|
Home :: Employment :: Benefits
Benefits
The Benefits Department manages district-wide health benefits enrollment and changes for employees, retirees, and their families.
Administration:
Ellie Winter, Manager, Compensation and Benefits
Phone: 916-686-7778
Mailing Address:
Elk Grove Unified School District
Benefits
9510 Elk Grove-Florin Road
Elk Grove, CA. 95624
Open Enrollment
2012/2013 OPEN ENROLLMENT - APRIL 30 – MAY 18, 2012
The annual Open Enrollment period is your opportunity to review your current health plan coverage and evaluate if you are interested in making any changes.
ALL FORMS MUST BE IN OUR OFFICE BY 5PM, MAY 18, 2012 AND ALL CHANGES ARE EFFECTIVE JULY 1, 2012
Please refer to the documents below for more information.
EGEA/PSWA/EGTEAMS/BOARD MEMBERS
Open Enrollment Letter & Co-Pay Comparison (.pdf)
ATU/AFSCME/CSEA MEMBERS
Open Enrollment Letter & Co-Pay Comparison (.pdf)
**PLEASE CHECK BACK FOR FURTHER UPDATES**
Cash Waivers
Employees currently waiving their medical coverage must renew their waiver during Open Enrollment to continue receiving the monthly cash payment for the upcoming year. To renew your waiver, print out the form below, complete the form with your name, social security number, and the “Cash Waivers” section of the form. Remember to sign and date your form and send the completed form to our office by 5pm, May 18, 2012. **NOTE: These forms should be printed on legal size paper**
EGEA/PSWA/EGTEAMS/BOARD MEMBERS
Cash Waiver Form (.pdf)
ATU/AFSCME/CSEA MEMBERS
Cash Waiver Form (.pdf)
**NOTE: If you are making other changes as well as renewing your waiver, please contact the Payroll/Benefits office first. Additional forms or proof may be required**
Benefits Information
Elk Grove Unified School District offers various benefits to eligible employees. The information on this page will help employees enroll in or make changes to specific benefits available.
Health Benefits
Elk Grove Unified School District offers health benefits to qualified employees and their eligible dependents. For qualifications of benefited employees, please refer to the Union Contracts. For dependent eligibility, please refer to the Benefits Overview below.
For employees eligible for Health Benefits, this Benefits Overview will explain information needed to complete the benefits packet at time of eligibility.
Benefits Overview (.pdf)
2011/2012 Fact Sheet (.pdf)
Medical
Elk Grove Unified School District offers two HMO medical plans for eligible employees to choose from along with the opportunity to waive the medical insurance if they are currently enrolled in an alternative insurance.
The Medical Co-Pay Comparison is only a brief description of the plans offered. For a more complete listing of all benefits and copayments, please refer to the Benefit Summaries listed below.
Medical Co-Pay Comparison (.pdf)
Kaiser
www.kp.org
(800) 464-4000
Benefit Summary (.pdf)
Health Net
www.healthnet.com
(800) 522-0088
Benefit Summary (.pdf)
Health Net PremierCare Network Directory (.pdf)
** Due to plan restrictions for the 2011/2012 pan year, there may be limitations for Urgent Care Facilities available to EGUSD employees. Please refer to the following website for eligible facilities.
www.suttermedicalfoundation.org/urgentcare
American Health Care (AHC)
(American Health Care is the Rx plan for Health Net Members)
www.americanhealthcare.com
(800) 872-8276
Formulary (.pdf)
Dental
Elk Grove Unified School District offers dental coverage through Delta Dental. For details about the plan, please refer to the Coverage Summary below.
Delta Dental
www.deltadentalca.org
(866) 499-3001
Delta Dental Coverage Summary (.pdf)
Vision
Elk Grove Unified School District offers vision coverage through Vision Service Plan (VSP). For details about the plan, please refer to the Coverage Summary below.
Vision Service Plan (VSP)
www.vsp.com
(866) 213-2249
VSP Coverage Summary (.pdf)
Enrollment/Change Forms
The following forms can be used to make changes to your currents benefits. All changes are subject to approval from the Benefits Department. Most mid-year changes require a qualifying event (i.e. marriage, divorce, newborn/adoption/legal guardianship, student status change, loss of coverage). You will have 30 days from the qualifying event to complete the forms and turn them in completed to our office. Proof of the qualifying event will be required with your enrollment/change forms. For more details about what documentation will be required, please contact Michelle Peter in the Benefits Department by phone at (916) 686-7778 Ext. 7677 or by e-mail: mapeter@egusd.net.
Cash Waivers
Cash Waiver payments of $65.00 per month will be made to employee’s pay who opts to waive medical insurance due to alternative medical coverage. Proof of alternative coverage, via a District Waiver Form, must be completed, signed, and submitted every year during Open Enrollment per IRC Section 125. STRS member will have STRS contributions collected from this payment.
EGUSD Employees whose spouses waive medical insurance through EGUSD and are enrolled through an EGUSD Employee or Retiree as their dependent will have the additional cost of premium waived if enrolled on the higher cost plan. You must make this change at time of hire or during Open Enrollment and the spouse that waives must renew their waiver each year to qualify. (Both members must be an EGUSD benefited employee or a benefit qualified Retiree from EGUSD)
**Effective January 1, 2008 a provision of the John Warner national Defense Authorization Act prohibits the payment of cash in lieu of District sponsored insurance when using TRICARE as primary insurance coverage.
