Health Insurance
Forms
Use to waive coverage
Open Enrollment Rates 26-27
Use for any enrollment in medical or dental plans
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.pdf2025-04-10Marion CSD Enrollment Form
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.pdf2026-03-062026 2027 Marion Health Insurance rates
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.pdf2026-03-06SUPT 2026 2027 Health rates
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.pdf2026-03-06ASI 2026 2027 Health rates
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.pdf2026-03-06SBO 2026 2027 Health rates
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.pdf2026-03-06Admin 2026 2027 Health rates on & before July 1 2021
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.pdf2026-03-06Admin 2026 2027 Health rates after July 1 2021
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.pdf2026-03-06Non Union 2026 2027 Health rates before July 1 2012
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.pdf2026-03-06Non Union 2026 2027 Health rates before July 1 2012 .8 FTE
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.pdf2026-03-06Non Union 2026 2027 Health rates after July 1 2012
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.pdf2026-03-06Non Union 2026 2027 Health rates after July 1 2012 .8 FTE
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.pdf2026-03-06MTA 2026 2027 Health rates prior to June 30 2005
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.pdf2026-03-06MTA 2026 2027 Health rates after June 30 2005
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.pdf2026-03-06CSEA 2026 2027 Health rates before July 1 2004
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.pdf2026-03-06CSEA 2026 2027 Health rates July 1 2004 and after
Open Enrollment Rates 25-26
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.pdf2025 26 Marion Health Insurance Rates NonUnion hired before 7.1.2012 0.8 FTE (1)
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.pdf2025 26 Marion Health Insurance Rates NonUnion hired on or after 7.1.2012 0.8 FTE (1)
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.pdf25 26 MTA HC rates hired after June 30 2005
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.pdf25 26 CSEA HC rates hired after July 1 2004
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.pdf25 26 Superintendent HC rates
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.pdf25 26 MTA HC rates hired prior to June 30 2005
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.pdf25 26 CSEA HC rates hired prior to July 1 2004
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.pdf2025 26 Marion Health Insurance Rates Admin hired on or before 7.1.2021
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.pdf2025 26 Marion Health Insurance Rates Admin hired after 7.1.2021
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.pdf25 26 Asst Supt HC rates
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.pdf25 26 School Business Administrator HC rates
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.pdf2025 26 Marion Health Insurance Rates NonUnion hired before 7.1.2012 (2)
Retiree Plan Information 2026
- HMO Information: $15 & $20
- PPO Information:$15& $20
- 2026 Excellus Medicare HMO & PPO Application
- Medicare Supp Application
- 2026 Simply P 5 20 35 3x Rx
- 2026 Simply P Application
- Medicare 2026 rates
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.pdf2025-11-10Marion CSD 2026 Simply P 5 20 35 3x Rx
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.pdf2025-11-10Marion CSD 2026 Excellus ER MBC HMO $20 LG 4 10 30 50 3x Rx Dental
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.pdf2025-11-10Marion CSD 2026 Excellus Group MAPD Application
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.pdf2025-11-10Marion CSD 2026 Excellus ER MBC HMO $15 LG 2 5 20 35 3x Rx Dental
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.pdf2025-11-10Marion CSD 2026 Excellus ER MB PPO $15 LG 2 5 20 35 3x Rx Dental
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.pdf2025-11-10Marion CSD 2026 Excellus ER MB PPO $20 LG 3 10 30 50 3x Rx Dental (1)
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.pdf2025-11-10MARION CSD 2026 Excellus Medicare Sup C Rochester
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.pdf2025-11-10MARION CSD 2026 Excellus Medicare Sup D Rochester
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.xlsx2025-11-10Marion CSD 2026 Medicare Renewal Summary (1)
