You have elected to continue declining health benefits offered to you by CUSD. THIS OPTION IS ONLY AVAILABLE IF YOU DECLINED BENEFITS FOR 2021. If you took benefits during 2021 and now want to decline part or all of your benefits for 2021, please return to the CUSD benefits page and select that option.

If you are continuing to decline benefits,  you acknowledge that you are aware of the plans offered to you and that CUSD offers a single party medical plan that meets the affordability requirements of the Affordable Health Care Act. You are continuing to electing to receive health benefits coverage through another provider, not CUSD.

Please complete the two required items below and submit. If you have any questions, please contact Paola Barrios at the contact information listed on the CUSD website.

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* 1. Enter first and last name

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* 2. Enter School Site or Department
(If retired, please type in "Retired")

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* 3. Select job type:

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