Non Affiliated Employees

Summary of Benefits

Plan Year July 1, 2022 to June 30, 2023

POS $300
HMO $250
HDHP HSA
POS $1500
HMO $1500

SMARTSHOPPER

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Anthem Medical Plan Rates

July 1, 2022 to June 30, 2023

Non Affiliated 26 Week Payroll Employees

Non Affiliated 38 Week Payroll

Non Affiliated 52 Week Payroll Employees

Bilingual Parent Liaison 38 Week Payroll

Anthem Enrollment Form

ALL NON Affiliated Employees Enrollment Form

Bilingual Parent Liaison Enrollment Form

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