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Shamokin Area School District
Insurance Information and Forms
Student Insurance Claim Form
90 Degree Benefits_Claim Form_Updated 03172021.pdf
231.54 KB
(Last Modified on September 5, 2023)
Comments (-1)
Children's Health Insurance Program
201711031001.pdf
349.85 KB
(Last Modified on November 6, 2017)
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Notice of Privacy Practices
201711031001.pdf
668.87 KB
(Last Modified on November 6, 2017)
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PPO Medical, RX highlights and Summery of Benefits
201711030956.pdf
1.11 MB
(Last Modified on November 6, 2017)
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Insurance Stipend- Professional
stipend professional 18-19 school year.doc
23 KB
(Last Modified on May 16, 2018)
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Insurance stipend- Non instructional
stipend non- instructional 18-19 school year.doc
23.5 KB
(Last Modified on May 16, 2018)
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Medical/Dental Enrollment Form
insurance.pdf
280.99 KB
(Last Modified on December 17, 2013)
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