2021 Rate Sheets
Effective January 21, 2021 (beginning with your December 2020 paycheck)
Patreese Williams
Benefits Analyst
Phone: 510-317-4622 
Barb Corrick
Risk, Safety & Benefits Manager
Phone: 510-317-4647
Health Benefit Plan Enrollment Form:
2020 Benefit Rate Sheets:

CalPERS Health Plan Information

Online tools to find CalPERS health plans available in your area:

Health Plan Search by Zip Code

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

CalPERS Health Plans Contact Information


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

2021 Summary of Benefits and Coverage Notice
Choosing your health plan is an important decision. To assist you with this process, each health plan available through the California Public Employees’ Retirement System has produced a Summary of Benefits and Coverage (SBC). In addition, the federal government has compiled a glossary of common health insurance terms. Together, these documents provide important information to help you better understand your health benefit coverage and more easily compare health plan options.

To view the SBCs and glossary online, visit on the Plans & Rates page (subsection Health Plans), or visit any of the health plan websites below. To request a free paper copy of the SBC and glossary, contact each health plan directly.

Dental Plans

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

PPO Plan Summaries:

Vision Plans


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

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.

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: 

Retirement Information

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

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 (below)

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

Tax Sheltered Annuity Plans (TSA)

The District encourages employees to plan for their future and offers participation in voluntary 403b & 403b Roth retirement plans through payroll deduction. 

For more information on TSA plans through TCG 403b Company, either click on the link below or call 1-800-943-9179.

TSA Information



AXA/Equitable Voluntary Term Life Insurance