leave Request Form

FMLA Physicians Certification

FSA Enrollment Form

HUSD Benefits Enrollment Form

LOA Approval Request Form LOA Physicians Certification

Long Term Disability Claim Form

Name Change/Address Change Forms

Short Term Disability Claims Form

Short Term Disability Enrollment Form

Sun Life Beneficiary Form

Sun Life Optional Life Enrollment Form

Sun Life Optional Life Evidence of Insurance

Worker's Compensation Injury Report Contact

Dilemi Castro

Benefits Specialist
(480) 279.7094
dcastro@husd.org