Skip to Main Content

Search Our Site

District Home

Traducir 옮기다" myPortal

Search Our Site

Alachua County Public Schools

We are committed to the success of every student.

COVID Response Updates

Forms and Resources

1500 Deductible Plan Document

2021 ACPS 1500 PLAN 05360.pdf 733.47 KB (Last Modified on June 21, 2021)

Comments (-1)
2022 Annual Retirement Benefits Guide

2022 Annual Retirement Benefits Guide.pdf 2.18 MB (Last Modified on May 4, 2022)

Comments (-1)
2022 Children's Health Insurance Program

2022 CHIP Model Notice.pdf 207.79 KB (Last Modified on September 29, 2021)

Comments (-1)
2500 Deductible Plan Document

2021 ACPS 2500 PLAN 05904.pdf 431.35 KB (Last Modified on June 21, 2021)

Comments (-1)
750 Deductible Plan Document

2021 ACPS 750 PLAN 03359.pdf 432.41 KB (Last Modified on June 21, 2021)

Comments (-1)
Beneficiary Form -- Cigna Life

Beneficiary Form for Cigna Life.pdf 101.94 KB (Last Modified on July 26, 2018)

Comments (-1)
Beneficiary Form -- District Life

District Life Beneficiary Form with Notary.pdf 304.68 KB (Last Modified on May 11, 2020)

Comments (-1)
Beneficiary Form for FRS Retired Employees

Beneficiary form for FRS retired and drop employees.pdf 241.39 KB (Last Modified on July 26, 2018)

Comments (-1)
Beneficiary Form for FRS Active Employees

Beneficiary form for FRS active employees.pdf 57.42 KB (Last Modified on July 26, 2018)

Comments (-1)
Discovery Benefits Reimbursement Claim form

Out of Pocket Reimbursement form.pdf 58.34 KB (Last Modified on August 26, 2019)

Comments (-1)
Employee Assistance Program (EAP)

EF_Sku_SLBusiness.pdf 298.65 KB (Last Modified on May 4, 2022)

Comments (-1)
Florida Blue Care Member Flier

Care Member Flier_English_New.pdf 97.17 KB (Last Modified on December 10, 2018)

Comments (-1)
Humana - Dental and Vision Benefits

Humana Dental and Vision Benefits 2022.pdf 3.89 MB (Last Modified on October 22, 2021)

Comments (-1)
Medicare Part D Notice

ACPS Medicare Part D Notice.pdf 374.72 KB (Last Modified on February 28, 2019)

Comments (-1)
Preventive Care Guidelines

2019 General Wellness Guidelines English Final Dec 2018.pdf 668.14 KB (Last Modified on January 29, 2019)

Comments (-1)
Urgent Care Centers

Urgent_Care_Centers_and_Convenient_Care_Centers._revised.pdf 162.69 KB (Last Modified on August 14, 2018)

Comments (-1)

CLOSE

CLOSE