SSA, UTR, WCCAA, Confidential & Management – Health Benefits
Open Enrollment will be from September 20 to October 15, 2021. More information will follow soon. Look for emails about open enrollment
Open Enrollment Overview:
- CalPERS has made changes in their offerings, premium costs
- The District is using Building Blocks for Business for pre-tax Flex Spending and voluntary health offerings. If you do NOT plan on adding dependents or changing
health plans, NO action is required. If you are currently enrolled in a pre-tax program, you must re-enroll each year.
Changes and new elections will be made on ESS (Employee Self-Serve)
2021 Health Benefits Summary
The 2021 Health Benefit Summary provides only a general overview of certain benefits. It does not include details of all covered expenses or exclusions and limitations. Please refer to each health plan’s Evidence of Coverage (EOC) booklet for the exact terms and conditions of coverage. Health plans mail EOCs to new members at the beginning of the year, and to existing members upon request. In case of a conflict between this summary and your health plan’s EOC, the EOC establishes the benefits that will be provided.
The 2021 Health Benefit Summary provides valuable information to help you make an informed choice about your health plan and health care providers. This publication compares covered services, co-payments, and benefits for each CalPERS health plan. It also provides information about plan availability by county and a chart summarizing important differences among health plan types.
You can use this information to determine which health plan offers the services you need at the cost that works for you. The 2021 health plan premiums are available at the CalPERS website at www.calpers.ca.gov.
It is recommended that you only use this publication in conjunction with the current year’s health premium rate schedule and EOCs. To obtain a copy of the health premium rate schedule for any health plan, please go to the CalPERS website at www.calpers.ca.gov or contact CalPERS at 888 CalPERS (or 888–225–7377).
CalPERS is the largest purchaser of public employee health benefits in California, and the second-largest public purchaser in the nation after the federal government. Our program provides benefits for 1.5 million public employees, retirees, and their families.
Depending on where you reside or work, CalPERS offers active employees and retirees one or more types of health plans, which may include:
- Health Maintenance Organization (HMO)
- Preferred Provider Organization (PPO)
- Exclusive Provider Organization (EPO) (for members in certain California counties)
The CalPERS Board of Administration annually determines health plan availability, covered benefits, health premiums, and copayments.
Whether you are working or retired, your employer or former employer makes monthly contributions toward your health premiums. The amount of this contribution varies. Your cost may depend on your employer or former employer’s contribution to your premium, the length of your employment, and the health plan you choose. For monthly contribution amounts, active employees should contact their employer, State retirees should contact CalPERS, and contracting agency retirees should contact their former employer.
These rates are based on District Contribution (80% of 2021 Kaiser Premium). They apply to SSA, WCCAA, UTR, Confidential, and Management.
Please note that Western Advantage & Trio have limited coverage. Please make sure to check your zip code to determine your coverage before making your selection.
11 Month Employees: Because the rates change in the middle of the school year, the additional amount collected for the July health payment is a calculation of the August to December rates and then the new rates from January to June. If you change plans in 2020 the rates will be slightly different than what is on the rate sheet. UTR rates will show as an 11-month amount on ESS all other bargaining units will show 12-month rates.
Flex Spending | Dependent Care | Commuter Benefits | Voluntary Benefits
Building Blocks for Business is our Agent-Assisted Virtual Enrollment Service provider. They have returned for all of our 125 Flex, Dependent Care and Commuter Benefit needs as well as voluntary health programs (life insurance, disability insurance, etc.). This program requires you to enroll EACH YEAR and make new elections. Look for an email from Building Blocks for Business. In-person visits will NOT be required as in the past. Enrollment via phone or internet with extended call times will be available to you during the open enrollment period.
These benefits are part of our Section 125 plan and for non-discriminatory purposes, all employees must review benefits even if you decline enrollment all voluntary and Flex benefits.
All eligible employees should schedule an appointment with a Building Blocks Advisor during open enrollment.
Dental Coverage: Delta Dental PPO
In this incentive plan, Delta Dental pays 70% of the PPO contract allowance for covered diagnostic, preventive, and basic services and 70% of the PPO contract allowance for major services during the first year of eligibility.
The coinsurance percentage will increase by 10% each year (to a maximum of 100%) for each enrollee if that person visits the dentist at least once during the year. If an enrollee does not use the plan during the calendar year, the percentage remains at the level attained the previous year. If an enrollee becomes ineligible for benefits and later regains eligibility, the percentage will drop back to 70%. For more information, please see the employee flyer below.
Save with PPO
Visit a dentist in the PPO network to maximize your savings. These dentists have agreed to reduce fees, and you won't get charged more than your expected share of the bill.
Find a PPO dentist at deltadentalins.com
To contact Delta Dental directly:
- Delta Dental CA Website
- Phone: (800) 765-6003
Vision Coverage: VSP
As a VSP member, you can visit your VSP doctor for medical and urgent eye care. Your VSP doctor can diagnose, treat, and monitor common eye conditions like pink eye, and more serious conditions like sudden vision loss, glaucoma, diabetic eye disease, and cataracts. For more details, please contact your VSP doctor.
- VSP Doctor Network: VSP Signature
- Primary EyeCare Copay: $5.00
To contacts VSP directly:
- VSP Website
- Phone: (800) 877-7195
Catastrophic Leave Bank
A catastrophic illness or injury is defined as an illness or injury that is expected to incapacitate the employee for an extended period of time, or that incapacitate a member of the employee's family whose incapacitation requires the employee to take off from work for an extended period of time to care for that family member and taking extended time off work creates a financial hardship for the employee because he/she has exhausted all his/her sick leave. A doctor's verification is required.An employee's family is defined as spouse, child, stepchild, domestic partner, or parent of the employee.To participate in the program, you must contribute one personal illness day to the catastrophic leave bank. To contribute, cancel or apply for the program, please complete the form below.Catastrophic Leave Program Contribution and Request Form (This form is not to contribute to the bank. You will receive an email to make a contribution to the bank.)Visit ESS (certification) to confirm that you have donated to the program.For more information, please see the Catastrophic Leave Policy MOU.
Employee Assistance Program (EAP): MHN
An Employee Assitance Program (EAP) is a service designed to help you manage life's challenges. At MHN, they customize EAP solutions by understanding your unique needs and then offering the appropriate assistance or referrals.
The following services, paid by your employer, are available to eligible members.
- Clinical Counseling:
- Marriage, relationship, and family problems
- Domestic violence
- Alcohol and drug dependency
- Stress and anxiety
- Grief and loss
- Work & Life Services:
- Childcare and eldercare assistance
- Financial services
- Legal services
- Identity theft recovery services
- Daily living services
For more information on the services provided, see MHN EAP Employee Informational Flyer.
To contact MHN directly:
- MHN EAP Website
- Registration Code: wccusd
- Phone: (800) 977-7593
- Clinical Counseling: