Health Benefits
Health Benefits
All permanent full-time employees are eligible to enroll themselves and their dependents in the health benefit programs. New employees must sign up for health insurance within thirty days of their date of hire to participate. Most employees qualify if they are working 50% or more for the year but benefits vary by bargaining unit so employees should refer to the applicable union contract. Eligible dependents include lawful spouse or registered domestic partner, children under 26 years of age, stepchildren and legally adopted children.
Active and retired employees have the opportunity to move from one plan to another, change options, or change dependent status. Information will be posted on this web page during Open Enrollment.
Please review the FAQ and benefit information (including rate sheet and summary of benefits) below organized by bargaining unit. All questions about benefits and open enrollment should be directed to the Benefits Office.
Health Benefits FAQs
General Information
1) When is open enrollment?
Open Enrollment is held during the fall each year (dates vary) and the effective date is January 1 of the new year.
2) Do I qualify for a Hold Harmless reimbursement? If so what do I need to submit a claim?
If you have paid a higher co-pay for any services that you received last year at a lower co-pay, you may submit to the district for reimbursement of the difference in co-pays. You must submit documentation of the co-pays for the same services each year, and you must complete a Hold Harmless Claim form available in the Benefits Office or on the district website.
3) Is the Benefits office open all year long?
The Benefits office is open all year long except for school holiday periods.
4) What are the Benefits and Compensation Department office hours?
The Benefits office hours are 8:00 am to 5:00 pm Monday through Friday.
5) What is a qualifying event?
A qualifying event is: birth, adoption, legal custody, marriage, divorce or legal separation, loss of coverage, gains other coverage, change of job status, gains Medicare, or re-location outside the HMO coverage area.
6) How do I update my address?
You may change your address by coming to the Serna Center Human Resources Office with a picture ID and completing a change of address form, or you may contact your School Office Manager for the form and he or she can submit the form to Human Resources.
7) Who would be my benefits technician?
Your Benefits Technician is assigned by your work assignment location. Please refer to the Human Resources and Employee Compensation Department Assignment by Teams publication available in all offices.
8) Who would I contact about my 403B/457?
You would contact Mid America at 1-866-873-4240.
9) Should I be receiving a Delta Dental card?
No, but you can log in to the Delta Dental website, www.deltadental.com, create your account, and print yourself an ID card. Otherwise, your dental provider searches your eligibility by the employee’s social security number.
10) Should I be receiving a VSP card?
No, but you can log in to the VSP website, register and create your account, then print your ID card.
11) Where can I change my beneficiary for my life insurance policy?
You may download the life insurance beneficiary from the district website or come in to or contact the Benefits Office to have a form sent to you.
12) Where can I find out all about my plan?
Log on to BenefitBridge and the plan summaries are all there. You can even compare plans side-by-side on BenefitBridge. The Benefits Office also has plan summaries for each plan, and every year at Open Enrollment you are sent a summary of your plan.
Dependent Information
1) When and how can I add or take off a dependent?
You can add a dependent within 30 days of the qualifying event or during open enrollment by logging on to BenefitBridge and adding a dependent to your record and then adding that dependent to your Benefits. (Just adding the dependent doesn’t add him or her to your benefits.) You must go to the Benefits screen and add the new dependent to your Benefits. The addition or deletion will remain pending in BenefitBridge until you bring or send documentation (birth certificate, court adoption papers, marriage certificate, California Domestic Partner Certificate, final decree of divorce, verification of loss of coverage, verification of obtaining own coverage, change of address form) to the Benefits Office.
2) I just had a baby. How do I go about adding the newborn? Do I need documentation?
See above. You must add the child within 30 days of his or her birth (or during open enrollment) and you must provide the souvenir birth certificate the hospital gives you when you bring the baby home.
3) I just got married, how can I add my spouse? Do I need documentation?
See above. You must add your spouse within 30 days of the marriage (or during open enrollment) and you must provide a copy of the marriage certificate you receive from whoever marries you. Spouse’s social security number is also required.
4) My child is turning 26; can they stay on my benefits?
No. Once your child turns 26, he or she is not an eligible dependent. Your child will remain covered through the month they reached age 26. Effective the first day of the following month, they will no longer be covered.
