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Vim & Vigor
Stacy Lane
Director, JPA Services
445-7055
slane@humboldt.k12.ca.us
Susan Bishop
JPA Secretary
445-7126
sbishop@humboldt.k12.ca.us
Kim Rocha
Benefits Clerk
445-7777
krocha@humboldt.k12.ca.us
North Coast Schools' Medical Insurance Group (NCSMIG)
Forms
Application for Group Employee Benefit Plans
COBRA Enrollment Form
CVS Caremark Mail Order Form
CVS Prescription Reimbursement Claim Form
Declaration of Domestic Partnership
Notice of COBRA Rights
Termination of Domestic Partnership
Vision Plan A
Vision Plan B
Vision Plan C
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