Health Benefits
Health Benefits
All permanent full-time employees are eligible to enroll themselves and their dependents in the health benefit programs. New employees must sign up for health insurance within thirty days of their date of hire to participate. Most employees qualify if they are working 50% or more for the year but benefits vary by bargaining unit so employees should refer to the applicable collective bargaining union contract. Eligible dependents include lawful spouse or registered domestic partner, children under 26 years of age, stepchildren and legally adopted children.
Active and retired employees have the opportunity to move from one plan to another, change options, or change dependent status. during Open Enrollment. Information will be posted on this web page.
Please review the FAQ and benefit information (including rate sheet and summary of benefits) below organized by bargaining unit. All questions about benefits and open enrollment should be directed to the Benefits Office at benefits@scusd.edu.
Health Care Providers
Check out health care providers online health modules, nurse advice line, disease management programs, mail order prescriptions, video visits, email option(s), tobacco cessation programs, health education presentations, and additional resources. Your providers may also provide telephonic health coaching, virtual health education presentations, and/or wellness discounts.
Colonial Life Enrollments have been Extended !!
Colonial Life Virtual Workshops coming soon!
Colonial Life benefit policies are optional and are additional to all current benefits offered by the district.
Below is a list of dates and times that we will hold Colonial Life Virtual Workshops. These workshops are designed to educate you on the Colonial Life benefits policies. There will be time for Q&A at the end of each presentation. No RSVP needed, you simply join the scheduled workshop by clicking on the Zoom link on the designated date and time.
Virtual Workshop #1
Topic: Short term Disability and Whole Life
Date: Tuesday, January 28th
Time: 4:30 – 6:00 pm
Join Zoom Meeting
Meeting ID: 996 2783 5764
https://zoom.us/j/99627835764?from=addon
Virtual Workshop #2
Topic: Cancer Insurance and Critical Illness
Date: Thursday, January 30th
Time: 4:30 – 6:00 pm
Join Zoom Meeting
Meeting ID: 920 0761 3324
https://zoom.us/j/92007613324?from=addon
Virtual Workshop #3
Topic: Hospital Confinement, Accidental and Term Life
Date: Tuesday, February 4th
Time: 4:30 – 6:00 pm
Join Zoom Meeting
Meeting ID: 989 0734 1944
https://zoom.us/j/98907341944?from=addon
Virtual Workshop #4
Topic: Wellness Benefits and How to process claims
Date: Thursday, February 6th
Time: 4:30 – 6:00 pm
Join Zoom Meeting
Meeting ID: 994 9273 6147
https://zoom.us/j/99492736147?from=addon
If you did not have an opportunity to speak to a Colonial Life Counselor to hear about the one-time offers, then now is your time. Don’t forget… this period of enrollment is a guaranteed issue, without pre-existing conditions being considered
Colonial Life offered coverages:
- Accident
- Cancer
- Critical Illness
- Hospital Indemnity (covers admission into the hospital/ICU and on a per day basis)
- Term Life
- Whole Life
- Short Term Disability
To take advantage of this extended enrollment period, you can click here to make an appointment with Colonial Life. Don’t miss out on the benefits you deserve!
Required Documentation to Add Dependents
If you are adding a dependent, you will be required to provide proof of eligibility i.e. marriage/domestic partner certificate, birth certificate and social security number for all dependents being added.
Add Dependents Outside of Open Enrollment Period
Dependents must be added within 30 days of a qualifying event, such as marriage, marital status change, birth, registered domestic partner, or loss of coverage along with required documentation.
Marital Status Change
If you become divorced or your spouse passes away, you must notify the Employee Health Benefits department within 30 days of the event. Members who fail to report changes to their health enrollment in a timely manner may be liable for premiums paid in excess of six months from the date the change was recorded. In addition, members may be liable for costs incurred as a result of services provided to an ineligible dependent.
Flexible Spending Account (FSA)
Enrollment is required every year during the Open Enrollment period and must be submitted before Open Enrollment closes. This will ensure your FSA is effective January 1 of the new year. The district is introducing Navia as our new administrator for Flexible Spending Accounts. All enrollments must be selected by going through the Benefit Bridge portal. You may enroll by clicking on the Benefit Bridge link.
- Virtual Learning Session on Flexible Spending Accounts this
Thursday, October 17 from 4:00–6:00pm
- Join Zoom Meeting
https://zoom.us/j/93652935276?from=addon
Meeting ID: 936 5293 5276
—
One tap mobile
+16694449171,,93652935276# US
+16699006833,,93652935276# US (San Jose)
- Join Zoom Meeting
- Navia will be present at the Benefits Fair on Friday, October 18 from 10:00am–4:00pm
All 2024 FSA’s will continue to be administered by Basic. You have until March 31, 2025 to claim any medical or dependent reimbursements for the 2024 plan year.
