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2021 – 2022 Employer Sponsored Health Care Plans

Support and Confidential Employees


Video DocumentHighmark Video: How to register​

PDF Document2021-2022 Summary of Benefits
PDF Document2021-2022 Flexible Spending Account FAQ
PDF Document2021-2022 Flexible Spending Form for New Enrollees
PDF Document2021-2022 Flexible Spending Form for Existing Enrollees
PDF Document2021-2022 LBT Form
PDF Document2021-2022 Spouse Eligibility Verification Form
PDF Document2021-2022 Spouse ER Verification Form at OE
PDF Document2021-2022 PPO Benefit Summary
PDF Document2021-2022 PPO Support Benefit Booklet

PDF Document2022 Preventive Schedule

PDF DocumentExpress Scripts Information and Enrollment Form
PDF DocumentDelta Dental Highlight Sheet
PDF DocumentSpouse Employer Verification Form
PDF DocumentVision Benefit Summary

Dover Area School District 101 Edgeway Road Dover, PA 17315 717-292-3671
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