Below are links for information to coverages offered including the forms for medical and dental. 

You will also find information below for canceling coverage and enrollment outside of Open Enrollment. 

 Benefit Guide links for each plan offered by NHUSD are below.

• Anthem HMO and Anthem Traditional
• Blue Shield ACCCESS +
• Kaiser Permanente
• PERS Platinum and PERS GOLD
• *UnitedHealthcare Signature Value Alliance HMO (may not be available in your county)
• *Western Health Advantage (may not be available in your county)

Please review the link for Summary of Coverages.

Summary of Coverages

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 Cancellation & Enrollment Information

CANCELLATION INFORMATION:

You can request cancellation of coverage at anytime.  Read the important information below. 

Forms must be received no later than the first of the month, no exceptions.   

For Example: If you cancel effective August 30, 2024,  forms must be received prior or no later than September 1, 2024.

Cancellation effective dates can not be retroactive.   

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ENROLLMENT INFORMATION:

To begin coverage outside of open enrollment you must have a loss of coverage letter for yourself and/or dependents from the vendor not the employer. If you have a permitting event, such as marriage, birth of child etc. we need proof of the permitting event to come onto coverage.

NOTE: Forms and documents must be turned in no later than the 1st of the month you would like to start coverage. 

For Example:  If you request April 1 effective date of coverage your forms must be turned in no later than March 31. 

Enrollment effective dates can not be retroactive. 

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To enroll, add dependent/s, spouse or cancel coverage you must fill out the forms below for your employment classification.

Required Documents for Enrollment

To insure dependent children

• Birth Certificate
• Social Security Card

To insure spouse

• Marriage License
• ID (Drivers License)
• Social Security Card

If you have questions regarding health plans, use this link to the CalPERS web page.

Enrollment forms for medical and dental are below