APPENDIX
DELTA DENTAL PREMIER NETWORK
Group #127 Sublocations #4633 (Teachers) and #5182 (Retirees)
Coverage A
Diagnostic/Preventive
Coverage B
Basic Restorative
Coverage C
Major Restorative
Coverage D
Orthodontics
Deductible: $0 There is no deductible on your program
Covered at 100%*
Covered at 85%*
Covered at 70%*
Covered at 50%*
APPENDIX
MOU/NEGOTIATION LANGUAGE
The Nashua Board of Education and the Nashua Teachers’ Union, AFT Local 1044, hereby agree to the following:
DATE:
The Nashua Board of Education shall grant a leave of absence with pay for a member of the bargaining unit
elected to serve as the President of the Nashua Teachers’ Union for the duration of the President's term(s)
of office.
APPENDIX
DESIGNATED AREAS
Architecture and Construction
Arts, Audio-Visual Technology and Communications
Blind and Vision Disabilities
Childhood Development and Education
Comprehensive Business Education
Comprehensive Family and Consumer Science
Comprehensive Marketing Education
Comprehensive Technology Education
Culinary
Deaf and Hearing Disabilities
Early Childhood - Nursery to Grade 3
Early Childhood Special Ed Nursery to Grade 3
Education Technology Integrator
APPENDIX
INSURANCE DEDUCTION AUTHORIZATION
Last Name First Ml.
Effective Date Social Security Number.
Address
School
Amount to be deducted each pay-period: $
To the Board of Education:
EMPLOYEE S MAME (PLEASE PRIA SOCAL SECURITY MINAS EI
ADDRESS (Strect Crh Siete and fis)
HOME PHONE SCHOOL
53
Return this form to:
Nashua Teachers’ Union
7C Taggart Drive
Nashua, NH 03060
Due, contributions, or gifts to the Nashua Teachers’ Union are not deductible as charitable
contributions for federal income tax purposes. Dues paid to the Nashua Teachers’ Union, however,
may qualify as business expenses, and may be deductible in limited circumstances subject to
various restrictions imposed by the Internal Revenue Code.
52
PLEASE PRINT
Last Name: First Name: M.L:
Address:
Street
City State Zip Code
Home Phone Cell Phone
Home/Non-School Email Address
School: Date:
TO NASHUA BOARD OF EDUCATION:
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