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Benefit Change Form

School Kids

This form will help you begin the process of changing your benefits due to a qualifying life event. Please complete the form below with as much detailed information as possible. Upon submission, your Maize staff will reach out to you with next steps. Thank you for being a vital part of USD 266!

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Complete the form and click the submit button. 
What benefits would you like to change?

*You are communicating your desire to make a change to your benefits during the middle of the plan year. Your benefit change request is not approved until you have electronic communication from the district office. You may be required to provide supporting documentation.

Thank you! We’ll be in touch.

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