Document Submissions

Use these links to submit required documents directly after your enrollment in benefits.

Use your Allentown School District Microsoft Account for any login requirements.

Dependent Documentation: https://forms.office.com/r/vsG3gLKEwj

Proof of Alternative Coverage/Cash in Lieu of Medical Coverage: https://forms.office.com/r/dLGpxtDZT0

Domestic Partnership Attestation: https://forms.office.com/r/vsG3gLKEwj 

Spousal Surcharge Waiver Documentation: https://forms.office.com/r/vsG3gLKEwj (there is a $200 per month surcharge if the waiver is not completed)

Plan Features

Everything You’ll Need to Know

Plan Documents

Domestic Partner Affidavit

Required for adding a Domestic Partner

Websites

No information currently available.

Contacts

No information currently available.