FSA Maximum contribution amounts for 2025
Health care = $3,300
Dependent care = $5,000 per Family (Individual $2,500)
Beneficiary
It is important to keep your beneficiaries updated with the district and your retirement agency CalSTRS or CalPERS. Beneficiary updates can be done during and outside of open enrollment.
Dual District Coverage
Dual coverage is not allowed if you are married and both employees of the district. You must enroll into the same plan together while one spouse will complete a Health Benefit Waiver form and will receive single health refund if classified or cash-in-lieu if certificated. Click to access Health Benefit Waiver.
Open Enrollment Documentation
Questions
If you have any questions or would like further assistance, please feel free to contact us and schedule an appointment with your benefit technician.
Employee Benefits Office Location and Office Hours
5735 47th Avenue, Sacramento, CA 95824
8:30am – 4:00pm Monday – Friday
Phone: 916-643-9432
Fax: 916-399-2071
benefits@scusd.edu
Active Certificated Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheet
Effective January 1, 2024 – December 31, 2024
2025 Rate Sheet
Effective January 1, 2025 – December 31, 2025
Summary of Benefits and Coverages
2025 Employee Benefits Guide – Active Employees & Early Retirees
2025 Summary of Benefits and Coverage - Health Net
2025 Summary of Benefits and Coverage - Kaiser
Dental Plans
Retired Certificated Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheets
Effective January 1, 2024 – December 31, 2024
2024 SCTA Early Retiree Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 – December 31, 2025
2025 SCTA Early Retiree Rate Sheet
Summary of Benefits and Coverages
2025 Employee Benefits Guide – Retirees
2025 Employee Benefits Guide – Retirees
2025 Summary of Benefits and Coverage - Health Net Seniority Plus
2025 Summary of Benefits and Coverage - Health Net HMO
2025 Summary of Benefits and Coverage - Health Net PPO
2025 Summary of Benefits and Coverage - Health Net Restricted PPO
Dental Plans
Premier Access Dental Information
2024 Opt-Out Plan
The district has obtained a new third party administrator that will handle all Opt-out reimbursements. Basic is no longer the administrator and will process all 2024 reimbursements through the deadline of March 31, 2025. Our new Administrator is now with Navia. Please see the Teacher Retiree Opt Out Bulletin & Request Form 2024-2025 for all details regarding Navia plus the documents below.
Opt Out Bulletin & Reimbursement Request Form 2024
Basic Reimbursement Login Flyer
2024-2025 Opt Out Bulletin & Request Form
Navia Opt-out Documents
Certificated Retiree Opt-out Navigation Guide
Navia Retiree Virtual Workshop Recording
Active Classified Employees Health Benefit Information
Enrollment Forms
Classified Benefits Enrollment Form
2024 Rate Sheet
Effective January 1, 2024 – December 31, 2024
2024 SEIU/Teamsters Active Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 – December 31, 2025
2025 SEIU/Teamsters Active Rate Sheet
Summary of Benefits and Coverage
2025 Employee Benefits Guide – Active Employees & Early Retirees
2025 Summary of Benefits and Coverage - Kaiser HMO
2025 Summary of Benefits and Coverage - Kaiser HSA SBC
2025 Summary of Benefits and Coverage - Western Health Employee Only
2025 Summary of Benefits and Coverage - Western Health Family
Classified Long-Term Disability Insurance
Classified Disability Insurance Booklet
Classified Disability Insurance Contract
Dental Plan
Premier Access Dental Information
Retired Classified Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
Add dependents outside of Open Enrollment
Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage. Employee must complete a new enrollment along with required documentation.
