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Vermilion Local Schools
Every adult helping every child succeed today, tomorrow, and beyond!
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Insurance Information
Staff
Payroll Information and Forms
Work Calendars All Employees
Insurance Information
LPDC / Professional Development
Extra-Curricular & Athletic Advisor Forms and Information
Miscellaneous Staff Resources
Health and Safety
Wellness for Staff Members
Vermilion Education Foundation
Blended Learning Procedures
Insurance Forms and Resources
Summary of Benefits and Coverage effective July 1, 2023
Summary of Dental Plan
Dental Claim Form
Summary of Vision Plan
Vision Claim Form
Health Insurance Enrollment Form
Health Insurance Change Form
To update name, address, add or drop dependents
Adult Dependent Child Verification Form
Use this form to verify your child's eligibility for dependent health care coverage.
Other Coverage Form
To be used when covered individuals have a change in coverage through another employer, etc.
Life Insurance Beneficiary Change Form
Prescription Plan Booklet
Caremark Primary / Preferred Drug List
Understanding Your Dependent's Coverage
Glossary of Health Coverage and Medical Terms
Flexible Benefit Summary Plan Document
Medicare Part D Drug Coverage Notice
Women's Health and Cancer Rights Notice
Insurance Rates effective July 2024
VLSD Minimum Value (ACA) Plan with Wellness effective July 1, 2023
Important Health and Prescription Links
Medical Mutual of Ohio Website
Caremark Pharmacy
Insurance Forms and Info
Health Insurance Waiver Form
Life Insurance Enrollment Form
Notice of Privacy Practices
HIPPA Required Notices
Health Insurance Marketplace Options
Delta Dental Summary of Benefits
Delta Dental PPO Program
Vision Coverage Summary
Medical Mutual Plan Booklets
MMO Premium Plan with Wellness
MMO Premium Plan without Wellness
MMO EyeMed Vision Plan
MMO ACA Plan with Wellness
Minimum Value Plan
MMO ACA Plan without Wellness
Minimum Value Plan