Benefit Guide and Summary Plan Description 

Summary of District benefits for contract employees for the 2008/2009 Plan year
Mesa Public Schools Health Care & Insurance Plan Document.
Mesa Unified School District #4 403(b) Plan Document

Amendment No. 1
Amendment No. 2
Amendment No. 3
Amendment No. 4
Amendment No. 5

General Benefit Documents

Learn More About Flexible Spending Accounts
IRS Health Care Eligible Expenses
Over the Counter Drug List
Group Life Accidental Death and Dismemberment Certificate of Coverage
Long Term Disability Income Plan
Medicare Part D Notice of Creditable Coverage
Short-term disability Summary of Benefits
Total Dental Administrators Copayment Summary

Rate Sheets

2008/2009 Rate Sheet - Certificated and Classified
2008/2009 Rate Sheet - Administrators and Supervisors

2009/2010 Benefits and Enrollment Guide
2009/2010 Enrollment and Changes Form

Forms

Employee Benefits Enrollment & Change Form (Use this form to enroll in or make changes to your District Benefits at open enrollment or for a qualifying event.)
AFLAC Cancellation Form
AFLAC Supplemental Accident and Sickness Insurance Selection Form
ASRS Beneficiary Form 
ASRS Address/Name Change Form
United Concordia Claim Form
Flexible Spending Account Health Care and Dependent Care Claim Form 
HIPAA Privacy Notice 
HIPAA Privacy PHI Authorization Form
Life Insurance Beneficiary Form
Long Term Disability Application
Medco Rx Claim Form
Medco Mail Order Form
Short Term Disability Claim Form
United Pet Care Member Change Form