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PSUSD
Benefits
Classified Employees
CLASSIFIED - ACTIVE
2025-2026 Teamster Benefits Guide
00 PSUSD TEAMSTERS ACTIVE 2025-2026.pdf
2.57 MB
(Last Modified Today at 9:31 AM)
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TEAMSTER/CLASSIFIED FORMS
Teamsters Life Insurance Beneficiary Designation Form
Teams Life Insurance Beneficiary Designation Form.pdf
82.94 KB
(Last Modified on August 25, 2017)
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Teamsters Change of Address Form
NWA Change of Address Form.pdf
42.76 KB
(Last Modified on August 25, 2017)
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DENTAL
PPO Incentive Plan Summary
Delta Dental PPO Incentive Plan Summary 2017.pdf
536.76 KB
(Last Modified on February 21, 2018)
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PPO Plan Summary
Delta Dental PPO Plan Summary 2017.pdf
531.58 KB
(Last Modified on February 21, 2018)
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HMO (DeltaCare USA) Plan Summary
DeltaCareUSA HMO Plan Summary 2017.PDF
372.31 KB
(Last Modified on February 21, 2018)
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LIFE
Statement of Health Form
01 New SOH 7.01.2022 - Fillable.pdf
260.98 KB
(Last Modified on April 9, 2025)
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LEGAL
MetLaw Brochure
00 MetLaw Brochure with Generations.pdf
564.19 KB
(Last Modified on July 16, 2025)
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COBRA
2025-2026 COBRA Rates
COBRA Rates Oct. 2025 - Sept 2026.pdf
520.61 KB
(Last Modified Today at 9:24 AM)
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COBRA Dental Enrollment Form
Delta Dental Enrollment Form COBRA.pdf
180.83 KB
(Last Modified on October 17, 2017)
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