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Glendale Elementary

School District

Mandatory Notices

CHIP Model Notice

CHIP Model Notice.pdf 333.89 KB (Last Modified on August 2, 2023)

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Glendale Elementary School District Privacy Notice

GESD Privacy Notice.pdf 50.88 KB (Last Modified on December 15, 2020)

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HIPAA Privacy Notice

HIPAA Privacy Notice 9-18.pdf 134.63 KB (Last Modified on August 2, 2023)

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HIPAA Special Enrollment Notice

HIPAA Special Enrollment Notice.9-18.pdf 132.15 KB (Last Modified on August 2, 2023)

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Marketplace Exchange Notice

Market Place Exchange Notice.pdf 684.42 KB (Last Modified on August 2, 2023)

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Medicare Part D Creditable Coverage Notice

2023 Medicare Part D Notice.pdf 709.53 KB (Last Modified on August 7, 2023)

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Mental Health Parity Opt Notice

Mental Health Parity Opt Notice 2011.pdf 7.67 KB (Last Modified on December 15, 2020)

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Newborns & Mothers NMHPA Notice

Newborns - Mothers NMHPA Notice 9-18.pdf 30.04 KB (Last Modified on August 2, 2023)

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Section 125 Summary Plan Description

EE Cafeteria Plan Summary Plan Description 7-1-2022 - 9-2-2022.pdf 331.98 KB (Last Modified on August 17, 2023)

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Uniformed Services Employment and Reemployment Rights Act

Uniformed Services Employment and Reemployment Rights Act 9-18 2022.pdf 48.84 KB (Last Modified on July 28, 2022)

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WellStyles ACA Communication

Wellness Program Notice Rev 08152023.pdf 58.06 KB (Last Modified on August 18, 2023)

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Women's Health and Cancer Rights Act

Womens Health and Cancer Rights Act.pdf 56.67 KB (Last Modified on August 2, 2023)

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Helpful Resources

Jodi Finnesy

Phone: (623) 237-7149

Email: Benefitsinfo@gesd40.org

Website: www.gesd40.org

Glendale Elementary School District No.40

7301 N. 58th Avenue

Glendale, AZ 85301

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