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    • Meeting Schedule

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      and Agendas

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    • OFFICES
      • Superintendent of Schools
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      • Business
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    • DIVISIONS
      • Athletics
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      • Construction
      • Early Childhood Education

    • DIVISIONS (cont.)
      • Elementary & Secondary Education
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      • Operations

    • DIVISIONS (cont.)
      • Planning, Research & Evaluation
      • Special Education
      • Staff Development
      • Student Advocacy
  • Schools

    • ELEMENTARY / SECONDARY
      • School No. 1
      • School No. 3
      • School No. 6
      • School No. 7
      • School No. 10

    • ELEMENTARY (cont. 1)
      • School No. 11
      • Passaic High School
      • School No. 15
      • School No. 19
      • School No. 21

    • ELEMENTARY (cont. 2)
      • School No. 22
      • School No. 23
      • School No. 24
      • School No. 25

    • ACADEMIES
      • Passaic Gifted and Talented Academy
      • Passaic Academy for Science and Engineering
      • Passaic Preparatory Academy
        • SCHOOL LOCATOR
  • Employment
  • Registration
  • Board of Education


    • Board Members

    • Meeting Schedule

    • Board Meeting Minutes
      and Agendas

    • Budget

    • Governance Manual

    • Committees
  • Administration


    • OFFICES

      • Superintendent of Schools
      • Assistant Superintendents
      • Business
      • Operations

    • DIVISIONS

      • Athletics
      • Bilingual Education / English (ESL)
      • Construction
      • Early Childhood Education

    • DIVISIONS (cont.)

      • Elementary & Secondary Education
      • Human Resources
      • Information Technology
      • Operations

    • DIVISIONS (cont.)

      • Planning, Research & Evaluation
      • Special Education
      • Staff Development
      • Student Advocacy
  • Schools


    • ELEMENTARY / SECONDARY
      • School No. 1
      • School No. 3
      • School No. 6
      • School No. 7
      • School No. 10

    • ELEMENTARY (cont. 1)
      • School No. 11
      • Passaic High School
      • School No. 15
      • School No. 19
      • School No. 21

    • ELEMENTARY (cont. 2)
      • School No. 22
      • School No. 23
      • School No. 24
      • School No. 25

    • ACADEMIES
      • Passaic Gifted and Talented Academy
      • Passaic Academy for Science and Engineering
      • Passaic Preparatory Academy
        • SCHOOL LOCATOR
  • Employment
  • Registration
Passaic Schools / Business  / Forms / Staff Health Benefits

 Staff Health Benefits


Passaic City Public Schools Employee Benefit Information Systems web site

  • myNewJersey! The official New Jersey web “portal”, which gives you direct access to online information that’s specific to you
  • myNewJersey! Help Site – frequently asked questions, etc.
  • The Member Benefits Online System (MBOS): Provides pension and health benefit account information and online applications

Memos

  • MEMO regarding Member Benefits Online System (MBOS) the Employer Pensions and Benefits Information Connection (EPIC) Logon ID Retrieval (.pdf)

Medical Forms – Open Enrollment Forms

  • Health Benefits Application
  • Prescription Enrollment Form
  • VSP Enrollment Form
  • City of Passaic Board of Education MBS 7-14 (VSP)
  • Health Benefits Waiver Form
  • Health Capsule (Fall 2015)
  • Prescription Waiver Form

Flexible Spending Account Forms

  • FSA Eligible Expense Information List
  • PBOE FSA Claim Form
  • PBOE FSA Enrollment Application
  • PBOE FSA Open Enrollment Information

Dental Open Enrollment Forms

  • Dental Enrollment Form – Revised 10/2/15
  • Dental Open Enrollment Form – Revised 9/30/15
  • Dental Open Enrollment Form – Revised 9/30/15
  • Non-Reps (Delta Dental)
  • PAEOP, PADCAM & PASA (Delta Dental)
  • PSA Delta Dental Buy-Up

Delta Dental Booklets

  • PASA Employee Booklet
  • PAES, PADCAM, Non Rep Employees Booklet
  • EAP Employees Booklet
  • PMCCA Employees Booklet
  • All Other Employees Booklet

Passaic Public Schools

663 Main Avenue, Passaic, New Jersey 07055

Ph: 973-470-5500

Luis Colon | District Anti-Bullying Coordinator/Affirmative Action Officer

973-458-6054 | lcolon@passaicschools.org

School Climate State Coordinator | hib@doe.nj.gov

HIB Grades

Community Resources: 2-1-1

Passaic Public Schools is an Affirmative Action/Equal Opportunity Employer

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