Board policy 407.6, Licensed Employee Early Retirement, allows the employee to continue to participate in the school district's group health insurance plan until Medicare
eligible by meeting the requirements of the insurer.
The licensed employee is responsible for the cost of the health insurance premium. The licensed employee must pay the employee’s share of the premium by paying the monthly
premium amount in full to the board secretary prior to the due date of the school district's premium payment to the insurance carrier.
The undersigned licensed employee (does, does not) wish to continue to participate in the school district's group health insurance plan.
Licensed Employee _____________________________________ Date ___________________
