Benefits

Rate Sheets

Contact:

Paul Jioia

Risk, Safety & Benefits Manager

Phone: 510-317-4647

Email: [email protected]

Yvette Serrano

Benefits Analyst

Phone: 510-317-4622

Email: [email protected]

Book time with Serrano, Yvette

Medical/Dental/Vision/Cash-in-Lieu Enrollment Forms:

Health Benefits Plan Enrollment

Delta Dental Plan Form

VSP Plan Enrollment Form

Cash-in-Lieu Enrollment Form

CalPERS Health Plan Information

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

Dental Plans

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

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 Delta Dental.

PPO Plan Summaries:

Understanding Your Delta Dental Benefits

Vision Plans

VISION SERVICE PLAN (VSP)

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

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.

Understanding Your Vision Service Plan (VSP) Benefits

Retirement Information

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

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

Tax Sheltered Annuity Plans (TSA)

Employer Benefit Solutions for Education

Allen Perry

Account Executive CA License #0H71313

Northern California Branch Office

9355 E. Stockton Blvd., Suite 110

Elk Grove, CA 95624

800-365-8306 ·

866-679-1797

[email protected]

To access reimbursement forms, click on the link below:

Insurance/ Legal/Employee Assistance

AXA/Equitable Voluntary Term Life Insurance

Accidental Death & Dismemberment Insurance (AD&D)

Accidents occur everywhere, in airlines, in trains, in automobiles, on the job, in the home and in sports activities. In the fact of such tolls, the prudent person finds that Accidental Death and Dismemberment insurance is of prime importance in a well-rounded financial program. It provides one’s family a financial bridge over the gap that occurs when a breadwinner meets accidental death, or an accident occurs, resulting in the loss of sight or dismemberment. In addition, it provides a sum that may be needed to train one for a new career.

Accidental death often finds the deceased’s estate in an unprepared condition. Assets may be less liquid than desired. Accidental Death and Dismemberment Insurance may be used to provide the additional sum needed to counter these conditions. We are pleased to offer this program of Accidental Death and Dismemberment insurance. We urge each of you to examine your own individual or family needs and consider this program.

ELIGIBILITY
All full-time employees under age 70 are eligible to participate. An employee who works an average of at least 20 hours per week is considered full-time.

Under the Family Plan, you may insure your family members as follows:

Your spouse if under age 70 and your unmarried dependent children (including step, foster, or legally adopted children) under age 19 years of age — or until age 23 if the child is a full-time student at school and primarily dependent on your for support and maintenance.

NOTE: If you are covered as an employee, you cannot be covered as a dependent.

DESCRIPTION OF COVERAGE
Under this plan, you are covered 24 hours a day anywhere in the world, whether you are at home or on the job. You are also covered when traveling on business or for pleasure, including when you are flying as a passenger (but not as a pilot or crew member) in any civilian, public or military transport aircraft, except those owned, operated or leased by or on behalf of the policyholder. The benefits provided under this plan are payable in addition to any other insurance which may be in force at the time of loss.

Ask the Benefits Department for more information including rates for this plan.

Employee Assistance Program (E.A.P.)

The Claremont Employee Assistance Program (EAP) is available for employees and family members of San Lorenzo USD. The Claremont Employee Assistance Program helps you resolve personal issues before they become more serious and difficult to manage. You and your eligible family members can receive professional, confidential counseling at no cost. Claremont also provides access to resources that can help you address virtually any personal concern or question.

Who provides the EAP? Claremont is a firm of select professionals who can help you with life’s challenges. You will be referred to a conveniently located counselor or resource with expertise in your area of concern.

Who will know? The EAP is a confidential service. Claremont understands the importance of maintaining your privacy. Your involvement with Claremont is afforded the maximum confidentiality permitted under the law.

At what cost? There is no cost to you or your covered dependents for EAP services, however, all services must be pre-authorized by Claremont.

What’s the first step? Call 800-834-3773 to discuss your question or issue with an experienced counselor who will refer you to the resources most appropriate for your needs.

Click on flyer links below to access more information about San Lorenzo USD's Employee Assistance Program: