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CLARK COUNTY SCHOOL DISTRICT VOLUNTARY LIFE INSURANCE PLAN Western Insurance Specialties www.wisnv.com 800-342-0707 Last Name Support Staff Teachers/Unified First Name Date of Birth Number & Street.

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How to fill out the Clark County School District Voluntary Life Insurance Plan online

Filling out the Clark County School District Voluntary Life Insurance Plan can seem overwhelming, but with the right guidance, you can complete it easily and confidently online. This guide provides step-by-step instructions tailored to your needs, ensuring you provide all necessary information accurately.

Follow the steps to complete your form online seamlessly.

  1. Click ‘Get Form’ button to access the form and open it in your browser.
  2. Begin by entering your last name, first name, date of birth, address (including number, street, city, state, and zip code), annual salary, social security number, work phone, home phone, and email address in the appropriate fields.
  3. Indicate your role by checking the box for Support Staff or Teachers/Unified, as applicable.
  4. If you are electing coverage for your spouse or domestic partner, provide their first name, last name, gender, social security number, and date of birth in the designated sections.
  5. Select your term life insurance coverage in increments of $10,000, ensuring you do not exceed the maximum allowable amount of $500,000.
  6. If applicable, choose child coverage by selecting the appropriate amount, which provides coverage for multiple children under one monthly premium.
  7. Opt for accidental death and dismemberment rider coverage by selecting the relevant option that suits your needs.
  8. Complete the member’s beneficiary section by entering the beneficiary's first name, last name, relationship, date of birth, and social security number.
  9. Sign and date the form to confirm that you authorize your employer to deduct the premiums from your earnings, acknowledging the terms and conditions.
  10. Lastly, review all entered data for accuracy. You can then save any changes, download the completed form, print it for your records, or share it as necessary.

Complete your Clark County School District Voluntary Life Insurance Plan online today!

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Citing a desire for “stability,”, the Clark County School District board voted Wednesday to extend Superintendent Jesus Jara's contract through June 30, 2026 along with a $75,000 raise to his base salary, bringing it up to $395,000 a year.

EARL, IRA J.

Clark County School DistrictTypePublicMottoOne Team, One Goal: Making CCSD #1 For KidsGradesPK – 12EstablishedSeptember 16, 195613 more rows

The district is the largest in the county, out of three, and one of the largest in southern Indiana. The district operates 20 schools located in Jeffersonville, Utica, Charlestown, New Washington, and Clarksville. The current superintendent is Mark Laughner.

Leadership Contacts Role TitleNameSchool District SuperintendentDustin HowardSchool District Assistant SuperintendentKelly Fithen

Keep in mind, Clark County employees do not pay State Income Tax or Social Security Tax!

Superintendent Dr. Jesus F. Jara | Clark County School District.

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