2024 Rate Sheets
Effective January 1, 2024 – December 31, 2024
2024 SEIU/Teamsters Early Retiree Rates
2024 SEIU/Teamsters Early 50% Rates
2024 SEIU/Teamsters Over 65 Retiree Rates
2024 SEIU/Teamsters Over 65 50% Retiree Rates
2025 Rate Sheet
Effective January 1, 2025 – December 31, 2025
2025 SEIU/Teamsters Early Retiree Rates
2025 SEIU/Teamsters Early 50% Retiree Rates
2025 SEIU/Teamsters Over 65 Retiree Rates
2025 SEIU/Teamsters Over 65 50% Retiree Rates
Benefits Guides
2025 Employee Benefits Guide – Active Employees & Early Retirees
2025 Employee Benefits Guide – Retirees
Dental Plan
Navia HRA Documents
Classified Retiree HRA Navigation Guide
All Benefit Eligible Retiree Bulletin
Navia Retiree Virtual Workshop Recording
Active Mgmt-Unrep.Conf-Supv., UPE, TCS, Teamsters Employees Health Benefit Information
Enrollment Form
Classified Benefits Enrollment Form
2024 Rate Sheets
Effective January 1, 2024 – December 31, 2024
2024 Active UnRep Management/Conf/Supv/UPE/TCS Rate Sheet
2024 SEIU/Teamsters Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 – December 31, 2025
2025 Active UnRep Management/Conf/Supv/UPE/TCS Rate Sheet
2025 SEIU/Teamsters Rate Sheet
Summary of Benefits and Coverage
2025 Employee Benefits Guide – Active Employees & Early Retirees
2025 Employee Benefits Guide – Active Employees & Early Retirees
2025 Summary of Benefits and Coverage - Kaiser HMO
2025 Summary of Benefits and Coverage - Kaiser HSA SBC
2025 Summary of Benefits and Coverage - Western Health Employee Only
2025 Summary of Benefits and Coverage - Western Health Family
Dental Plans
Premier Access Dental Information
Retired UPE/Mgmt/Supv/Conf/TCS and Teamsters Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheets
Effective January 1, 2024 – December 31, 2024
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet
2024 SEIU/Teamsters Early Retiree Rate Sheet
2024 SEIU/Teamsters Early 50% Retiree Rate Sheet
2024 SEIU/Teamsters Over 65 Retiree Rate Sheet
2024 SEIU/Teamsters Over 65 Retiree 50% Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 – December 31, 2025
2025 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet
2025 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet
2025 SEIU/Teamsters Early Retiree Rate Sheet
2025 SEIU/Teamsters Early 50% Retiree Rate Sheet
2025 SEIU/Teamsters Over 65 Retiree Rate Sheet
2025 SEIU/Teamsters Over 65 Retiree 50% Rate Sheet
Benefits Guides
2025 Employee Benefits Guide – Active Employees & Early Retirees
2025 Employee Benefits Guide – Retirees
Dental Plan
Navia HRA Documents
Classified Retiree HRA Navigation Guide
All Benefit Eligible Retiree Bulletin
Navia Retiree Virtual Workshop Recording
Disability Insurance Plans
Information regarding the District’s Disability plans are outlined below by bargaining union. If you have questions about these plans you can contact the Benefits Analyst at 916-643-7895.
The Standard for SCTA members (Certificated)
The District offers The Standard Disability insurance plan to all certificated employees whose bargaining union is SCTA. This disability plan is voluntary and you must enroll yourself into the plan by calling The Standard directly at 800-522-0406. The Standard plan covers short-term and long-term disability. If you already have an open disability plan with Standard and need to submit a claim. You will call Standard at 800-368-2859 to open a disability claim.
The Hartford for Teamster Members
The District offers The Hartford Disability insurance plan to all employee positions whose bargaining union is Teamsters. This disability plan is mandatory and you will see a deduction on your paycheck from the date of hire. The Hartford disability plan covers short-term and long-term disability. You may contact The Hartford at 800-289-9140
The Hartford (Short Term) Application
The Hartford (Long Term) Application
Unum for Classified Members (SEIU)
The District offers Unum disability insurance plan to all employee positions whose bargaining union is SEIU. This disability plan is mandatory and you will see a deduction on your paycheck from the date of hire. Unum disability plan covers long-term disability. You may contact Unum at 800-858-6843.
Dual District Benefits Waiver
SCUSD does not allow married SCUSD employees to be double-covered on benefits.
One spouse must waive their benefits. If you have any questions, please contact the Benefits Office at benefits@scusd.edu.
Sun Life Financial Life Insurance
Basic Life Insurance - Certificated Employees
Basic Life Insurance - All Classified and Food Service Supervisors
Basic Life Insurance - Active Management, Confidential and Supervisors
Optional Life and Accidental Death and Dismemberment (AD&D) Insurance
Sun Life Classified and Management Employee Beneficiary Form
Health Benefits FAQs
General Information
1) When is open enrollment?
Open Enrollment for all other bargaining units and SCTA dental, vision, and life changes are held during the fall each year (dates vary) and the effective date is January 1 of the new year.
2) Is the Benefits office open all year long?
The Benefits office is open all 12 months of the year, excluding Thanksgiving Break and Winter Break.
3) What are the Benefits and Compensation Department office hours?
The Benefits office hours are 8:00 am to 4:30 pm Monday through Friday.
