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Carbon School District

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  • Carbon School District
  • Bruin Point Elementary
  • Castle Heights Elementary
  • Creekview Elementary
  • Sally Mauro Elementary
  • Wellington Elementary
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  1. Carbon School District
  2. Documents
Documents ยป Benefit Enrollment
Name
Type
Size
20-21 ENROLLMENT GUIDE
pdf
14.6 MB
ADD Information
PDF
358 KB
Advantage Co-Pay Schedule_2020
pdf
89.1 KB
EyeMed Flyer Plan F
pdf
735 KB
Life and Spouse Information
pdf
733 KB
LTD Brochure
pdf
2.13 MB
PEHP ADD form
pdf
14.7 KB
PEHP Employee Life Enrollment
pdf
132 KB
PEHP Spouse, dependent Life enrollment
pdf
27.5 KB
Preferred Dental Plan PEHP
pdf
44.3 KB
Premier 100 Co-Pay Schedule_2020
pdf
88.1 KB
Premium Dental Plan PEHP
pdf
44.2 KB
STAR 1 Grids
pdf
375 KB
STAR 2 Grids
pdf
382 KB
STD Employee information
PDF
46 KB
STD Enrollment form
pdf
72 KB
STD Evidence Form
PDF
147 KB
STD Summary
PDF
46 KB
TDA Member Info Sheet 2020
pdf
148 KB
Value Co-Pay Schedule_2020
PDF
504 KB
EMI Advantage Co-Pay Schedule_2020
pdf
89.1 KB
EMI Premier 100 Co-Pay Schedule_2020
pdf
88.1 KB
EMI Value Co-Pay Schedule_2020
PDF
504 KB
Flex enrollment form 2019
pdf
254 KB
TDA Member Info Sheet 2020
pdf
148 KB
PEHP Member Login
pdf
446 KB
PEHP ADD
pdf
228 KB
PEHP Life
pdf
590 KB
Sick Leave Bank Policy
pdf
127 KB
Employee ADD
pdf
132 KB
Medical Expense
pdf
127 KB
Weekly Indemnity
pdf
129 KB
Untitled document
pdf
126 KB
ESC Dashboard
png
52.8 KB
EMI Summary Form 2020-21
pdf
245 KB
TDA Summary and Info 2020-21
pdf
264 KB

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Schools

  • Carbon School District
  • Bruin Point Elementary
  • Castle Heights Elementary
  • Creekview Elementary
  • Sally Mauro Elementary
  • Wellington Elementary
  • Helper Middle School
  • Mont Harmon Middle School
  • Carbon High School
  • Castle Valley Center

Contact

Carbon School District
251 West 400 North
Price, UT 84501
Phone: 435-637-1732
Fax: 435-637-9417

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