East Ramapo Central School District

A unified community educating the whole child

Employee Health and Dental Insurance

Prescriptions - CVS Caremark Mail Service Order Form (90 day only)

CVS Care Mark _Mail Service Order Form.pdf 1.08 MB (Last Modified on May 8, 2019)

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Health and Dental Benefits Overview

OVERVIEW OF HEALTH AND DENTAL 2018-2019.pdf 220.97 KB (Last Modified on October 12, 2018)

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Health Insurance Claim Form

ben-hiclaim.pdf 74.119 KB (Last Modified on January 16, 2018)

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Ameritas Dental Claim Form

Ameritas_Dental_Claim_Form.pdf 112.46 KB (Last Modified on October 15, 2018)

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Ameritas Dental Enrollment Form

026-301517-Dental-Enrollment-Form.pdf 67.721 KB (Last Modified on January 16, 2018)

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Ameritas - Overview of Benefits

Ameritas - Overview.pdf 45.74 KB (Last Modified on April 15, 2019)

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Ameritas/Dental Full-time Student Status Form - 9/14

BB-fitzharris-FULL-TIME-STUDENT-STATUS-092014.pdf 122.795 KB (Last Modified on January 16, 2018)

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Take Care (WageWorks) Health Care Account Claim Form

TCWW-ClaimForm-UnreimMedical.pdf 159.83 KB (Last Modified on May 15, 2019)

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Take Care (WageWorks) Dependent Care Account Claim Form

TCWW-ClaimForm-DepCare.pdf 196.22 KB (Last Modified on May 15, 2019)

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Prescriptions - CVS Caremark Non-Medicare Reimbursement Form

CVS-Caremark-Non-Medicare-Mail-Order-Form.pdf 638.467 KB (Last Modified on January 16, 2018)

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Prescriptions - CVS Caremark Silverscript Medicare Reimbursement Form

CVS-Caremark-SilverScripts-Medicare-Mail-Order-Form.pdf 569.898 KB (Last Modified on January 16, 2018)

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CVS Care Mark ID Card for active and non Medicare retirees

CVSCaremark-IDcard-for2014-forActive-and-NonMedicareRetirees.pdf 45.172 KB (Last Modified on January 16, 2018)

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Silverscripts ID Card for Medicare Retirees

SilverScripts-IDcard-for2014-forMedicareRetirees.pdf 112.091 KB (Last Modified on January 16, 2018)

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403(b) Retirement Plan

403(b) Contribution Limit 2022 Memo

403b Contribution Limit 2022 - Memo.pdf 31.71 KB (Last Modified on December 9, 2021)

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OMNI Update 4th Quarter 2020

OMNI-Updates-4th-Qtr-2020_74.pdf 967.56 KB (Last Modified on November 10, 2020)

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403(b) Retirement Plan

OMNI 403B.pdf 199.33 KB (Last Modified on January 13, 2021)

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403(b) Universal Eligibility Notice

East Ramapo CSD UA Notice_2020.pdf 1.79 MB (Last Modified on January 30, 2020)

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403(b) Authorized Agents

2019 403b Authorized Agents.pdf 72.5 KB (Last Modified on December 4, 2019)

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403(b) Retirement Plan Document

403b_Retirement_Plan_Document.PDF 1.25 MB (Last Modified on September 17, 2018)

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OMNI 403(b) Form

OMNI 403B.pdf 199.33 KB (Last Modified on January 13, 2021)

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Employee Benefits Information and Forms

AFLAC Dental and Vision

Dental_Vision_Member Portal_Guide_Final.pdf 1.02 MB (Last Modified on November 9, 2022)

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Personal Leave Form

Personal Leave Form.pdf 10.95 KB (Last Modified on December 1, 2022)

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Application to Voluntary Personal Illness Bank (Sick Bank)

Sick Bank Application.pdf 166.97 KB (Last Modified on December 1, 2022)

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This website is maintained by the Communications Specialist of the East Ramapo Central School District. It is the goal of the East Ramapo Central School District to host a district website that is accessible to all users. Please view our Accessibility Statement above. The District is not responsible for facts or opinions contained on any linked site. Some links and features on this site require the Adobe Acrobat Reader to view. This website was produced by the Rockland BOCES Office of Communications, West Nyack, NY. Copyright © 2018. All rights reserved.

East Ramapo Central School District

A unified community educating the whole child

Human Resources

Page Navigation

Employee Health and Dental Insurance

Prescriptions - CVS Caremark Mail Service Order Form (90 day only)

Health and Dental Benefits Overview

Health Insurance Claim Form

Ameritas Dental Claim Form

Ameritas Dental Enrollment Form

Ameritas - Overview of Benefits

Ameritas/Dental Full-time Student Status Form - 9/14

Take Care (WageWorks) Health Care Account Claim Form

Take Care (WageWorks) Dependent Care Account Claim Form

Prescriptions - CVS Caremark Non-Medicare Reimbursement Form

Prescriptions - CVS Caremark Silverscript Medicare Reimbursement Form

CVS Care Mark ID Card for active and non Medicare retirees

Silverscripts ID Card for Medicare Retirees

403(b) Retirement Plan

403(b) Contribution Limit 2022 Memo

OMNI Update 4th Quarter 2020

403(b) Retirement Plan

403(b) Universal Eligibility Notice

403(b) Authorized Agents

403(b) Retirement Plan Document

OMNI 403(b) Form

Employee Benefits Information and Forms

AFLAC Dental and Vision

Personal Leave Form

Application to Voluntary Personal Illness Bank (Sick Bank)

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