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Benefits Forms

     Information from SchoolCare, our health and dental insurance provider can be found online at www.schoolcare.org.  Check the Medical Plans tab for general information on SchoolCare Green Open Access (formerly HMO) which is the education and support staff primary plan, and SchoolCare Blue Open Access (formerly POS) as that plan is also available though at additional cost. 
     For School Care plan information and forms specific to our district, go to the Resources tab, click on Enrollment/Change Materials, then choose Lebanon School District from the drop-down menu.  


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LGC 2012 Slice of Life Program  1028k v. 2 Dec 6, 2011, 12:56 PM Dianne Estes
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Annual Notice  Apr 21, 2016, 8:43 AM Katherine Freeland
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Children's Health Insurance Program (CHIP)  80k v. 1 Apr 21, 2016, 7:43 AM Katherine Freeland
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Information about the prescription benefits only for Anthem/LGC.  428k v. 3 Mar 23, 2011, 7:51 AM Lebanon Administrator
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SchoolCare Bulletin  6481k v. 1 Dec 6, 2011, 9:27 AM Dianne Estes
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Flexible Benefits Plan Enrollment Form for 2016/2017  302k v. 2 Apr 21, 2016, 8:38 AM Katherine Freeland
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  1863k v. 2 May 4, 2016, 7:41 AM Katherine Freeland
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  15278k v. 2 Apr 21, 2016, 8:36 AM Katherine Freeland
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  12870k v. 2 Apr 21, 2016, 8:36 AM Katherine Freeland
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  461k v. 2 May 2, 2016, 6:57 AM Katherine Freeland
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  1383k v. 3 Apr 21, 2016, 8:34 AM Katherine Freeland
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  Apr 21, 2016, 9:00 AM Katherine Freeland
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  18k v. 2 May 2, 2016, 6:57 AM Katherine Freeland
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  115k v. 2 Apr 21, 2016, 8:34 AM Katherine Freeland
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Plan will not be available after 7/1/17.  118k v. 2 Apr 21, 2016, 8:34 AM Katherine Freeland
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  117k v. 2 Apr 21, 2016, 8:34 AM Katherine Freeland