Certificated Benefits

Open enrollment is the annual opportunity for employees to make changes to insurance benefits for the following July 1st effective date (for core benefits and voluntary supplemental benefits).

Once you make your benefit elections, you cannot change them throughout the year unless you experience a qualifying life event. 

The last Open Enrollment Period was held 4/29/24 - 5/17/24.

• Changes made to medical plans during open enrollment will go into effect on October 1st  
• Changes to dental, vision, or voluntary supplemental insurance plans go into effect July 1st

The next open enrollment period is tentatively scheduled for 4/28/25 through 5/16/25. 

View the 24-25 Benefit Guide for VETA Bargaining Unit Members

2024/2025 Combined Annual Benefits Notices

Continuation of Coverage Rights Under COBRA

SISC Medical Plan effective dates are 10/1/2023 through 9/30/2024

Blue Shield HMO and PPO Customer Service Number: 1-855-599-2657

Blue Shield PPO Benefit Summary

Blue Shield HMO Benefit Summary
Kaiser Permanente Customer Service Number: 1-800-464-4000

Kaiser HMO Benefit Summary

ELIGIBILITY DOCUMENTATION CHECKLIST
The following verification documents are required by SISC to enroll a spouse and dependents in your medical plan.

Spouse

• Most recent Federal Tax Form page that shows you filed married and jointly (financial information may be blocked out); or
• Notarized SISC Affidavit of Marriage for employees enrolling a spouse who do not file Married on their taxes. Completed form must be notarized and submitted with a copy of the marriage certificate; or
• For newly married couples (married less than a year) where prior year tax return showing the couple was married is not available a marriage certificate will be accepted or a souvenir marriage certificate that lists the date of marriage, both names and is signed by the officiant.

Domestic Partner

• Certificate of Registered Domestic Partnership issued by the State of California

 Children, Stepchildren, and/or Adopted Children up to age 26

• Legal Birth Certificate or Hospital Birth Certificate (to include full name of child, parent(s) name and child's DOB)
• Legal Adoption Documentation

Legal Guardianship up to age 18

• Legal Adoption Documentation

SISC Spouse and Dependent Required Eligibility Documents
 

If you have any questions or need assistance looking up network providers , call Blue Shield Customer Services at 1-855-599-2657.
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Find Blue Shield HMO Network Primary Care Physicians

Find Blue Shield HMO and PPO Network Providers

SISC Value Added Services Flyer

SISC Mental Health Flyer

SISC Carrum Health No Cost Consultation w/ Top Doctors (Hip, Knee & Spine Surgical Options)

SISC $0 Copay First 3 PCP Visits

Blue Shield Continuity of Care Flyer

Blue Shield - Away from Home Care Flyer

Kaiser - Care Away from Home Flyer

Click here to view all SISC Value Added Programs

Navitus Health Solutions is the Pharmacy Benefit Manager for SISC Blue Shield PPO and HMO plans.

Navitus Customer Care: 1-866-333-3757
Available seven days a week, 24-hours a day.

• Mail Order is through Costco Mail Order 1-800-607-6861
• A New prescription is required to set up Mail Order
• SISC pharmacy plans do NOT have coordination of benefits
• Most pharmacies are in-network with the exception of Walgreen’s. Walgreen's is not in-network.

Click Here to view Navitus Customer Care Flyer

Delta Dental Customer Service Number: 1-866-499-3001

DELTA DENTAL BENEFIT SUMMARY

Delta Dental Website

Create an account directly with Delta Dental using the website link above to view plan details, print ID cards, look-up in-network doctors and more!

Vision Service Plan Customer Service: 1-800-877-7195

Vision Service Plan (VSP) Benefit Summary

Vision Service Plan Website

Create an account directly with VSP using the website link above to access plan details, print ID cards, look-up in-network doctors and more.

The Basic Life and AD&D and Voluntary Supplemental Life and AD&D Insurance benefits are provided through MetLife.

You can purchase supplemental coverage for yourself, your spouse and your children during the employee benefits open enrollment period held the first three weeks in May.

Basic Life and AD&D Insurance Benefit Summary (fully paid by the district as part of your benefits package)

Voluntary Supplemental Life and AD&D Insurance Benefit Summary (additional coverage paid by you)

You can enroll in or make changes to Voluntary Supplemental Life and AD&D insurance through Benefitfocus.

Please email the district Personnel Department or call (760) 245-1691 if you have any questions. 

MD LIVE Flyer

Step 1: Notify Personnel Services of your qualified life event.  Email or call (760) 245-1691. 

Step 2: Complete the SISC Change Form below and submit it to Personnel Services along with the dependent eligibility document(s) if adding or dropping someone from your medical plan.

SISC Change Form
Step 3: Log in to Benefitfocus to add or drop your spouse/dependent(s) from your dental and vision insurance.  You will be asked to upload proof of your qualifying event. 

Resource: View Types of Qualifying Life Events 

Important: You must complete all required steps within 30 days from the event.

A Section 125 flexible spending account (FSA) is a benefit program that allows employees to set aside pre-tax dollars from their paychecks to pay for qualified expenses. 

American Fidelity is our district's third-party administrator for the Section 125 Health and Dependent Care Flexible Spending Account Plans.  Contact American Fidelity directly at 1-800-365-9180, option 0, for more information. 

A 403(b) retirement plan, also known as a tax-sheltered annuity plan (TSA), is a retirement savings plan that allows employees to defer some of their salary into individual accounts. 403(b) plans are similar to 401(k) plans.  Employees can enroll in these plans during our open enrollment period.

SchoolsFirst is our district’s third-party administrator for the 403(b) and 403(b) Roth Voluntary Retirement Plans.  Please contact Michael J. Duarte at 1-800-462-8328, ext 4116, option 1 or via email at mduarte@schoolsfirstfcu.org for more information. 

A 457(b) retirement plan is a tax-deferred savings account that allows employees to save and invest money for retirement. It's similar to a 401(k) or 403(b) plan, but with some key differences.  Employees can enroll in a 457(b) plan during our open enrollment period by contacting our plan administrator.

PlanMember Services is our district's third-party administrator for the 457(b) Voluntary Retirement Plans.  Contact Andrew Jaramillo, Financial Consultant at (760) 245-8638 or at andrew@jarfis.org for more information.