Open Enrollment

May 1 through May 22, 2020

Open Enrollment is your opportunity to make changes or corrections to your insurance.  Changes become effective July 1, 2020.

Q&A Sessions with Aetna and Kaiser representatives will be available on the following dates 
(Check your e-mail for information on how to schedule an appointment)

Kaiser Wed, May 6th  8am - 10am
Kaiser Mon, May 11th 3pm - 5pm    

Aetna Thur, May 7th  8am - 10am
Aetna Tues, May 12th 3pm - 5pm


MEDICAL ENROLLMENT CHANGES
Click on forms below and submit completed originals to Personnel no later than Friday, May 22, 2020

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)
Click on forms below and submit completed originals to Personnel no later than Friday, May 22, 2020

Aetna PPO Enrollment Change Form

Aetna HMO Enrollment Change Form

 
Kaiser Enrollment Change Form

Delta Dental Enrollment Change Form

Vision Service Plan (VSP) Change Form


OPTIONAL VOLUNTARY INSURANCE PLANS
Contact Personnel Services for any of the following voluntary insurance plan options.

Unum Supplemental Life Insurance

MetLaw

Section 125 Flexible Spending Account
Contact American Fidelity at 1-800-365-9180 to enroll, make changes 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 Unum Supplemental Life Insurance or MetLaw, submit written request to Personnel Services by May 22, 2020

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

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


PLAN BENEFIT SUMMARIES

2020-2021 Aetna PPO (OAMC)

2020-2021 Aetna HMO

2020-2021 Kaiser 

2020-2021 Delta Dental

2020-2021 Vision Service Plan (VSP)

2020-2021 Unum Basic Life Insurance

2020-2021 Unum Supplemental Life Insurance

  

       Please contact Personnel Services with questions regarding benefits or Open Enrollment

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