Division of Risk Management and Insurance Services
- Los Angeles Unified School District
- Benefits Administration
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Active Employee Forms -
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District Retiree Forms -
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COBRA Rates -
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Life Insurance -
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Deferred Compensation Plans -
1. 403(b) Flyer 2. 403(b) List of Vendors 3. 403(b) Plan Information 4. 457(b) Flyer 5. 457(b) Enrollment Form 6. 457(b) Plan Information 7. 457(b) Mobile App Flyer -
Flexible Spending Accounts (FSA) -
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Medicare -
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Prescription Coverage -
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Summary of Benefits and Coverage -
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Evidence of Coverage -
2022 Evidence of Coverage documents will be updated on this page as they become available.
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Miscellaneous Resources -