Health Benefits & Wellness Resources
-
Health Benefits 2020/2021
Click Here ↓
Paso Robles Joint Unified School District Health Insurance Open Enrollment period for the 2020-2021 year will begin on June 1, 2020. You have been emailed the open enrollment form this year. Please complete the health benefits open enrollment form to complete your health benefit selections for the 2020-2021 plan year. All submissions are considered final, and irreversible. The last day for submission is Friday, August 14, 2020 at 4:30 pm.
If you miss the open enrollment window to make final selections, the plan will automatically roll to the same plan or comparable plan you are currently enrolled. If you miss the open enrollment window to make final selections, you understand as an employee of the District that you have waived your right to make changes, and therefore you will be unable to change your selections until the 2021 Open Enrollment window for the 2021-2022 plan year unless you experience a qualifying life event. As an additional caution, failure to review and complete the benefit selections for open enrollment with your final submission does not hold the District liable for plan premium increases if the plan selected is higher than your 2019-2020 plan selection.
Less than full time? There is an option for you!
6 Hour Employees are eligible for the Two Tiered Anchor Bronze Medical Plan: This plan is available to the Employee and/or Employee and Child(ren). Spouses cannot be enrolled on this plan. This is a MEDICAL PLAN ONLY.
Declination Form for Less Than Full Time Employees
All new enrollments, must provide the following documentation:
- Health Benefits Enrollment Form
-Birth certificate for each child dependent
-Marriage certificate and most recent tax return (front page only) to enroll a spouse
-Certificate of Registered Domestic Partnership
IF YOU HAVE OTHER HEATLHCARE COVERAGE THROUGH A PARENT OR SPOUSE, YOU CAN NOW WAIVE MEDICAL BENEFITS WITH PRJUSD, it is required to continue enrollment in dental and vision. Please contact Marcy Garcia at ext. 30113 for more information.
Benefit options are available below for your review
Certificated Staff www.anthem.com/ca/sisc 1-800-564-7475
2020-21 Certificated Plan Summaries
2020-2021 Certificated Plan Selection Form
Detailed Plan Summaries
40311G - 100-D $20; Rx 5-20
40312F - 80-E $20; Rx 200/10-35
40311H - 80-G $30; Rx 200/10-35
40312C - 80-M $40; Rx 200/15-50
Need to add/delete dependents please fillout the SISC Membership Change Form (submit to HR with ALL required documentation)
How to Get a Temporary ID Card
Classified Staff www.anthem.com/ca/sisc 1-800-564-7475
2020-21 Classified Plan Summaries
2020-21 Classified Plan Selection Form
Detailed Plan Summaries
40311F - 90-C $30;Rx 9-35
40312H - 90-E $20; Rx 9-35
40311J - 80-E $20;Rx 9-35
40312A - 80-M $40; Rx9-35
Need to add/delete dependents please fillout the SISC Membership Change Form (submit to HR with ALL required documentation)
How to Get a Temporary ID Card
Management www.anthem.com/ca/sisc 1-800-564-7475
2020-21 Management Plan Summaries
2020-2021 Management Plan Selection Form
Detailed Plan Summaries
40312D - 100-A $20; Rx 5-20
40311K - 90-C $30; Rx 9-35
40312G - 80-G $20; Rx 9-35
40312E - 80-M $40; Rx9-35
Need to add/delete dependents please fillout the SISC Membership Change Form (submit to HR with ALL required documentation)
How to Get a Temporary ID Card
Delta Dental www.deltadentalins.com 1-866-499-3001
Delta Dental Incentive - PPO 1000 -Certificated/Management
Delta Dental Incentive PPO 2000 - Classified
Delta Dental 100% PPO 2000; A 100/2000 - Certificated/Management
Delta Dental 100% PPO 3000; A 100/3000 - Classified
Delta Dental Cost Estimator Tool
Find Providers
Order a Delta Dental Card / Print a Temporary Card
Anthem Dental www.anthem.com/ca 1-844-729-1565
**Anthem Essential Choice Dental - The Anthem Dental Plan has a limted network, available ONLY in select counties: Fresno County, Kern County, Merced County, Riverside County, San Luis Obispo County, Santa Barbara County, and Tulare County. Members must use contracted "In-Network" Providers.
Anthem Dental : No Annual Deductible, Annual Max $4,000 per person per year, $2,000 lifetime max ortho benefit.
Anthem Essential Choice Summary
Vision Service Plan (VSP) www.vsp.com 1-800-877-7195
Pharmacy Information www.navitus.com 1-866-333-2757
Costco Rx Mail Order Enrollment
Navitus Pharmacy Navitus Prescription Drug Claim Form
Added Value Plans:
EAP (Employees Assistance Program)
MDLive - 24/7 Physician Line
Advance Medical Expert Medical Opinions -
Resources
SISC Offers much more than just conventional benefits coverage. SISC provides access and convenience to it's members through these Added Value Programs.
Advance Medical - Get Your FREE Second Opinion
What is the Employee Assistance Program?
Employee Assistance Promgram (EAP)
EAP - Dealing with Tragic, Stressful Events
EAP- Tobacco Free, Kick the Habit for Good
EAP - Need Help with Child Care
EAP - Need help with Elder Care
TruHearing - Do You Need Hearing Aids
PRJUSD in collaboration with SISC, holds an annual Free Flu Shot Clinic (Fall) and a Free Health and Wellness Check (Spring), 2021 dates TBA
