Health Benefits Forms

The Camden City School District offers Medical, Prescription, Dental and Vision coverage to all full-time employee.  Eligible employees wishing to waive coverage in exchange for a cash incentive must complete the Waiver of Healthcare Coverage for Medical, Prescription, Dental or Vision Form and return it to the Laura Davis at ldavis@camden.k12.nj.us on or before December 20, 2019.  If you have any questions regarding waving coverage, please submit a VUApps inquiry here.

Click here for the 2019 Aetna Enrollment Form (until March 31, 2020). 
Click here for the 2020 Horizon Enrollment Form (effective April 1, 2020).
Click here for the New State Waiver Form.
Click here for the Google Waiver Doc.





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