Announcements - Santa Clara County Schools' Insurance Group

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2026 - 2027 SCCSIG Member District Contacts

The SCCSIG is updating our Full Board Designated Representatives and Alternates for our member districts as we do annually along with gathering more contact information to better serve our members. Historically, Superintendents and CBO’s are chosen to serve as the Full Board Representative and Alternate and have full voting power on behalf of the District. The form also includes other areas such as Property & Liability, Fringe Benefits and Workers’ Compensation contacts as applicable to the lines of coverage(s) that your district participates in.

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Your District/JPA(Required)

Your Name(Required)

First & Last Name

Your Title(Required)

Your Email(Required)

Your Phone(Required)

Please Designate a District Full Board Representative(Required)

First & Last Name

Title

Please Designate a District Full Board Alternate(Required)

First & Last Name

Title

Please list a Property & Liability District Contact (If your district does not participate in Property & Liability, please leave blank)

First & Last Name

Title

Phone Number

Please list a Worker's Compensation District Contact (If your district does not participate in Workers' Compensation, please leave blank)

First & Last Name

Title

Phone Number

Please list a Benefits & Wellness District Contact (If your district does not participate in Benefits & Wellness, please leave blank)

First & Last Name

Title

Phone Number

Please list a Finance Contact at Your District(Required)

First & Last Name

Title

Please list an HR Contact at Your District(Required)

First & Last Name

Title

Please list a Maintenance/Operations Contact at Your District(Required)

First & Last Name

Title

Please list an IT/Technology Contact at Your District(Required)

First & Last Name

Title

Your District Superintendent(Required)

First & Last Name

Welcome to our new website! Should you have any questions regarding the new site, please contact Jackie Guevara at jguevara@sccsig.org

Thank you for your patience while we continue to improve our site for a better experience for you.