EDIT MAIN
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Lemoore Elementary School District offers a generous and comprehensive benefit package to eligible employees and their eligible dependents. There is a choice of three medical and two dental plan options, vision coverage, employer assistance program/behavioral health, basic life insurance of $70,000.00, voluntary employee life insurance, voluntary short and long-term disability insurance, and voluntary accidental death & dismemberment (AD&D) coverage.

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 June-August with the change taking effect in October. Any required employee contribution is made through automatic payroll deduction on an eleven-month basis, August through June.

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. Among 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:

PLAN A - SISC Anthem Blue Cross ($0 Deductible * $0 Co-pay * 100% In Network)

PLAN B - SISC Anthem Blue Cross ($500/Individual, $1,000/Family Deductible*$20.00 Co-pay * 80% In Network)

PLAN C - SISC Anthem Blue Cross ($2,000/Individual, $4,000/Family Deductible*$30.00 Co-pay* 80% In Network)

Classified /Confidential /and Management employees can choose from one of the following medical plans:

PLAN A - SISC Anthem Blue Cross ($0 Deductible * $10 Co-pay * 100% In Network)

PLAN B - SISC Anthem Blue Cross ($500/Individual, $1,000/Family Deductible*$20.00 Co-pay * 80% In Network)

PLAN C - SISC Anthem Blue Cross ($2,000/Individual, $4,000/Family Deductible*$30.00 Co-pay* 80% In Network)

EMPLOYEE ASSISTANT PROGRAM (EAP)

Employee's medical coverage under any of the plans selected also provides an Employee Assistance Program (EAP). The EAP is designed to help you with everyday concerns and questions, both big and small, which impact you or anyone residing in your household. These "normal problems in living" include: Relationship difficulties, Marriage, Family or Parenting concerns, Managing Change and Stress, Grief and Loss, Legal & Financial Problems, Work-related concerns, and Anxiety & Depression.

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 California.

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 dentists who accept lower reimbursements for their services.

VISION COVERAGE

Vision Service Plan (VSP):

Eligible employees that complete a medical enrollment form 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.

LIFE INSURANCE COVERAGE

The Hartford:

Eligible employees that complete a life insurance enrollment form are enrolled in the Hartford Life Insurance Plan. This plan gives employees a $70,000.00 life insurance policy as long as they are an active/retired employee covered under the district health and welfare benefit program.