Camanche Community School District

FIT W4 2022

SIT IA W4 2022

SIT IL W4 2022

I9 Form 2022

IPERs Beneficiary Designation

IPERS Website

My Account (IPERS)

Coach / Sponsor Time Sheet

On Call Nurse

Direct Deposit

Pay Sub Mail Authorization

Physical Form

Payroll cut off dates 2021-2022

Payroll Cut Off Dates 2022-2023

National Insurance Identity Theft Assistance

Employee Assistance Program Flyer 

Blue365 Wellmark

Benefit Contact List

Mandatory Reporter Training

AEA Training (Mandatory Rptr, Bloodborne, etc...)

Nondiscrimination Notice

Marketplace Coverage

Contact Information Linda Decker 563-259-3003, ext. 5003  ldecker@camanchecsd.org

FULL TIME BENEFITS:

Health Insurance:

Wellmark Enrollment Form

Provider Finder

Wellmark Policy Manual PPO

PPO Benefit Summary

Wellmark BCBS PPO SBC

PRIME PPO SBC

Wellmark Policy Manual HMO

HMO Benefit Summary

Wellmark BCBS HMO SBC

PRIME HMO SBC

myWellmark App

Doctor of Demand

Specialty Pharmacy CVS

Dental Insurance:

ISEBA Enrollment Form

ISEBA Coverage Manual

Life Insurance & LTD Coverage:

Life Insurance & LTD Enrollment Form

Life Insurance Coverage Manual

LTD Policy - FT Teaching Staff

LTD Policy - FT Hourly Staff

Medical and Dependent Care Flex:

Flex Reimbursement Form

Prescription Drug Reimbursement

403B Annuity

Payroll Deduction Form

At A Glance 403b investment

FLEX

Flex Election Form

Flex Information

AFLAC

AFLAC Product Summary

AFLAC Form

Eligibility Notice