Junior High

High School


Graphic of family


Take care of your body it's the only place you have to live.

-Jim Rohn

Home Page

Add Baby

 New Baby

Congratulations on the birth of your new baby!

Please click on this Status Change Form link.

Print and complete this form to add your new little one to your health insurance. Form must be returned

no later than 30 days from the date of birth.

 You may return completed form to the District Insurance Office by:

 Fax: 801-402-5639
Email: insurance@dsdmail.net
U.S. Postal:
Davis School District

Insurance Division/Nyoka Egan
P.O. Box 588
Farmington, UT 84025-0588

Disability Info.

Disability Information

UNUM Evidence of Insurability Application

Disability Claim Form

Use this form if you are enrolled with disability insurance, and wish to file a claim.

To file a claim for Short Term or Long Term disability benefits, please click on the link above and complete the application. It is the employee’s responsibility to complete pages 1 through 5 as well as the Authorization page.  You will also need to have your physician complete pages 9 through 11.  Once completed, please submit these forms directly to UNUM at the address provided on the application. In order to complete the application process, please notify the insurance division at the link below so that we can complete and submit the employer sections (pages 6-8) of the application in a timely fashion. Also, If you have not already done so, please apply for a leave of absence through the Human Resource Department.

If you have any questions you can contact:

Rose Bassett at the link below or at 801-402-5636 Monday – Friday 8:00am – 12:00pmEmail
Rose Bassett: rbassett@dsdmail.net

Insurance Forms

Carrier Contact Information

Aetna Logo

Customer Service:
Web: www.aetna.com 

SelectHealth Logo

Customer Service:
Web: www.selecthealth.org

Delta Dental Logo

Customer Service:
Web: www.deltadentalins.com

Opticare of Utah Logo

Customer Service:
Web: www.opticareofutah.com

Customer Service:
Group #: 220069

Customer Service:
Web: www.unum.com

Customer Service:
Web: www.healthequity.com

National Benefits Services NBS Logo

Customer Service:
Local: 801-532-4000
Fax: 1-800-478-1528
Web: www.nbsbenefits.com

URS Logo

Customer Service:
Local: 801-366-7770
Web: www.urs.org

Notice of Privacy Practices

The Health Insurance Portability & Accountability Act of 1996 ("HIPAA") is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by the District in any form are kept properly confidential.

To learn more about your rights or to obtain a copy of the District's Notice of Privacy Practices, please click HERE.

Contact Us

Located in the District Administration Building  1st Floor/Human Resources     45 E State Street     Farmington, UT

Monday-Friday           Phone: 801-402-5200
8:00-4:30                    Fax:      801-402-5639

  • Steven Baker

Steven Baker
HR Associate Director
Insurance Division


Denise Robins

Denise Robins
Insurance Specialist
Insurance Division Supervisor


Nyoka Egan

Nyoka Egan
Insurance Technician
(Enrollment & Status Changes )


Rose Bassett

Rose Bassett
Insurance Technician
(Retirement Insurance, Disability, & COBRA)


Specific Plan Information

Summary of Benefits and Coverage (Health Pans)

Member ID Card Information

Medicare Creditable Coverage Notice

"Early Retirement Plan" Q&A

Tele-Medicine Health Care Options

High Deductible Health Plan and Health Savings Account Education Tools

Rx Comparison

Children's Health Insurance Program (CHIP) Notice

Medicaid and the Children's Health Insurance Program (CHIP) offer free or low-cost health coverage to children and families. Click HERE for more information on this program.

The Hartford Supplemental Products

UNUM Supplemental Products