The District currently offers a PPO Blue Plan through Highmark Blue Shield. Please see below for additional information.
Group Number 104165-13, 104165-14, & 104165-15:
Highmark PPO Blue Benefits Booklet
Summary of Benefits and Coverage
Glossary of Health Coverage and Medical Terms
Group Number 104165-57 & 104165-58:
Highmark PPO Blue Benefits Booklet
Summary of Benefits and Coverage
Glossary of Health Coverage and Medical Terms
Group Number 25661-78 & 25661-79:
Highmark PPO Blue Benefits Booklet
Summary of Benefits and Coverage
Glossary of Health Coverage and Medical Terms
Group Number 28972-32 & 104165-85:
Highmark PPO Blue Benefits Booklet
Summary of Benefits and Coverage
Glossary of Health Coverage and Medical Terms
Group Number 28972-39 & 104165-86:
Highmark PPO Blue Benefits Booklet
Summary of Benefits and Coverage
Glossary of Health Coverage and Medical Terms
Group Number 28972-30, 28972-83, 28972-84, 28972-85:
Highmark PPO Blue Benefits Booklet
Summary of Benefits and Coverage
Glossary of Health Coverage and Medical Terms
Highmark PPO Blue Member Change Form
2019 Preventive Schedule - Highmark BS
2020 HSA Eligibility & Payroll Election Form
Medical Insurance Coverage & Certification for Spouse Form
The District annually distributes the Creditable Coverage Notice to participants in the Prescription Drug plan. If you and/or your covered dependent(s) are not Medicare eligible, then this notice is for informational purposes only. However, if you and/or your covered dependent(s) are Medicare eligible, then please read the information contained in the Notice carefully, so that you and your dependents can make informed decisions regarding prescription drug coverage.
The District currently offers dental insurance through Delta Dental of Pennsylvania. Please see below for additional information.
Cooks & Custodians (Employee) Delta Dental Benefits Booklet
Cooks & Custodians (Dependent) Delta Dental Benefits Booklet
Teachers, Administrators & Clerical (Employee) Delta Dental Benefits Booklet
Teachers, Administrators & Clerical (Dependent) Delta Dental Benefits Booklet
Delta Dental of Pennsylvania Claim Form
The District currently offers vision insurance to employees only through Davis Vision. Please see below for additional information.
Davis Vision Plan Benefit Description
Davis Vision Care Enrollment Form
Davis Vision Direct Reimbursement Claim Form
Short-Term Uncompensated Leave Request Form
403(b) Tax Sheltered Account Program
Flexible Spending Account (FSA) Summary Plan Description
Flexible Spending Account (FSA) Forms
Families First Coronavirus Response Act Employee Poster
To view the PDF form you must have Adobe Acrobat or an equivalent PDF viewer for the document(s) to be viewed. Adobe Acrobat Reader is a free program that can be downloaded on the Adobe website.
