Plan Designs & Forms.
On this page you can open or download the benefits overview guide and supporting forms and applications. If you need a form tha tis not on this page, please contact Char Lambert at (310) 609-1917.
Benefits Overview Guides:
- BUSD 2016-2017 Benefits Overview Guide for Classified & Management
- BUSD 2016-2017 Benefits Overview Guide for Certificated
Forms & Applications:
- 2016 Opt Out Election Form for Plan 1
- Flexible Spending Account - Eligible Expense Information
- Flexible Spending Account - Receipt Notice
- Flexible Spending Account Enrollment Form
- Reliance Standard - Voluntary Plans
- SHDR FSA Handout
- SHDR FSA Mobile Factsheet
- Sun Life - Enrollment Form
- Sun Life - Evidence of Insurability Form
- Sun Life - Optional Life Enrollment Form
