Health Benefits & Wellness Resources
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Health Benefits 2019/2020
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Paso Robles Joint Unified School District Health Insurance Open Enrollment period for the 2019-2020 year will begin on June 1, 2019. Please complete the health benefits open enrollment form to complete your health benefit selections for the 2019-2020 plan year. All submissions are considered final, and irreversible. The last day for submission is Thursday, August 15, 2019 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 2020 Open Enrollment window for the 2020-21 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 2018-2019 plan selection.
All PRJUSD employees must complete health benefit forms including full-time, part-time, to either enroll or decline insurance coverage while employed with Paso Robles Joint Unified School District. To decline insurance, you must be less than full time.
Declination Form for Less Than Full Time Employees
NEW Options for 2019/2020 Plan Year
**WABE Option - (Waiver of Medical Benefits) The WABE allows you to decline the SISC Medical Coverage, with proof of other coverage. It is required that you are enrolled in Dental and Vision insurance offered by PRJUSD. You will maintain active membership with SISC which allows you to access the Value Added Services offered by SISC.
Added Value Plans:
EAP (Employees Assistance Program)
MDLive - 24/7 Physician Line
Advance Medical Expert Medical Opinions**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
Benefit options are available below for your review which include the rates, plan options, and benefit summaries.
Certificated Staff
Certificated Plan Selection Form 2019/2020
Certificated Plan Selection Form 2018/2019
Certificated Plan Selection Form 2017/2018
Classified Staff
Classified Plan Selection Form 2019/2020
Classified Plan Selection Form 2018/2019
Classified Plan Selection Form 2017/2018
Classified 5 Hr. Bus Driver Selection Form 2019/2020
Classified 5 Hr. Bus Driver Selection Form 2018/2019
Classified 5 Hr. Bus Driver Selection Form 2017/2018
Classified 6 Hr. Plan Anchor Bronze Plan
Management
Confidential Management Plan Selection Form 2019/2020
Confidential_Management Plan Selection Form 2018/2019
Confidential_Management Plan Selection Form 2017/2018
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 add a spouse
-Certificate of Registered Domestic Partnership
Anthem Blue Cross
How to Get a Temporary ID Card
Management 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
Certificated 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
Classified 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
Delta Dental
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
Vision Service Plan (VSP)
Pharmacy Information
Costco Rx Mail Order Enrollment
Navitus Pharmacy Navitus Prescription Drug Claim Form
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Resources
SISC Offers much more than just conventional benefits coverage. SISC provides access and convenience to it's members through these additional 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). 2018/2019 dates TBD.
