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Glendale Elementary

School District

Mandatory Notices

CHIP Model Notice

CHIP Notice expires 1-13-2023.pdf 236.47 KB (Last Modified on July 28, 2022)

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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 2022.pdf 138.62 KB (Last Modified on July 28, 2022)

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HIPAA Special Enrollment Notice

HIPAA Special Enrollment Notice.9-18 2022.pdf 133.94 KB (Last Modified on July 28, 2022)

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Marketplace Exchange Notice

Marketplace Exchange Notice 2022.pdf 401.09 KB (Last Modified on July 28, 2022)

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Medicare Part D Creditable Coverage Notice

Medicare Part D Creditable Coverage Notice 2022-23.pdf 653.27 KB (Last Modified on August 11, 2022)

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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 and Mothers NMHPA Notice.pdf 30.04 KB (Last Modified on July 12, 2021)

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Section 125 Summary Plan Description

19-20 Cafeteria Summary Plan Descrip.pdf 334.55 KB (Last Modified on December 15, 2020)

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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

WellStyles ACA Communication 6-22 2022.pdf 16 KB (Last Modified on July 28, 2022)

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Women's Health and Cancer Rights Act

Womens Health and Cancer Rights Act of 1998 WHCRA 9-18.pdf 56.67 KB (Last Modified on July 12, 2021)

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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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