Health & Welfare Benefits

Human Resources Benefit Related Activities >>

2011-2012 Master Planning Calendar

Medical & Dental

Benefit Information for all eligible employees effective October 1, 2011:

• District Benefit Stipend Allotment
• Medical and Dental Plan Ratetable

Medical Plan Benefit Comparisons:

• Blue Shield PPO Plans Comparison
• Blue Shield PPO High Option Summary
• Blue Shield PPO Medium Option Summary
• Blue Shield PPO Low Option Summary
• Medco Prescription Drug Program (PPO High and Medium Only)
• Blue Shield HMO Plans Comparison
• Blue Shield HMO High Option Plan (10-0)
  • Medco Rx Program - $5 generic/$20 brand name
• Blue Shield HMO Low Option Plan (25-500)
  • Medco Rx Program - $9 generic/$35 brand name
• Blue Shield HMO Chiropractic Benefits
• Blue Shield HMO Substance Abuse Treatment Benefits

Medical and Dental Benefit Contact Information and Useful Web Links:

• Blue Shield (Preferred Provider Organization)
  • SISC Dedicated Customer Service Unit: (800) 642-6155
  • P.O. Box 272540, Chico, CA  95927-2540
    • Blue Shield Nurseline 24/7
      • Telephone Number:  (877) 304-0504
    • Mental Health
      • Customer Service Telephone Number:  (800) 263-9952
      • LifeReferrals 24/7 Program:  (800) 985-2405
• Blue Shield HMO
  • Evidence of Coverage - HMO High Option Plan
  • Evidence of Coverage - HMO Low Option Plan
  • Amendment to Evidence of Coverage eff July 1, 2012
  • Customer Service Telephone Number: (800) 642-6155
  • Chiropractor (American Specialty Health Plans of California)
  • Mental Health (MHSA Network)*
    • Customer Service Telephone Number: (877) 263-9952
    • LifeReferrals 24/7 Program:  (800) 985-2405
    • *Beginning January 1, 2012 a new mental health service administrator (MHS) team will asssume responsibility for arranging administrative services and providing a behavioral health provider network for those Blue Shield of California members whose care is managed by Blue Shield's MHSA.  Along with the new MHSA team, there will be a new provider network.
    • Questions and Answers for Blue Shield of California Members regarding the above change.
• Medco Rx Program (PPO High & Medium Plans, HMO Plans Only)
  • Customer Service Telephone Number: (800) 987-5241
  • Mail Order Rx Program: (800) 633-2662
  • Employees can go to www.medco.com to locate a pharmacy.  In order to use the website to locate a pharmacy, employees must register as a member.
  • Employees can also contact pharmacies or go to their individual websites (e.g. Rite-Aid, CVS) to find out whether or not they are open 24-hours.
  • According to SISC, if there is an urgent need after hours to get a prescription filled, emergency rooms will provide the needed medication until the individual can get to a pharmacy.
  • Medco Participating Pharmacies (Santa Cruz County)

• Delta Dental (Dental Coverage)
  • Customer Service Telephone Number: (888) 335-8227
  • Claims: PO Box 7736, San Francisco, CA 94120
  • Delta Dental Evidence of Coverage (EOC) - Active Employees & Retirees
• Hartford Life (Life and Disability Insurance)
  • Customer Service Telephone Number:  (800) 800-289-9140
  • Website:  www.TheHartfordAtWork.com
  • Ability Assist Program
  • Life Conversations Program:
    • Beneficiary Assist
    • Express Pay Program
    • Travel Assist Program
• SISC Flex Program
  • Customer Service Telephone Number:  (800) 972-1727
  • Email:  siscflex@kern.org
  • Website:  http://sisc.kern.org
  • The SISC Flex Plan Brochure
  • SISC Flex Eligible Expenses for 2012
  • SISC Flex Card - Questions & Answers
• Envoy Plan Services, c/o MidAmerica (Third Party Administrator for TSA's)
  • 403(b)/457(b) contribution limitations for 2012 will increase from $16,500 to $17,000
  • The "catch-up" contribution limit, however, for those employees age 50 and over remains unchanged at $5,500.
  • Customer Service Telephone Number:  (800) 248-8858
  • Fax Number:  (877) 513-2272
  • Mailing Address:  211 E Main Street, Ste 100, Lakeland, FL  33801
  • Email:  info@envoyplanservices.com
• RSG Securities c/o Zuk Financial Group - 457(b) plan
  • Customer Service Telephone Number:  (877) 544-4380
  • Email:  jhilton@zukfinancial.com or www.rsgsecurities.com
  • Mailing Address:  22936 El Toro Road, Lake Forest, CA  92630

Forms

• Blue Shield HMO Enrollment Form
• Blue Shield PPO Enrollment Form
• SISC Membership Change Form
• Delta Dental Enrollment Form
• SISC Flex Premium Only Plan (POP) Enrollment Form
• Life Insurance Beneficiary Form

Rates & Stipends

• Medical and Dental Plan Ratetable
• District Benefit Stipend Allotment

Life & Disability Insurance

Hartford Disability Insurance:

• Disability coverage for Educational Administrators and Certificated employees with 5 or more years of District service
• Disability coverage for Educational Administrators and Certificated employees with less than 5 years of District service and Classified Administrative Managers
• Disability coverage for Classified and Confidential Employees
• Disability coverage for Classified employees, 20 hours per week, at least 9 months per year

Hartford Life Insurance:

• President
• Certificated, Classified and Confidential Employees
• Classified and Educational Administrators
• Classified Employees, 20 hours per week, at least 9 months per year
• Beneficiary Form

Worker's Comp

Workers' Compensation - Keenan & Associates

• PRIME Advantage Medical Provider Network (MPN):  (800) 654-8102
• Website:  www.keenan.com
• Website User ID:  special
• Website Password:  access
• Covered Employee Notification of Rights Materials
• Workers' Compensation Employer Designated Provider Listing

Health and Welfare Benefits Committee

• Benefits Overview Document

Next Benefits Committee Meeting: May 18, 2012 at 10:00 a.m., Room 2030

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