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:

Proof of Alternative Coverage/Cash in Lieu of Medical Coverage:

Domestic Partnership Attestation: 

Spousal Surcharge Waiver Documentation: (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


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