Forms | SISC - Self-Insured Schools of California

SISC, 2000 K Street Bakersfield, CA 93301 661.636.4710

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The SISC Flex Plan

Pay medical dependent care costs with
pre-tax dollars

Forms

Direct Deposit Request Form
Enrollment Form 2021
Letter of Medical Necessity 2021
Navia DC-HC Claim Form 2021
Navia DC Receipt for Services 2021
Premium Only Plan Enrollment Form
Recurring Dependent Care Expense Claim Form 2021

Contact

SISC Flex
P.O. Box 1808
Bakersfield, CA 93303-1808

Carmen Gonzales
siscflex@kern.org
661-636-4416
1-800-972-1727
661-636-4063

About

Our Philosophy – “Schools Helping Schools”

Our Goal is to provide the best coverage and service to our members while keeping costs affordable and stable.

SISC is a Joint Powers Authority administered by the Kern County Superintendent of Schools Office, Mary C. Barlow, Superintendent

Contact us

SISC

2000 K Street Bakersfield, CA 93301

661.636.4710

661.636.4156

© 2021 SISC. All rights reserved.