4) What is a qualifying event?
A qualifying event is: birth, adoption, legal custody, marriage, divorce or legal separation, loss of coverage, gains other coverage, change of job status, gains Medicare, or re-location outside the HMO coverage area.
5) How do I update my address?
For active employees, you may change your address by logging onto the employee resources available 24-7 online @ https://myportal.scusd.edu set-up an account and update your address, change your taxes, print your W-2’s and pay warrants. For retirees/terminated address changes, you will need to complete a change of address form and a copy of your picture ID to HR@scusd.edu.
6) Who would be my benefits technician?
Your Benefits Technician is assigned by your work assignment location. You can call (916) 643-9432 or email benefits@scusd.edu and your technician will assist you.
7) Who would I contact about my 403B/457?
You would contact SchoolsFirst at (800) 462.8328, ext4727, option 2 or email Retirement@SchoolsFirstFCU.org.
8) Should I be receiving a Delta Dental card?
No, but you may log in to the Delta Dental website, www.deltadental.com, create your account, and print yourself an ID card. Otherwise, your dental provider searches for your eligibility by the employee’s social security number.
9) Should I be receiving a VSP card?
No, but you can log in to the https://www.vsp.com/create-account, create your account and register, then print your ID card.
10) Where can I change my beneficiary for my life insurance policy?
You may download the life insurance beneficiary from the district website or contact benefits at (916) 643-9432 to speak with a Benefits Technician to have a form sent to you.
11) Where can I find out all about my plan?
Log on to http://www.benefitbridge.com/saccityusd and the plan summaries are all there. You can even compare plans side-by-side on BenefitBridge. The Benefits website also has plan summaries for each plan.
Dependent Information
1) When and how can I add or take off a dependent?
You can add a dependent within 30 days of the qualifying event with the provided documentation (birth certificate, court adoption papers, marriage certificate, California Domestic Partner Certificate, final decree of divorce, verification of loss of coverage, verification of obtaining own coverage, change of address form) to the Benefits Office.
2) I just had a baby. How do I go about adding the newborn? Do I need documentation?
See above. You must add the child within 30 days of his or her birth (or during open enrollment) and you must provide the souvenir birth certificate the hospital gives you when you bring the baby home.
3) I just got married, how can I add my spouse? Do I need documentation?
See above. You must add your spouse within 30 days of the marriage (or during open enrollment) and you must provide a copy of the marriage certificate you receive from whoever marries you. A spouse’s social security number is also required.
4) My child is turning 26; can they stay on my benefits?
No. Once your child turns 26, he or she is not an eligible dependent. Your child will remain covered throughout the month they reached age 26. Effective the first day of the following month, they will no longer be covered.
5) My disabled child is turning 26; can he or she stay on my benefits?
The child must already be designated as disabled or you must start the process of designating the disabled dependent with your medical provider at least three months before the child’s 26th birthday.
6) Who is not an eligible dependent?
Grandchildren, parents, siblings, other extended families, cohabiting partners who are not married or do not have a CA Domestic Partner Certificate.
7) Who is an eligible dependent?
Spouse; natural-born child, stepchild, adopted child, child for whom you have legal custody up to the age of 26; domestic partner with CA Domestic Partner certificate. Social Security numbers are needed for all dependents.
8) My dentist/optometrist says my dependent is not covered. I know I enrolled him or her.
Make sure your provider is searching by the employee’s social security number, not the dependent’s social security number.
Retiree Information
1) What is the phone number for Sterling?
HRA Customer Service: 1-800-617-4729; HRA Fax # 510-221-0052
2) What is a direct bill?
When we are unable to set up a premium deduction from your retirement check, you are sent an invoice for the premiums. This usually comes from our third-party administrator, Sterling, and is referred to as “direct billing”.
3) I am going to retire this year. What do I do in regards to my Health Benefits?
Contact the Benefits Office at benefits@scusd.edu.
4) How do I know if I get 100% lifetime benefits?
At the time you are considering retirement, you will need to check with the Benefits Office to see if you are eligible for 100% lifetime benefits. This is determined by your bargaining unit agreement, your age at retirement, the date you began service with the district in a position in which you earned benefits, and your years of service in that benefited position up to your retirement date.
BenefitBridge Information
1) I forgot my username/password to BenefitBridge. How do I obtain the needed information?
Go to www.benefitbridge.com/saccityusd and click on the “Forgot Username/Password?”
2) Where can I find out all about my plan?
Log on to www.benefitbridge.com/saccityusd to view the plan summaries. You may also compare plans side-by-side on BenefitBridge.