Benefits Department

105 High Street, Warren, Ohio 44481 Phone 330-841-2321 Fax: 330-394-2300

Diane Sparacino
Employee Benefits Representative

Email Diane
x7130

The Employee Benefits Representative is responsible for administering the benefits package, Worker’s Compensation and Policies and Guidelines for all Warren City Schools employees.

All Employee Forms

Benefits Forms

   ACA Informational Brochure  -   (700.5KB)
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   Anthem Life Insurance Beneficiary Form  -   (70.98KB)
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   Dental Benefits Summary  -   (165.60KB)
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   Drug Benefits Summary  -   (55.99KB)
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   FMLA General Notice  -   (238.25KB)
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   Glossary of Health Coverage and Medical Terms  -   (89.27KB)
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   Medical Benefits Summary  -   (210.39KB)
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   Prilosec OTC Voucher (Marc's, Rite Aid, Drug Mart)  -   (116.47KB)
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   Rate Contribution Sheet (Full Time Employees)  -   (104.07KB)
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   Rate Contribution Sheet (Part Time Employees Paying 44% of Premium)  -   (108.83KB)
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   Rate Contribution Sheet (Part Time Employees Paying 17% of Premium)  -   (109.23KB)
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   Spouse Eligibility Certification Form (WCS Employee form)  -   (21.33KB)
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   Spouse Insurance Verification Form (Spouse Employer form)  -   (99.63KB)
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   Summary of Coverage  -   (353.66KB)
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   Vision Benefits Summary  -   (168.77KB)
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