Medical Coverage

Kaiser:  As a Kaiser member, you are entitled to visit any Kaiser facility at any time. Your office visit co-payment is $10.00 a visit. For prescriptions, the co-payment for each prescription filled is $5.00 for generic or $10 for name brand with a 30-day supply; mail orders are $10/$20 for 100 day supply.  There is a $35 emergency room visit, if not admitted to the hospital.  To find your local Kaiser Permanente, click here.

Blue Shield HMO: As a Blue Shield member, you are required to choose a Primary Care Physician within the providers available.  There is a $10.00 office visit co-payment, a $10.00 brand name co-payment and a $5.00 generic co-payment for each prescription filled for a 30-day supply.  Within this plan, you also have available Chiropractic Coverage for a $10.00 co-payment up to 30 visits a year, and $35 for emergency room visits (if not admitted to the hospital).  If you want to find a participating provider and/or doctor, click here.

Blue Shield POS:  This plan would enable you to visit a specialist or PPO Provider.  To have this plan, there is a charge of $249.01 monthly for full-time employees.  Covered services may be utilized as an HMO plan, Preferred Provider Plan or Non-Preferred Provider plan with different levels of co-payments ($10/visit, $20/visit, $30% respectively).  There is no chiropractic coverage on this plan.

Both medical carriers have the same eligibility requirements regarding dependent children, ages 19-25 years.  Dependents must be:  full-time students in college with 8 units, dependent upon the subscriber for support, unmarried, or, mentally or physically handicapped.

Dental Coverage

Delta Dental: When you sign up for Delta Dental, you may see any participating dentists and/or change dentists as often as you would like, without notifying Delta. With our Delta Plan, your first of Coverage consists of 70% payment of Delta with the remaining 30% being the responsibility of the employee.  The maximum coverage of benefits paid per calendar year is $1500 per person.

As long as you utilize your plan yearly, your portion decreases by 10%. (i.e. the 1st year of the plan is 70/30; 2nd year is 80/10; 3rd year is 90/10 and your 4th year your are covered by 100%!) Dependents must also utilize the plan yearly to increase their percentage paid by Delta, as it is figured on an individual basis. Orthodontic and bridge work is covered at 50% or a maximum of $1,500 per year (whichever comes first).

MetLife Dental:  When you sign up for MetLife, you may see any participating dentists and/or change dentists as often as you would like, without notifying MetLife.  This plan offers 3 cleanings per calendar year.  The maximum coverage of benefits paid per calendar year is $2,500 per person. Implants are covered and there is a $1,500 ortho benefit.  Coverage on procedures varies on the kind of procedure performed.

SafeGuard Dental: This plan is offered only to our part time employees (6 hours and under). Employees Who choose Safeguard Dental are required to select a dentist from a list provided by Safeguard. This plan covers 100% of most procedures.

Vision Coverage

Medical Eye Service: The District offers only one vision plan. With this plan you are eligible to receive an eye exam, lenses, and frames every 12 months. The required Deductible covers all three services.

• Medical Eye Services Form
• Provider List for Medical Eye Services

Life Insurance

Prudential Life: The district provides each employee with life insurance. the amount of your insurance depends on the number of hours you work daily. Management employees receive $75,000. If you are a 7 to 8 hour classified employee, you receive $50,000. Below is a chart of daily hours and how much insurance is provided. This insurance covers the employee only.

Accidental Death and Dismemberment: a $1,000 accidental death and dismemberment policy is provided to each employee at no charge to the employee. With this insurance, there is an option to purchase additional insurance and add family coverage for a minimal charge to the employee. The rates for this additional insurance are in the enrollment envelope at the benefits office.

Important: You have 30 days from your first working day to turn in your enrollment forms to the Benefits Office.  In the event that you have an increase in hours or wish to add a new dependent, you have 30 days from the date of the occurrence to come into the Benefits Office to change your paperwork. If your 30 day period expires, you may not make any changes in your benefits until the following open enrollment period.  NOTE: A marriage license is required when adding a new spouse; a birth certificate is required for each dependent child.
 

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