To process your Cash Waiver print out the form below, complete the form with your name, social security number, and the “Cash Waivers” section of the form. Remember to sign and date your form and send the completed form to our office.
Cash Waiver Enrollment Form (.pdf)
Principal Life Policy Information
For benefit eligible employees, Elk Grove Unified School District offers a Basic Life Insurance Plan through Principal Life Insurance Company.
Life Insurance Plan Summary:
The following beneficiary form should be completed when an employee become benefit eligible with the district and should be updated as needed. In the unfortunate event of an employee’s death, the district will refer to this form in order to provide payments of specific Death Benefits to your surviving beneficiaries.
Along with the Life Insurance Plans, Principal Life also offers other services for little or no cost to the employee. Services are detailed in this summary.
Steps To Retirement
Planning for retirement? Please find some general information in the link below to help guide you through this process with EGUSD.
Steps To Retirement (.pdf)
Elk Grove Benefits Employee Retirement Trust
In July of 1995, Elk Grove Unified School District and the unions representing the employees formed Elk Grove Benefits Employee Retirement Trust (EGBERT) to provide post-retirement health insurance benefits. Please read the Summary Plan Description for details of the trust and the qualifications for eligibility.
Elk Grove Benefits Employee Retirement Trust (EGBERT) Summary Plan Description (.pdf)
**If you are within 2 years of retirement and wish to request a current count of health benefited months as an EGUSD employee, please complete the form below and submit to the Payroll Department.
Elk Grove Benefit Trust Health Insurance Eligibility Request (.pdf)
Disability
Active employees have access to disability benefits based on their classification and/or bargaining unit. This summary will give a brief description of those benefits.
Summary of Disability Benefits (.pdf)
**Please note, if you change bargaining units, there may be a change in your disability benefits. Please contact Payroll for more information.
Medicare
When working EGUSD Employee or EGBERT Retiree turn 65 they will need to work with Medicare to get enrolled. There may be certain parts of Medicare that don't require enrollment depending on your status. Please read the information in the document below for more details.
Medicare Tip Sheet (.pdf)
Section 125 Flexible Spending Accounts (FSA)
Flexible spending accounts (FSA) are a tax-advantaged way to pay for qualified out-of-pocket health care expenses and work-related day care expenses. This benefit allows employees enrolled in the Elk Grove Unified School District Group Health Benefits to pay expenses with “pre-tax” dollars. The information summary will detail how the program works and what expenses are eligible. Enrollment in the FSA program can only occur at time of employment or during Open Enrollment. All employees participating in the FSA program must renew their account every year during Open Enrollment to continue the deduction. This plan does include a $3.50 per month administration fee that will be deducted from your payroll.
FSA-125 Payflex – 2012/13 (.pdf)
Information (.pdf)
Enrollment Form (.pdf)
PayFlex
(800) 284-4885
www.healthhub.com
Tax Deferred Programs
Elk Grove Unified School District offers two types of voluntary tax deferred retirement plans to participate in through payroll deduction. Employees may contribute to one or both programs listed below. For more information on both programs, please visit the websites below.
Notice of Eligibility to Participate in a 403(b), 457 Deferred Compensation Program (.pdf)
403(b) – www.calstrs403bcomply.com
(888) 892-7494
**All enrollments and changes are processed on this website or by calling this number.
How to Navigate CalSTRS 403(b) Comply Website (.pdf)
**For distributions, rollovers, and transfers, please use the above website or use the following forms.
403 (b) Distribution Fax Cover Sheet
403 (b) Distribution Form
457 – www.calpers.ca.gov
(800) 260-0659
457 Enrollment Form (.pdf)
457 Beneficiary Form (.pdf)
457 Change Form (.pdf)
**For Withdrawal Request information, please use the following forms.
Distribution Request Form (.pdf)
Account Transfer Form (.pdf)
Rollover Form (.pdf)
Direct Rollover Request Form (.pdf)
Inter-Plan Transfer Form (.pdf)
In-Service Withdrawl/Transfer Request Form (.pdf)
Rollover Request Form for CalPERS Service Credit Purchase (.pdf)
Emergency Withdrawal Request Form (.pdf)
Benefits Staff Directory:
Supervisor: Kathy Stone
Office Support: Melannie Ilaga
Michelle Peter - Ext. 7677
- Active Employee Health Benefits Enrollment
- Health Benefits Changes (i.e., Name/Address Changes, Adding/Removing Dependents)
- Leave of Absence/Family Medical Leave Benefits
- COBRA Enrollment
Linda McGill - Ext 7672
- Retiree Health Benefits
- COBRA Billing
- CalPERS 457
- 403(b)
Rosalie Tecson - Ext 7630
- Life Insurance Conversion
Jeannie Boulet - Ext 7541
- Payroll Docks
- State Disability Insurance
- Worker’s Compensation
- Section 125 Felxible Spending Account
Top of page
Link to Payroll
Choose another department
|
