Open Enrollment

May 3 through May 21, 2021

Open Enrollment is your annual opportunity to make changes or corrections to your insurance.  Changes become effective July 1, 2021.                     

* NEW* The Bridge Program for High Desert Trust
Aetna PPO, Aetna HMO and Kaiser Plans
(For Classified, Management, Confidential and Psychologist Employees)
Effective 7/1/21 these plans will automatically include The Bridge Plan
administered through the Grenz Benefits Solutions & Administrators. 

 1. How to Access Your Aetna PPO with Your Bridge Benefits FAQ
2. How to Access Your Aetna HMO with Your Bridge Benefits FAQ 
3. How to Access Your Kaiser HMO with Your Bridge Benefits FAQ
 

 
Scroll to bottom of this page to view Benefit Summaries for
Aetna PPO, Aetna HMO and Kaiser HMO that include The Bridge Plan information

 

Check your email for links to The Bridge Program Benefits Review
and Q&A Sessions via Zoom on May 11th and May 13th


Check your email for the link to schedule a one-on-one meeting
with a Bridge Program representative during Open Enrollment.



Appointments with Aetna and Kaiser representatives are
available 5/10/21 through 5/14/21
(Check your e-mail for details on how to schedule an appointment)

Note that representatives will only be able to discuss the Aetna and Kaiser
components of your plans and not the Bridge component.

The High Desert Trust Life Life Insurance Provider is changing from Unum to Mutual of Omaha effective 7/1/21.  No action is required by currently enrolled employees unless making changes to voluntary supplemental life insurance during Open Enrollment.  Scroll down to optional voluntary insurance plans section if you need to making changes for Open Enrollment.

MEDICAL ENROLLMENT CHANGES 
FOR NON-CERTIFICATED EMPLOYEES
(If you are a certificated employees click here) 
Click on forms below and submit completed originals to Personnel no later than Friday, May 21, 2021

Form to enroll in Aetna PPO (OAMC)

Form to enroll in Aetna HMO

Form to enroll in Kaiser HMO
(attach separate sheet if more space is needed to list all dependents)


ADDING OR DROPPING SPOUSE OR DEPENDENT(S)
(Change forms for non-certificated employees only)
Click on forms below and submit completed originals to Personnel no later than Friday, May 21, 2021
Aetna PPO Enrollment Change Form

Aetna HMO Enrollment Change Form

Kaiser Enrollment Change Form

Dental, Vision and voluntary benefit forms below are for all benefit eligible groups. 

Delta Dental Enrollment Change Form


Vision Service Plan (VSP) Change Form


OPTIONAL VOLUNTARY INSURANCE PLANS
Contact Personnel Services for questions regarding the first two voluntary insurance plan options listed below.

Mutual of Omaha Supplemental Life Insurance
Mutual of Omaha is offering virtual phone appointments through 5/21/21 to receive information, enroll for first time or make changes to
your voluntary supplemental life insurance.
See email sent 5/10/21 for link to schedule appointment.

MetLaw
Contact Veronica Taylor in Personnel Services to request and enrollment form.

Section 125 Flexible Spending Account
Schedule an appointment with an American Fidelity Representative
Contact American Fidelity at 1-800-365-9180 to enroll, make changes, cancel or for information
Employees enrolled in a Flexible Spending Account must re-enroll every year.

403(b) Retirement Plan
Schools First is our district’s third party administrator for 403(b) plans, contact Michael J. Duarte at 1-800-462-8328, ext 4116, option 1 or email at mduarte@schoolsfirstfcu.org, click following link for additional information available at Schools First Website


TO CANCEL VOLUNTARY INSURANCE PLANS

To cancel Supplemental Life Insurance or MetLaw, submit written request to Personnel Services by May 21, 2021

To cancel Section 125 Flexible Spending Account contact American Fidelity directly at 1-800-365-9180

To cancel 403(b) Retirement Plan contributions contact Schools First directly at 1-800-462-8328, ext 4116, option 1


PLAN BENEFIT SUMMARIES

2021-2022 Aetna PPO (OAMC) with Bridge Plan

2021-2022 Aetna HMO with Bridge Plan

2021-2022 Kaiser HMO with Bridge Plan

2021-2022 Delta Dental

2021-2022 Vision Service Plan (VSP)

2021-2022 Mutual of Omaha Basic Life Insurance

2021-2022 Mutual of Voluntary Supplemental Life Insurance

  

       Please contact Personnel Services with questions regarding benefits or Open Enrollment

Phone: (760) 245-1691 ~  Email: vtaylor@vesd.net