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Stacy Lane
Director, JPA Services
445-7055
slane@humboldt.k12.ca.us
Mendie Ballester
JPA Secretary
445-7126
mballester@humboldt.k12.ca.us
Kim Rocha
Benefits Clerk
445-7777
krocha@humboldt.k12.ca.us
North Coast Schools' Medical Insurance Group (NCSMIG)
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Subscriber's Statement of Claim - BLUE SHIELD EMPLOYEE
Application for Group Employee Benefit Plans
Blue Cross Claim Form
COBRA Enrollment Form
CVS Caremark Mail Order Form
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Declaration of Domestic Partnership
Notice of COBRA Rights
Termination of Domestic Partnership
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Vision Plan C
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