BenefitsTop of Page

How Do I Enroll in SUHSD Benefits?
  • You have 30 days as a new hire to enroll in benefits
  • If you choose not to enroll, you must decline coverage by completing the Cafeteria, CalPERS, Delta and Dependent Verification forms

Who is Eligible?
  • You, your spouse and your child(ren), or your domestic partner

Can I Change My Mind?
  • Only if you have a Qualified Life Status Change (contact Sonia Ramirez with questions and to receive more information)

MedicalTop of Page

Blue Shield Access+ and Net Value HMO
  • No annual deductible
  • $15.00 co-pay per visit
  • Preventive Care: No Charge
  • Diagnostic X-ray/Lab: No Charge
  • Emergency Services $50.00 co pay - waived if admitted to hospital
  • Maximum Calendar Year Co-pay (excluding Pharmacy) $1,500.00 individual, $3,000.00 family
  • Out of network reimbursed at a fee schedule
  • Prescription Drugs (not to exceed 30 day supply):
  • $5 Generic, $20 Brand-name Formulary, $50 Bran name Non-Formulary

Kaiser HMO
  • No annual deductible
  • $15.00 co-pay per visit
  • Preventive Care: No Charge
  • Diagnostic X-ray/Lab: No Charge
  • Emergency Services $50.00 co pay - waived if admitted to hospital
  • Maximum Calendar Year Co-pay (excluding Pharmacy) $1,500.00 individual, $3,000.00 family
  • Out of network reimbursed at a fee schedule
  • Prescription Drugs (not to exceed 30 day supply):
  • $5 Generic, $20 Brand-name Formulary, $50 Bran name Non-Formulary

PERS Select, PERS Choice, and PERS Care
  • Preventive Care: No Charge PPO, 40% Non PPO (PERS, Choice, Select)
  • Diagnostic X-ray/Lab: 20% PPO, 40% Non PPO (PERS, Choice, Select)
  • Diagnositc X-ray/Lab: 10% PPO, 40% Non PPO (PERS Care)

Emergency Services:
  • 20% PPO and Non-PPO (PERS Choice, Select)
  • 10% PPO and Non-PPO (PERS Care)

Calendar Year Deductible:
  • $500 per member, $100 for family (PERS Choice, Select, Care)
  • Maximum Calendar Year Co-pay (excluding pharmacy)
  • $3,000 individual, $6,000 family (PERS, Choice, Select)
  • $2,000 individual, $4,000 family (PERS, Choice, Select)
 
Documents

Delta DentalTop of Page

PPO (Managment and Confidential) PPO Out of Network (Managment and Confidential) PPO (Classified and Certificated) PPO Out of Network (Classified and Certificated)
Calendar Year Deductible No Deductible No Deductible No Deductible No Deductible
Calendar Year Maximum $2,000 $2,000 $2,200 $2,000
Preventive 100% 100% 80% 80%
Basic 90% 90% 80% 80%
Major 80% 80% 80% 80%
Orthodontia - Lifetime Maximum: $1,500 $1,500 $1,000 $1,000

VisionTop of Page

VSP - Vision Service Plan
Eye Exam
  • Co-payment: $10
  • Every 12 months

Lenses
  • Single vision, lined bifocal, and lined trifocal lenses
  • Every 12 months

Frames
  • $115 allowance for frames of your choice
  • 20% off any out of pocket cost
  • Every 24 months

Contact Lens Care
  • $105 allowance
  • 20% off any out of pocket cost
  • If you choose contact lenses you will be eligible for frames in 24 months

Out-of-Network Reimbursement Amounts
  • Exam........................................ Up to $45
  • Single Vision Lenses............... Up to $45
  • Lined Bifocal Lenses............... Up to $65
  • Lined Trifocal Lenses.............. Up to $85
  • Frames..................................... Up to $47
  • Contacts................................... Up to $105

EAP (Employee Assistance Program)Top of Page

EAP Program (Employee Assistance Program)

Phone Number: 800.342.8111

Login: Sequoia UHSD
Password: eap


Get help for issues, for example, related to:
  • Grief
  • Alcohol
  • Drug Abuse
  • Family Turmoil
  • Adolescent
  • Divorce Counseling

Other services include:
  • Financial Planning
  • Debt Managment
  • Legal Consultation
  • Will Preparation
  • Child and Elder Care Resources
  • Adoption Resources

Documents

Long Term Disability & Life InsuranceTop of Page

Long Term Disability
  • The Hartford (classified, management, confidential employees)
  • PO Box 593925 Orlando, Fl 32859
  • Group # 830-91858
  • Phone Number: 800-303-9744
  • Employee must work at least 25 hours/week
  • Maximum Benefit of 60% of your monthly salary to maximum of $1,000 per month
  • 60 Days Elimination Period
  • Coverage is effective immediately

Life Insurance
  • Prudential (classified, supervisor, confidential employees)
  • P.O. Box 8517 Philadelphia, Pennsylvania 19176
  • Phone Number: 1-800-524-0542
  • SUHSD pays 100% of the premiums (no cost to the employee)
  • $15,000 benefit - employees must work at least 20 hours/ week (benefit reduced at age 65 and then reduced again at age 70) classified
  • $50,000 benefit - employees must work at least 7.5 hours/day (benefit reduced at age 65 and then reduced again at age 70) supervisor/confidential

Flexible Spending AccountsTop of Page

Flexible spending accounts are managed by American Fidelity

Plan Year is January 1 - December 31
  • Designate amount to put into account and you contribute per pay period
  • Total amount designated is available to claim as of eligibility date (start date)

Tax Saving Benefits
  • Regulated by Internal Revenue Code Section 125
  • Set aside money tax free to pay for you normal out-of-pocket expenses
  • There are 2 types: Unreimbursed Medical Accounts (also known as Health FSAs: $2,500), Dependent Care FSA: $5,000 ($2,500 if married and file a separate tax return)
IRS Regulations
  • Use it or lose it rule
  • Expenses must be incurred during the Plan Year
  • Separate plan accounts for Health Care & Dependent Care
  • Reimbursement is done by completing reimbursement form and save receipts

Resources

403B - 457Top of Page

You can enroll by:
  1. Signing up with the EBSG (link below)
  2. Direct Enrollment with CalPERS Supplemental Income 457 (Contact Siona Ramirez and ask for a CalPERS Supplemental Income 457 package)
To enroll you will need to sign up as a new hire for SUHSD, or during Open Enrollment (mid September through mid October) with the effective date of January 1 of the following year.

Employee Contribution
  • The IRS maximum allowed for 2016 is $18,000
  • Catch-up contribution (50+ years old) - IRS maximum allowed for 2013 is an additional $5,500

Resources

Retirement SystemsTop of Page

Permanent Classified and Certificated employees participation in PERS or STRS retirement systems.
 
CalPERS
  • Classified Employees
  • California Public Employees Retirement System
  • 400 Q Street, Room I 820, Sacramento, Ca, 95811
  • Phone Number: 888.225.7377

CalSTRS
  • Certificated Employees
  • California State Teachers Retirement System
  • PO Box 15275 #57, Sacramento, Ca 95851
  • Phone Number: 800.228.5453

Resources

ContactTop of Page

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