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Benefit Information and Forms

2020 Benefit Rate Sheet

2020 Benefit Rate Sheet

(Last Modified about a minute ago)

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Medical - CalPERS

CalPERS Medical Plans

2020-health-benefit-summary.pdf 2.14 MB (Last Modified on January 17, 2020)

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CalPers Medical Enrollment Form

Health-enrollment-form-2.pdf 192.05 KB (Last Modified on February 7, 2018)

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Dental - Delta Care

Delta Dental PPO

Delta Dental PPO Website.pdf 97.76 KB (Last Modified on October 5, 2017)

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Delta Dental PPO Enrollment Form

Delta PPO Enrollment Form.pdf 89 KB (Last Modified on June 25, 2019)

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Delta Care USA HMO

Delta Care USA HMO.pdf 1.01 MB (Last Modified on October 5, 2017)

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DeltaCare HMO Enrollment Form

Delta CareFillable.pdf 85.19 KB (Last Modified on August 30, 2019)

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Vision - VSP

VSP Information

San Leandro Unified School District VSP Member Benefit Summary.pdf 640.62 KB (Last Modified on September 5, 2019)

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VSP Enrollment Form

VSP enrollment form.pdf 118.94 KB (Last Modified on October 5, 2017)

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Commuter Benefits

Commuter Benefits

MyCommuter Check Info.pdf 571.07 KB (Last Modified on October 5, 2017)

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