The amount that an employee may be required to pay for coverage may change annually. The District pays an annual cap toward this benefit package and offers a prorated share for those employees less than full time. These amounts are announced during the Open Enrollment period held in September with the change taking effect in October. Any required employee contribution is made through automatic payroll deduction on an eleven-month basis, August through
Eligible employees may also choose to participate in the Health Care and/or Dependent Day Care Flexible Spending Account (FSA).
Eligible Employees
All active employees, in paid status, in a contracted classified position of six or more hours or contracted certificated position of 50% or more are eligible to participate medical, dental, vision, employee assistance/behavioral health, and life insurance coverage.
Effective Date of Coverage
An employee’s coverage under the medical, dental, vision, and basic life insurance plans become effective the first of the month following the employee’s first day of paid service.
Coverage for Eligible Dependents who are included on the employee’s enrollment form become effective the same date as the employee’s coverage. All enrollment forms must be received in the Human Resources Office no later than 31 days from the date of hire.
Medical and Dental Coverage
Selecting a medical and dental plan is an important and personal matter. Amount the many factors which need to be considered are type of plan, out-of-pocket expenses, level of coverage, and quality and number of physicians, dentists, and other providers.
Medical Coverage
Anthem Blue Cross (PPO):
Certificated employees can choose from one of the following medical plans:
· SISC Anthem Option I ($0 Deductible * $0 Co-pay * 100% In Network)
· SISC Anthem Option II ($200/Individual, $500/Family Deductible* $10.00 Co-pay * 90% In Network)
· SISC Anthem Option III ($500/Individual,$1000/Family Deductible* $20.00 Co-pay* 80% In Network)
Classified /Confidential / and Management employees can choose from one of the following medical plans:
· SISC Anthem Option I ($100/Individual, $300/Family Deductible* $10.00 Co-pay * 100% In Network)
· SISC Anthem Option II ($200/Individual, $500/Family Deductible* $10.00 Co-pay * 90% In Network)
· SISC Anthem Option III ($500/Individual,$1000/Family Deductible* $20.00 Co-pay* 80% In Network)
Dental Coverage
Delta Dental:
· Incentive Dental Plan: Delta Dental ($1500 Annual * Ortho - 50% / $1000)
This plan offers “Incentive” (70%, 80%, 90%, 100%) which the employee builds up to the 100% coverage as long as they receive once a year preventive care such as cleaning and exams. This is considered the Premier network which is a very large network and includes over 90% of the dentists in
· DPO Dental Plan: Delta Dental ($2000 Annual *Ortho- $2000
This plan offers 100% coverage for routine preventive care such as cleaning and exams however is comprised of a much smaller network of dentist who accept lower reimbursements for their services.
Vision Coverage
Eligible employees that complete a medical enrollment forms are enrolled in the Vision Service Plan (VSP). Eligible dependents listed on the employee’s enrollment form are automatically enrolled for the vision coverage. This plan allows for examination, lenses, and frames every calendar year with a co-pay of $15.00 for exam and $25.00 toward materials.
Contact Information:
MEDICAL PRESCRIPTION
Anthem Blue Cross: (800) 662-5502 American Health Care: (800) 872-8276
Claims & Inquires: (Prescription Benefit inquiries)
3335 S. Fairway