Waiver Option
Pompton Lakes School District

You have the option to waive District health benefits; this waiver option offers flexibility in creating your own personalized package of benefits. If you have health coverage elsewhere, you may be eligible.

If you lose coverage from the alternative source, you can immediately enroll in the District plans by completing an enrollment form and providing documentation of the loss -- email the Business Office for instructions.

2024 Waiver Form





 

 







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