Handbooks, Forms and Notices
Families will have the opportunity to print the forms, fill them out at home and return them to their child’s school. Please click on the links below to read the Forms and Notices Handbook, then to print out each form. Please sign the forms and return them to your child’s school.
Medicare Form, Medicare Forms
Aetna Medicare Basic Plan (HMO) will not be renewing its Medicare contract effective January 1, 2012. You may choose to enroll in our plan, but your coverage will automatically end on December 31, 2011 in Atlantic, Burlington, Camden, Cumberland, Gloucester, and Salem counties in New Jersey. Because this plan ends on December 31, 2011, if you decide to join, you are entitled to enroll in a new MA plan or PDP beginning December 8, 2011 through February 29, 2012. However, if you want your enrollment in the new plan to take effect on January 1, 2012, the new plan must receive your application by December 31st. You may also have the option of enrolling in a Medicare Cost Plan, if one is offered in your area. If you do not enroll in another MA plan, Medicare Cost Plan or PDP plan by December 31, 2011, you will be disenrolled from our plan and enrolled in Original Medicare on this date. You will receive additional information in the fall about your rights and additional options.