Business Services Educational Services Technology Integration Services Human Resources Special Services Student Support Services California Common Core Superintendent
Certificated Classified Substitute
List of District Schools
School Libraries Online Catalog Reliable Resources Research Resources Information Literacy Recommended Readings Public Libraries
Alumni College Corner Community Partnership Portal Restorative Practices
Administrators Families Staff Students
Board Members Board Meeting Dates, Agendas & Minutes Board Policies Board Resolutions Board Office Hours

Health Benefit Rate Sheets

Health Benefit Rate Sheets

The Standard Disability Plan (SLEA Members Only)

The Standard Disability Plan Number CT 503203-0001 is a MANDATORY income protection plan for all SLEA  (Teachers) Members.  

To file a claim contact The Standard's Customer Service at

1-800-522-0406

Disability Plan Details

Life Insurance

San Lorenzo Unified School District offers voluntary life insurance plans through AIG/U.S. Life Insurance and Hartford AD&D. New hires and newly eligible employees must sign up within 30 days of eligibility or you must wait until the annual open enrollment period in the spring of each calendar year.

AIG/U.S. Life Insurance

AIG/U.S. Life Insurance offers coverage from $10,000 to $300,000 (increments must be in $10,000).  The effective date of the new policies or additions will be subject FIRST to approval from the AIG/U.S. Life Insurance Company. 

Plan Information  

Rate Information 

Beneficiary/Name Change Form

Enrollment Form

HartfordAD&D

HartfordAD&D Insurance offers coverage from $25,000 to $250,000 (increments must be in $25,000).  There is no approval process to enroll.

Plan & Rate Information   

Benefit Highlights     

Beneficiary Designation Form

Enrollment Form

Benefits

CALPERS HEALTH PLAN INFORMATION

Health Program Guide                  2017 Health Benefit Summary Guide

2018 Health Benefit Summary Guide

Health Plan Chooser  is an online tool to compare plans side-by-side and rank plans based on personal preference.

Health Plan Search by Zip Code is an online tool to find CalPERS health plans available in your area.

Glossary of Health Coverage & Medical Terms provides standard definitions of terms commonly used in health insurance coverage.

 

Summary of Benefits and Coverage (SBC) & Evidence of Coverage (EOC)  

 HMO PLANS

2017 Anthem Blue Cross Select HMO Summary of Benefits & Coverage
2018 Anthem Blue Cross Select HMO Summary of Benefits & Coverage
Find a Anthem Select HMO doctor

 

2017 Anthem Blue Cross Traditional HMO Summary of Benefits & Coverage
2017 Anthem Blue Cross Traditional HMO EOC
2018 Anthem Blue Cross Traditional HMO Summary of Benefits & Coverage
Find a Anthem Traditional HMO doctor

 

2017 Blue Shield Access+ HMO Summary of Benefits & Coverage
2018 Blue Shield Access+ HMO Summary of Benefits & Coverage
Find a Blue Shield Access + doctor
 

2017 Kaiser HMO Summary of Benefits & Coverage

2017 Kaiser HMO EOC
2018 Kaiser HMO Summary of Benefits & Coverage
 

2017 United Health Care Alliance HMO Summary of Benefits & Coverage
2017 United Health Care Alliance HMO EOC
2018 United Health Care Alliance HMO Summary of Benefits & Coverage
Find a United Health Care doctor

PPO PLANS

Find a Anthem Blue Cross PPO doctor

2017 PERS Choice PPO Summary of Benefits & Coverage
2018 PERS Choice PPO Summary of Benefits & Coverage

2017 PERS Select PPO Summary of Benefits & Coverage

2017 PERS Care PPO Summary of Benefits & Coverage
2018 PERS Care PPO Summary of Benefits & Coverage
 

CalPERS Health Plans Contact Information

Contact CalPERS for health program information, eligibility, rates, zip code service area.

CalPERS Customer Contact Center

1-888-225-7377          www.calpers.ca.gov

 

Contact your individual health plan for the following items, questions or requests:

  • Evidence of Coverage (EOC) Books
  • Identification Cards
  • Benefits, Deductibles, Limitations & Exclusions
  • Service Area Boundaries
  • Individual Conversion Policy
  • Change primary care physicians or medical group
  • Certificate of Creditable Coverage

Health Plan Contacts:

HMO Plans

Anthem Blue Cross (Select or Traditional HMO Plans)

    1-855-839-4524           www.anthem.com/ca/calpers/hmo

Blue Shield of California (Access + or NetValue HMO Plans)

     1-800-334-5847           www.blueshieldca.com/calpers

Health Net

     1-888-926-4921           www.healthnet.com/calpers

Kaiser Permanente

     1-800-464-4000           www.kp.org/calpers

United Health Care (Alliance HMO Plan)

     1-877-359-3714           www.uhc.com/calpers

PPO Plans (Self-funded Anthem Blue Cross)

PERSChoice, PERSSelect or PERSCare

     1-877-737-7776          www.anthem.com/ca/calpers

 CalPERS PPO Pharmacy Benefits Administrator

CVS Caremark

     1-877-542-0284          www.caremark.com/calpers

Dental Plans

Toothbrush.jpg

Delta Dental of California 
Delta Dental Customer Service
P.O. Box 997330
Sacramento, CA 95899-7330
1-800-765-6003

PPO Plan Summaries:

SLEA (Teachers) Group 7046-0225 Plan Summary

Early Retiree Group 7046-0226 Plan Summary

SEIU/SUPV Group 7046-0254 Plan Summary

CSEA Group 7046-0255 Plan Summary

SLMA/CONFID Group 7046-0256 Plan Summary

There are no membership cards for Delta Dental.  Give your provider your SSN & DOB.

Spouses/Domestic Partners and IRS Dependent children up to age 25 are eligible to enroll in dental.

Vision Plans

                    Eyewear.JPG

VISION SERVICE PLAN (VSP)

This vision plan is for CSEA, SEIU, SLMA, Supervisory & Confidential employee groups.

SLEA (Teachers) DO NOT HAVE A VISION EYE WEAR PLAN Effective January 1, 2011

Vision Service Plan
Member Services
1-800-877-7195

Vision Benefit Summary for CSEA, Confidential, SLMA and Supervisory employee groups

Vision Benefit Summary for SEIU employees

Reimbursement Form

There are no membership cards for VSP.  Give your provider your SSN & DOB.

Spouses/Domestic Partners and IRS Dependent children up to age 25 are eligible to enroll in VSP.

American Fidelity Assurance Flex Plans

To inquire about your Dependent Day Care or Medical Reimbursement accounts or claims contact:
American Fidelity Assurance Company
ATTN: AFES Flex Account Administration
P O Box 25510
Oklahoma City, Oklahoma 73106
Voice: 800-325-0654
Fax: 1-800-543-3539

To access reimbursement forms, click on the link below:

Flex Accounts Reimbursement Forms

Frequently Asked Flex Plan Questions

Information on other voluntary plans call 1-800-662-1113

Retirement Information

For certificated employees:
CalSTRS
1-800-228-5453
CalSTRS

For classified employees:
CalPERS
1-888-CalPERS or 1-888-225-7377
CalPERS

CalPERS 457 Plan #450676

Information on CalPERS 457 Plan #450676 can be found by clicking on the Accounting tab under the Business Services Department or by clicking on the link below:

CalPERS 457 Information

Tax Sheltered Annunities (TSA)

Information on Tax Sheltered Annunities (TSA) can be found by clicking on the Accounting tab under the Business Services Department or by clicking on the link below:

TSA Information