Camanche Indians Camanche Community School District
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Human Resources

Wellmark – Health Insurance

Wellmark Enrollment Form - PDF File

Wellmark Coverage Manual - PDF File

Amendment to your Coverage Manual or Summary Plan Description Sept 2014 - PDF File

Amendment to your Coverage Manual January 2016 - PDF File

Summary Plan Description Sept 2016 - PDF File

Insurance Contact List - PDF File

Affordable Care Act Information - SBC


ISEBA – Delta Dental

ISEBA Enrollment Form - PDF File

ISEBA Coverage Manual - PDF File


National Insurance – Disability and Life Insurance

Enrollment Form

Group Long Term Disability Information

Group Long Term Disability Information - Certified Staff

Group Term Life Insurance Information


PRIME – Split Funding and Flex

Flex Reimbursement Form - PDF File

RX Reimbursement/Claim Form - PDF File

HRA Reimbursement Form - PDF File

HRA Summary Plan Description - PDF File



IPERS Enrollment/Beneficiary Designation Form - PDF File

IPERS Address Change Form - PDF File

Annuity 403b

At A Glance - PDF File

Salary Reduction 403b - PDF File


Misc Payroll Form

Employee Physical Form - PDF File

Direct Deposit Form - PDF File


W-4 Tax Forms

FIT – Federal W-4 - PDF File

SIT – State IA W-4 - PDF File

SIT - State IL W-4 - PDF File

Federal I-9 - PDF File



Log in to Check History, Leave Balances and W2 document. Click Here


Payroll Department

Linda Decker

Contact Information
Linda Decker
702 13th Avenue
Camanche, Iowa 52730



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