5) My disabled child is turning 26; can he or she stay on my benefits?
The child must already be designated as disabled or you must start the process of designating the disabled dependent with your medical provider at least three months before the child’s 26th birthday.
6) Who is not an eligible dependent?
Grandchildren, parents, siblings, other extended family, co-habiting partners who are not married or do not have a CA Domestic Partner Certificate.
7) Who is an eligible dependent?
Spouse; natural born child, step child, adopted child, child for whom you have legal custody up to the age of 26; domestic partner with CA Domestic Partner certificate.
8) My dentist/optometrist says my dependent is not covered. I know I enrolled him or her.
Make sure your provider is searching by the employee social security number, not the dependent’s social security number.
Retiree Information
1) What is the phone number to Conexis?
Benefits/Enrollments: 1-888-616-7130
HRA/Reimbursements: 1-888-347-5192
2) What is a direct bill?
When we are unable to set up a premium deduction from your retirement check, you are sent an invoice for the premiums. This usually comes from our third party administrator, Conexis, and is referred to as a “direct billing”.
3) I am going to retire this year. What do I do in regards to my Health Benefits?
Contact the Benefits Office at (916) 643-9432.
4) How do I know if I get 100% lifetime benefits?
At the time you are considering retirement, you will need to check with the Benefits Office to see if you are eligible for 100% lifetime benefits. This is determined by your bargaining unit agreement, your age at retirement, the date you began service with the district in a position in which you earned benefits, and your years of service in that benefitted position up to your retirement date.
BenefitBridge Information
1) I forgot my username/password to BenefitBridge. How do I obtain the needed information?
Go to www.benefitbridge.com/saccityusd and click on the “Forgot Username/Password?”
2) Where can I find out all about my plan?
Log on to BenefitBridge and the plan summaries are all there. You can even compare plans side-by-side on BenefitBridge. The Benefits Office also has plan summaries for each plan, and every year at Open Enrollment you are sent a summary of your plan.
WHA UC Davis Update
As of January 1, 2018, UC Davis Medical Group will no longer be in the WHA Network.WHA continues to offer a network of 250 primary care physicians in the Sacramento region, giving you a choice from Hill Physicians Medical Group, Mercy Medical Group, Woodland Clinic Medical Group and NorthBay Healthcare.
Active Certificated Employees Health Benefit Information
Open Enrollment
Open Enrollment for Active Certificated Employees is currently closed. It will reopen in the Spring of 2018 for 2018-19 plans. Qualified employees will receive a notification letter via USPS.
Dental and Vision changes will be in the fall of 2018.
Open Enrollment Process
- Enroll in a different medical plan
- Add or remove dependents from your medical plan
- Update or change your life insurance beneficiary
Please note: if you are adding a dependent, you will be required to provide proof of eligibility i.e., marriage/domestic partner certificate, birth certificate and social security number for all dependents being added.
If you have any questions or would like further assistance, please feel free to contact the Benefits Department at (916) 643-9432 or via email at benefits@scusd.edu.
Enrollment Forms
Beneficiary Form - Sun Life Insurance
2018-19 Health Plan Information
Effective 7/1/17- 6/30/18
Health Net HMO Summary of Benefits Coverage
Retired Certificated Employees Health Benefit Information
Open Enrollment
Open Enrollment for Retired Certificated Employees is currently closed. It will reopen in the Spring of 2018 for 2018-19 plans. Qualified employees will receive a notification letter via USPS.
Dental and Vision changes will be in the fall of 2018.
AARP/United Health rates change will be in January of 2019.
Open Enrollment Process
During Retiree Open Enrollment you’ll are able to:
- Enroll in a different medical plan
- Add or remove dependents from your medical plan
- Choose the OPT Out option
- Update or change your life insurance beneficiary
Please note:
- If you are adding a dependent, you will be required to provide proof of eligibility i.e., marriage/domestic partner certificate, birth certificate and social security number for all dependents being added.
- If you have recently received your Medicare card, please provide a copy to SCUSD benefits department and enroll in a Medicare supplement plan.
If you have any questions or would like further assistance, please feel free to contact the Benefits Department at (916) 643-9432 or via email at benefits@scusd.edu.
