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Pelham
SCHOOL DISTRICT
Pelham
Elementary
Pelham
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Pelham
High School
About Us
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ESSER Use of Funds
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24-25 Calendar
Open Enrollment
Human Resources
Benefits Information
Employment Opportunities
Open Enrollment
Retiree Benefits
Open Enrollment 2024-2025
2024-2025 Forms
NON-AFFILIATED - FSA Enrollment Fillable Form
NON-AFFILIATED - HealthTrust Life and LTD Fillable Application Form
NON-AFFILIATED - HealthTrust Medical_Dental Application and Change Fillable
NON-AFFILIATED & PEA FSA Direct Deposit Authorization Form
PEA-FSA Enrollment Fillable Form
PEA - HealthTrust Life and LTD Fillable Application Form
PEA - HealthTrust Medical_Dental Application and Change Fillable Form
PEA - Special 9-1-2024 Open Enrollment Election Coverage Form
PESPA - HealthTrust Medical_Dental Application and Change Fillable Form
General Information & Required Notices
403(b) Universal Availability Notice 2024
2024-2025 Pelham Insurance Rates Spreadsheet All
CHIPRA Model Notice July 1 2024
Open Enrollment Notice for Enrollees July 1 2024
Special Enrollment Notice - July 1 2024
Non-Affiliated
Non-Affiliated 2024-2025 Pelham Insurance Rates Spreadsheet
Non-Affiliated 2024-2025 Benefit Education Packet
Non-Affiliated - Dental Summary of Benefits Option 1S 2K 2024-2025
FSA - HealthTrust Benefit Advantage - Information for Employees
FSA Quick Guide 2024-2025
Non-Affliated Supplemental Life Rates
Non-Affiliated - Plan Benefits Comparison
Non-Affliliated - Summary of Benefits and Coverage AB20 2024-2025
Non-Affiliated - Summary of Benefits and Coverage ABSOS20_40_1KDED 24-25
PEA (7-1-24 through 8-31-24)
PEA 2024-2025 - Benefit Education Packet
PEA 2024-2025 - Pelham Insurance Rates Spreadsheet
PEA - Plan Benefits Comparison 7.1.24 to 8.31.24
PEA - Summary of Benefits and Coverage AB15_40IPDED 7-1-24 to 8-31-2024
PEA - Summary of Benefits and Coverage BC2T20 7-1-2024 to 8-31-2024
PEA - Dental Summary of Benefits Option 1A 1K 7-1-2024 to 8-31-2024
PEA - Summary of Benefits and Coverage AB20 2024-2025
FSA HealthTrust Benefit Advantage - Information for Employees
FSA Quick Guide 2024-2025
PEA Supplemental Life Rates
PEA (9-1-24 through 6-30-25)
PEA 2024-2025 Benefit Education Packet
PEA 2024-2025 Pelham Insurance Rates Spreadsheet
PEA - Plan Benefits Comparison 9.1.24 to 6.30.25
PEA - Summary of Benefits and Coverage AB20 2024-2025
PEA - Summary of Benefits & Coverage ABSOS20_40 1KDED 9-1-24 to 6-30-25
PEA - Dental Summary of Benefits Option 1S 2K 9-1-2024 to 6-30-2025
PESPA
PESPA 2024-2025 Pelham Insurance Rates Spreadsheet
PESPA 2024-2025 Benefit Education Packet
PESPA - Dental Summary of Benefits Option 1A 2024-2025
PESPA - 2024-2025 Plan Benefits Comparison
PESPA - Summary of Benefits and Coverage AB15_20IPDED 2024-2025
PESPA - Summary of Benefits and Coverage AB20 2024-2025
PESPA - Summary of Benefits and Coverage ABSOS25_50_3KDED 2024-2025