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    Casa Grande Elementary School District 4

    A Community of Learners, Leaders, and Innovators

    District Home
    • Casa Grande Elementary School District 4
    • Benefits
    • District Medical Insurance

    Talent Acquisition & Employee Services

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    • Benefits
      • Arizona State Retirement
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    • Enrollment Form

      Enrollment Form

      Enrollment Form Casa Grande Fillable.pdf 452.08 KB (Last Modified on May 13, 2021)
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    • Affordable Care Act (ACA)

      Affordable Care Act (ACA)

      Grandfather Status Information

      Notice for Exchange (www.healthcare.gov)

      1095C Form FAQ
      ACA Grandfathered Plan Information2.pdf 24.52 KB (Last Modified on September 3, 2020)
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    • Required Health Care Notices

      Required Health Care Notices

      Miscellaneous Health Care Notices.  Midyear Changes to the Medical Plan, Reminder to provide Social Security Numbers of each enrollee to the Health Plan, Declining Medical Coverage, Privacy Notice Reminder, Women’s Health and Cancer Rights Act, Medicare Notice of Creditable Coverage, Notice of Grandfather Status, Family and Medical Leave Act (FMLA) Reminder, COBRA Coverage Reminder Medicare Part D, HIPAA Privacy, Health Insurance Marketplace.
      COMPLY 1100 Casa Grande Elem. SD_ 2021 Important Plan Notices.pdf 644.3 KB (Last Modified on July 1, 2021)
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    • Summary of Benefits and Coverage

      Summary of Benefits and Coverage

      Summary of Benefits and Coverage FY2223.pdf 605.53 KB (Last Modified on June 27, 2022)
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    • Summary Plan Document

      Summary Plan Document

      Casa Grande ESD4EBT_ July2020 Plan Document_SPD.PDF 2.19 MB (Last Modified on December 15, 2020)
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    • AZBlue Find a Doctor- PPO Network – Blue Cross / Blue Shield

      Choose PPO/EPO Statewide Click the “Find a doctor” orange button. If the message “Leaving Blue Cross Blue Shield of AZ” pops-up, click on the orange “Confirm” button.


      Type in a search in the left box, type a location in the right box then click the “Search” button.

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    Find It Fast

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    220 W. Kortsen Rd.
    Casa Grande, AZ 85122

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    Phone: 520-836-2111

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