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    Stacey Shoff

    Benefits Coordinator
    805.306.4500 Ext. 4015
    stacey.shoff@simivalleyusd.org

    DENTAL AND VISION BENEFITS

    Delta Dental Plan Overview

    Delta Dental Enrollment Form

    Vision Benefits Overview

    VSP - Materials Only Coverage 2020

    VSP Enrollment Form

    OPTIONAL BENEFITS

    2020 403B TDS SRA

    2020 457b TDS SRA

    American Fidelity Interest Form

    Reliance Standard Life Insurance

    MANDATED NOTICES

    Marketplace Exchange

    HIPPA Rules 2020

     

    Benefits

    Employee Benefits

    HEALTH AND WELLNESS OPPORTUNITIES AND RESOURCES

    The CalPERS Wellness Benefits is a downloadable PDF booklet provides numerous resources for issues ranging from diabetes prevention to stopping smoking, on-call nurse and maternity care.

    2020 WORKPLACE WELLNESS

    We have several local health clubs and gyms offering special membership discounts to our employees. 

    CRUNCH

    ANYTIME FITNESS

    CLUB PILATES

    YMCA

    Wellness resources for Kaiser HMO customers:

    LIVE HEALTHY VIDEO LIBRARY

    WELLNESS TOOLS

    Wellness resources for Blue Shield HMO customers:

    CONCIERGE SERVICES

    WELLVOLUTION PROGRAM

    PRENATAL PROGRAM

    Wellness resources for Anthem Blue Cross customers:

    ANTHEM HEALTH & WELLNESS

    https://livehealthonline.com/

    Wellness resources for United Healthcare customers:

    UNITED HEALTHCARE & WELLNESS

    CALPERS - Coronavirus Disease
    CDC - Coronavirus Disease
    2020 Anthem Select HMO Evidence of Coverage (PDF)
    2020 Anthem Select HMO Summary of Benefits (PDF)
    2020 Anthem Traditional HMO Evidence of Coverage (PDF)
    2020 Anthem Traditional HMO Summary of Benefits (PDF)
    2020 Blue Shield Access+ HMO Evidence of Coverage
    2020 Blue Shield Access+ HMO Summary of Benefits
    2020 Blue Shield Trio HMO Evidence of Coverage
    2020 Blue Shield Trio HMO Summary of Benefits
    2020 Kaiser Permanente Evidence of Coverage (PDF)
    2020 Kaiser Permanente Summary of Benefits (PDF)
    2020 OptumRx Evidence of Coverage (PDF)
    2020 PERS Choice (80/20 PPO) Evidence of Coverage (PDF)
    2020 PERS Choice PPO Summary of Benefits (PDF)
    2020 PERS Select (80/20 PPO) Evidence of Coverage (PDF)
    2020 PERS Select PPO Summary of Benefits (PDF)
    2020 PERS Care (90/10 PPO) Evidence of Coverage (PDF)
    2020 PERS Care PPO Summary of Benefits (PDF)
    2020 United Healthcare HMO Evidence of Coverage (PDF)
    2020 United Healthcare HMO Summary of Benefits (PDF)

    LINK TO ALL CALPERS INFORMATION

    Please note the this link will take you to the main CalPERS information page. As you scroll down this page, you will find all of the plans listed.

    2020 Plans and Rates

    2020 HEALTH PLAN INFORMATION

    Full-Time Employees

    2020 Full Time Employee Enrollment FormCalPERS Health Plan ComparisonCalPERS Enrollment Form HBD12Affidavit of Marriage/Domestic PartnershipSpouse/Domestic Partner Medical Coverage VerificationQuestionnaire for Disabled Dependent BenefitMedical Report for Disabled Dependent BenefitAffidavit of Parent-Child Relationship2020 Monthly Employee Premium Contributions for Full-Time EmployeesEmployee Assistance Program-ACIEmployee Assistance Program-Child CareEmployee Assistance Program-Education

    Part-Time Employees

    2020 Rate Comparison for Part-Time Employee Only2020 Rate Comparison for Part-Time Employee + One Child2020 Rate Comparison for Part-Time Employee + Multiple Children OR Spouse2020 Rate Comparison for Part-Time Employee + One Child AND Spouse2020 Rate Comparison for Part-Time Employee + Multiple Children AND Spouse (Family)

    Simi Valley Unified School District

    101 West Cochran Street, 
    Simi Valley, California 93065 
    (805) 306-4500 Phone | (805) 520-6504 Fax

    The Governing Board is committed to providing equal opportunity for all individuals in education. District programs, activities, and practices shall be free from unlawful discrimination, including discrimination against an individual or group based on race, color, ancestry, nationality, national origin, ethnic group identification, age, religion, marital, pregnancy, or parental status, physical or mental disability, sex, sexual orientation, gender, gender identity or expression, or genetic information; a perception of one or more of such characteristics; or association with a person or group with one or more of these actual or perceived characteristics.

    Email the Webmaster

    Accessibility | Non-Discrimination | Title IX


    © 2019 Simi Valley Unified School District

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