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Health Insurance

Change and Enrollment Forms


MUST be completed for all employees enrolled in our health plan, regardless of whether you accept or decline to refrain from tobacco products. 

For employees that do not currently have our insurance & wish to enroll, or employees that do not currently have our insurance and are waiving coverage for 2025. *If you currently have our insurance, please use the Anthem Change Form to decline.

This is a new carrier for dental and vision benefits. Every full time employee must complete this application regardless of whether you are accepting or denying coverage.

 

For employees that currently carry our insurance, & are making changes to their existing plan (changing plan type, adding dependents, etc.) or are terminating their coverage for 2025.  

 

For questions please contact: 

Andrea Sharp

Payroll/Deputy Treasurer

andrea.sharp@cabeard.k12.in.us

Phone: 765-345-5101 

8139 W. US 40
Knightstown, IN 46148