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Salary Redirection Agreement

All CCSD employees with CCSD sponsored health or vision insurance must complete and return the Salary Redirection Agreement form to make your “pre-tax” election for any health or dental-vision coverage during 2022. 

If you do not have CCSD sponsored health or vision insurance, then no form is necessary.

Please submit the Salary Redirection Agreement form with your wet signature to Haley Dodson by December 31, 2021.

2022 Salary Redirection Agreement Form2022 Salary Redirection Agreement Form (Sample for Employees)
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