Skip to content
Search
Lake Villa School District 41
Achieving Excellence Takes Everyone
Search
Menu
Schools
Translate
Menu
Schools
Translate
Lake Villa School District 41
Documents
Documents
Departments
Business
Employee Benefits
Health Benefits
Name
Type
Size
Name:
BCBS Claim Form
Type:
pdf
Size:
310 KB
Name:
BCBS Enrollment Guide
Type:
pdf
Size:
21.5 MB
Name:
BCBS Global Core App
Type:
pdf
Size:
618 KB
Name:
Beneficiary Designation Form
Type:
pdf
Size:
930 KB
Name:
Blue Cross Blue Shield Site
Type:
link
Size:
-
Name:
Change Form
Type:
pdf
Size:
299 KB
Name:
Children's Health Insurance Program CHIP
Type:
pdf
Size:
1.39 MB
Name:
Dependent Election
Type:
pdf
Size:
81.8 KB
Name:
Enrollment Form
Type:
pdf
Size:
1.56 MB
Name:
Exchange Notice with Coverage
Type:
pdf
Size:
227 KB
Name:
HDHP PPO-IL CCDA Written List of Covered Benefits 2021-22
Type:
pdf
Size:
38.8 KB
Name:
HDHP with HSA PPO Summary of Benefits
Type:
pdf
Size:
3.4 MB
Name:
Insurance Rates
Type:
pdf
Size:
47.8 KB
Name:
Medicare Part D Credible Coverage Notice
Type:
pdf
Size:
85.5 KB
Name:
Notice of Privacy Practices
Type:
pdf
Size:
343 KB
Name:
Open Enrollment Health Insurance Information
Type:
pdf
Size:
5.18 MB
Name:
PPO 2800 with HSA Summary of Benefits and Coverage
Type:
pdf
Size:
506 KB
Name:
Plan 700 Summary of Benefits
Type:
pdf
Size:
508 KB
Name:
PPO - IL CCDA Written List of Covered Benefits 2021-22
Type:
pdf
Size:
39 KB
Name:
Transparency in Coverage- Machine Readable Files
Type:
link
Size:
-
Name:
Woman's Cancer Rights
Type:
pdf
Size:
16.3 KB