Skip To Main Content

Logo Image

Logo Title


Pleasant Valley School District offers medical, dental, vision and Flex Spending Accounts to all of its full-time employees.  Using the links on the left, all forms are available for download.  Any questions can be emailed to Rose Lobe-Waller or contacted at extension x1315.  

Medical Benefits

Highmark Website

BCBS Highmark Enrollment Form

BCBS Highmark Change Form

2023 Spousal Employer Verification Form

Life Insurance

Term Life Insurance Application


United Concordia Website

United Concordia Enrollment Form

United Concordia Change Form


VBA Website

Vison Benefits of America Add/Change/Delete Form

Flex Spending Accounts

The Harrison Group Website

FSA Plan Summary

23-24 FSA Open Enrollment Form

FSA - How to file a manual claim

Employee Assistance Program

St. Luke's Penn Foundation Website

SLPF Services Flyer