Health Benefits 2020/2021

 

 Click Here  

 

Health Benefits 101 

 

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. 

Two Tiered Anchor Bronze

Anchor Bronze Summary

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.  

WABE Enrollment Form

 

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)

SISC Membership Change Form

How to Get a Temporary ID Card

Anthem Mobile App

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)

SISC Membership Change Form

How to Get a Temporary ID Card

Anthem Mobile App

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)

SISC Membership Change Form 

How to Get a Temporary ID Card

Anthem Mobile App

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

www.deltadentalins.com 

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

Anthem Dental Provider List

 

Vision Service Plan (VSP)  www.vsp.com     1-800-877-7195

Signature B $15/$25

 

Pharmacy Information      www.navitus.com  1-866-333-2757

Costco Pharmacy

Costco Rx Mail Order Enrollment

Navitus Rx Membership Booklet

Navitus Pharmacy Navitus Prescription Drug Claim Form

 

Added Value Plans: 
EAP (Employees Assistance Program)
MDLive - 24/7 Physician Line
Advance Medical Expert Medical Opinions

 

 

 

, ; (Last Modified about a minute ago)