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East Rutherford School District

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    • OSHA Form 300A Work-Related Injuries and Illnesses 2023-24

      OSHA Form 300A Work-Related Injuries and Illnesses 2023-24

      OSHA Form 300A Work-Related Injuries and Illnesses 2023-24.pdf 398.4 KB (Last Modified on January 24, 2024)
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    • Medical Plan Comparison

      Medical Plan Comparison

      Medical Cost Sharing.pdf 84.23 KB (Last Modified on March 4, 2021)
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    • State Waiver/Reinstatement Form

      State Waiver/Reinstatement Form

      Waiver Form 2021.pdf 76.68 KB (Last Modified on March 4, 2021)
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      State Health Application

      New Application 2021.pdf 198.56 KB (Last Modified on March 4, 2021)
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    • NJ FLI Application

      NJ FLI Application

      NJ FLI Application.pdf 2.01 MB (Last Modified on February 27, 2020)
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    • Local Ed Retired Full Monthly Rate

      Local Ed Retired Full Monthly Rate

      Local Ed Retired Full Monthly Rate.pdf 781.54 KB (Last Modified on August 22, 2019)
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    • Medical Incident Report Form

      Medical Incident Report Form

      Insight Medical Incident Report.pdf 491.28 KB (Last Modified on November 1, 2018)
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    • Fact Sheet 15 Disability Retirement Benefits

      Fact Sheet 15 Disability Retirement Benefits

      Fact Sheet 15 Disability Retirement Benefits.pdf 44.86 KB (Last Modified on January 29, 2018)
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    • 10448 NJ FMLA Guidelines

      10448 NJ FMLA Guidelines

      10448 NJ FMLA Guidelines.doc 198.5 KB (Last Modified on October 9, 2017)
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    • BMED Delta Dental Benefit Summary

      BMED Delta Dental Benefit Summary

      BMED Delta Dental Benefit Summary.pdf 389.16 KB (Last Modified on October 9, 2017)
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    • BMED Enrollment Form

      BMED Enrollment Form

      BMED Enrollment Form.pdf 339.98 KB (Last Modified on October 9, 2017)
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    • Bmed-Delta Dental Plan

      Bmed-Delta Dental Plan

      Bmed-Delta Dental Plan.pdf 229.37 KB (Last Modified on October 9, 2017)
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      COBRA Information

      COBRA Information.pdf 141.76 KB (Last Modified on October 9, 2017)
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    • Cobra Notice

      Cobra Notice

      Cobra Notice 2017.pdf 40.97 KB (Last Modified on October 9, 2017)
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    • Designating Beneficiary

      Designating Beneficiary

      Designating Beneficiary.pdf 22.38 KB (Last Modified on October 9, 2017)
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    • Effective Dates of SHBP

      Effective Dates of SHBP

      Effective Dates of SHBP.pdf 122.39 KB (Last Modified on October 9, 2017)
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    • Fact Sheet 5 Pension Options

      Fact Sheet 5 Pension Options

      Fact Sheet 5 Pension Options.pdf 138.46 KB (Last Modified on October 9, 2017)
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    • Fact Sheet 23 Medicare Parts A - B

      Fact Sheet 23 Medicare Parts A - B

      Fact Sheet 23 Medicare Parts A - B.pdf 37.93 KB (Last Modified on October 9, 2017)
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    • Fact Sheet 58 Group Life Insurance

      Fact Sheet 58 Group Life Insurance

      Fact Sheet 58 Group Life Insurance.pdf 138.03 KB (Last Modified on October 9, 2017)
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    • Fact Sheet #68 Beneficiary

      Fact Sheet #68 Beneficiary

      Fact Sheet 68 Beneficiary.pdf 26.89 KB (Last Modified on October 9, 2017)
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    • fact sheet 11 Retirees

      fact sheet 11 Retirees

      fact sheet 11 Retirees.pdf 51.78 KB (Last Modified on October 9, 2017)
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    • Health Benefit Rights Under Federal Law (New Employees)

      Health Benefit Rights Under Federal Law (New Employees)

      Helath Rights Under Federal Law.pdf 2.25 MB (Last Modified on November 1, 2018)
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    • Health Benefits Application - SEHBP

      Health Benefits Application - SEHBP

      Health Benefits Application - SEHBP.pdf 532.26 KB (Last Modified on October 9, 2017)
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    • MBOS Instructions

      MBOS Instructions

      MBOS Instructions.pdf 90.3 KB (Last Modified on October 9, 2017)
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    • Medicare Retiree Form

      Medicare Retiree Form

      Medicare Retiree Form.pdf 39.5 KB (Last Modified on October 9, 2017)
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    • NJ Direct 10 and 15 Summary of Benefits and Coverage

      NJ Direct 10 and 15 Summary of Benefits and Coverage

      NJ Direct 10 and 15 Summary of Benefits and Coverage.pdf 4.99 MB (Last Modified on October 9, 2017)
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    • NJ Direct claim form

      NJ Direct claim form

      NJ Direct claim form.pdf 201.24 KB (Last Modified on October 9, 2017)
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    • NJ Direct Member Handbook

      NJ Direct Member Handbook

      njdirectbk.pdf 548.67 KB (Last Modified on October 16, 2018)
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    • NJ FLA GENERAL FACT SHEET

      NJ FLA GENERAL FACT SHEET

      NJ FLA GENERAL FACT SHEET.pdf 78.03 KB (Last Modified on October 9, 2017)
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    • NJ FMLA Employee Guide

      NJ FMLA Employee Guide

      NJ FMLA Employee Guide.pdf 2.56 MB (Last Modified on October 9, 2017)
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    • NJSEHBP Automated Info. Service

      NJSEHBP Automated Info. Service

      NJSEHBP Automated Info. Service.pdf 27.2 KB (Last Modified on October 9, 2017)
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    • Non-Medicare Retiree Form

      Non-Medicare Retiree Form

      Non-Medicare Retiree Form.pdf 41.11 KB (Last Modified on October 9, 2017)
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    • Pension Enrollment Form

      Pension Enrollment Form

      Pension Enrollment Form.pdf 36.4 KB (Last Modified on October 9, 2017)
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    • Retirement Planning

      Retirement Planning

      Retirement Planning.pdf 212.47 KB (Last Modified on October 9, 2017)
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    • Waiver Reinstatement SEHBP Form

      Waiver Reinstatement SEHBP Form

      Waiver Reinstatement SEHBP Form.pdf 327.72 KB (Last Modified on October 9, 2017)
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