Enrollment Forms
Beneficiary Form - Sun Life Insurance
2018-19 Health Plan Rate Sheets
Effective 7/1/18- 6/30/19
Opt-Out Plan
Effective July 1, 2018, SCTA retirees may elect to participate in the Retiree Opt-Out option, which allows retirees to purchase other insurance coverage of their choice. Examples of other insurance coverage include dental, vision, life, long-term disability, long-term care, cancer insurances and Medicare insurance costs per retiree’s choice. In addition, the Opt-Out option will allow medical health reimbursement. A retiree utilizing the Opt-Out option must show proof of other health insurance coverage in order to receive an Opt-Out Reimbursement.
Have a question regarding reimbursements? Contact Basic Pacific at (916) 303-7083 or at www.basicpacific.com
2019 Active Employees Health Benefit Information
SEIU, Management/Supervisors/Confidential/UPE/CSA, Teamsters
Open Enrollment
Open Enrollment for Active Employees begins October 8, 2018 and ends October 26, 2018.
Your current benefits will remain the same unless you make changes during Open Enrollment.
Rate Change and Open Enrollment Information for Health Benefit Plans
Open Enrollment Process
- Enroll in a different medical plan
- Add or remove dependents from your medical plan
- Update or change your life insurance beneficiary
Please note: if you are adding a dependent, you will be required to provide proof of eligibility i.e., marriage/domestic partner certificate, birth certificate and social security card for all dependents being added.
If you have any questions or would like further assistance, please feel free to contact the Benefits Department at (916) 643-9432 or via email at benefits@scusd.edu.
Enrollment Forms
Health and Wellness Fair for Open Enrollment
The District Health and Wellness Fair will be on October 19, 2018 from 10am – 4pm at the Serna Center. The Health and Wellness Fair is help during the Open Enrollment period and offers a chance for employees to speak to health providers.
Add dependents outside of Open Enrollment
Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage along with required documentation.
2019 Health Plan Rate Sheets
Effective January 1, 2019 – December 31, 2019
MANAGEMENT/UNREP/CONF/SUPV 2019
Summary of Benefits
2018 Health Plan Comparisons
2019 Retired Employees Health Benefit Information
SEIU, Management/Supervisors/Confidential/UPE/CSA, Teamsters
Open Enrollment
Open Enrollment for Retired Employees will be open October 8, 2018 and ends October 26, 2018. All changed are effective January 1, 2019. Qualified employees will receive a notification letter via USPS.
Your current benefits will remain the same unless you make changes during Open Enrollment.
Open Enrollment Process
- Enroll in a different medical plan
- Add or remove dependents from your medical plan
- Update or change your life insurance beneficiary
Please note: if you are adding a dependent, you will be required to provide proof of eligibility i.e., marriage/domestic partner certificate, birth certificate and social security card for all dependents being added.
If you have any questions or would like further assistance, please feel free to contact the Benefits Department at (916) 643-9432 or via email at benefits@scusd.edu.
Health and Wellness Fair for Open Enrollment
The District Health and Wellness Fair will be on October 19, 2018 from 10am – 4pm at the Serna Center. The Health and Wellness Fair is help during the Open Enrollment period and offers a chance for employees to speak to health providers.
Add dependents outside of Open Enrollment
Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage along with required documentation.
Enrollment Forms
Beneficiary Form - Sun Life Insurance
2019 Health Plan Rate Sheets
Effective January 1, 2019 – December 31, 2019
2019 ALL SS MEDICARE OVER 65 RATES
BS-9 Retiree Rate Changes and Open Enrollment Information
Summary of Benefits
Kaiser Permanente Early Retiree
2019 Health Plan Comparisons
Dual District Benefits Waiver
SCUSD does not allow married SCUSD employees to be double-covered on benefits.
One spouse must waive their benefits. If you have any questions, please contact the Benefits Office at 643-9432.
Flexible Benefit Plan Open Enrollment 2019
Active Employees
Employees may enroll in the Flexible Benefits Plan for medical and/or dependent care expenses. Forms are due by October 26, 2018.
Enrolled plans are effective for the calendar year beginning January 2019.
Pending New Flexible Benefits Plan Form. You must re-enroll each year.