School District of the City of Pontiac

Soaring to Excellence

On the Rise!

Full-time Food Service Staff have the option of two Blue Care Network HMO Plans.   (see complete summary of benefits under “Insurance Plan Descriptions and Cost).

 

Please return the following for enrollment:

 

 

  • Health Insurance Enrollment Form (remember to specify which plan you are enrolling for on the top of the form)  OR Waiver Form

  • Life Insurance Beneficiary Form

 

 

If you have further questions please email michael.emerson@pontiacschools.org

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