Stacey Shoff
Benefits Coordinator
805.306.4500 Ext. 4015
Stacey.Shoff@
simivalleyusd.org
Delta Dental Plan OverviewDelta Dental Enrollment FormVision Full Coverage Benefits OverviewVSP - Kaiser Members (Materials Only Coverage) VSP Enrollment FormEmployee Assistance Program Mobile Access (ACI) Employee Assistance Program Referral ServicesEmployee Assistance Program Childcare EAP Education
BENEFITS
It's time to enroll in your Section 125 plan benefits and complete your dependent re-verification review (DVR) now! Completing your DVR and reviewing how your benefit options can better protect your family, has become more important than ever. Give yourself the chance to better understand all your benefits and how they work together to secure the most important things in life--your family’s well-being. Schedule an appointment to meet with an American Fidelity benefits counselor, and rest easier knowing you have gone above and beyond to understand how to keep your family and your finances protected and secure. All employees who complete their DVR and their enrollment will be entered in weekly incentive drawings to win $50 Gift Cards to popular retailers like Amazon, Target, and more.
Schedule your appointment now at:
enroll.americanfidelity.com/549E23E7
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Important 2021 Plan Documents |
2021 CalPERS Health Benefit Summary
2021 PERS Choice 80/20 PPO Evidence of Coverage
2021 PERS Select 80/20 PPO Evidence of Coverage
2021 PERS CARE 90/10 PPO Evidence of Coverage
2021 Anthem Select HMO Evidence of Coverage
2021 Anthem Traditional HMO Evidence of Coverage
2021 Blue Shield Trio Evidence of Coverage
2021 Blue Shield Trio Summary of Benefits
2021 Blue Shield Trio HMO Network Zip Code List
Blue Shield Trio 2021 Network List
2021 Blue Shield Access+ HMO Evidence of Coverage
2021 Blue Shield Access+HMO Summary of Benefits
2021 Kaiser Evidence of Coverage
2021 Kaiser Summary of Benefits
2021 United Healthcare HMO Evidence of Coverage
2021 United Healthcare Summary of Benefits
How to register for myCALPERS to locate your current physician’s network in other plans for 2021:
www.calpers.ca.gov/page/education-center/using-mycalpers
2020 plan documents
2021 Virtual Open Enrollment Presentations
2021 Full Time Employee Monthly Contribution Rates2020 Full Time Employee Monthly Contribution RatesCalPERS 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 RelationshipMonthly Employee Premium Contributions Pre-tax ElectionReliance Standard BeneficiaryReliance Standard Group LifeReliance Standard EAP
Part-Time Employees
2021 Part Time Employee Contribution for All Tiers2020 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)
