Health Care Benefits

2023-24 Health Fair Flyer

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2022-23 HEALTH CARE BENEFITS - Rates effective 10/1/2022 to 9/30/2023

California Flood Resources - January 2023

American Fidelity Benefits Enrollment

2022-23 Plan for tomorrow, today.

Benefits Site

No Action required IF you are not making any changes to your medical, dental, and/or vision coverage.

Review Rate Sheet to recognize the increase in medical plan costs.

403(b) Plan :	Click here for information on 403(b) Plan
Pension Plan :	Click here for information on Retirement Plan

Certificated

Letter: CVT - 2022-23 Open Enrollment Letter
Plan Selection Form: 2022-2023 CVT Certificated Plan Selection Form
Forms:	CVT- Group Membership Enrollment/Change Form
	CVT- Kaiser Enrollment/Change Form
	CVT- MetLife Beneficiary Designation Form
	CVT- Coverage Opt- Out Form
Medical		Dental	Vision	Life Insurance
CVT - Anthem PPO	CVT - Kaiser
Rate Sheet - Health / Dental / Vision / Life
Flyers with information
Employee Assistance Program - EAP
CVT- PPO Health Plans	CVT- HMO Kaiser Health Plans	Delta Dental - Network Advantage		CVT- Life Insurance Plans
CVT- PPO Bronze / Wellness Plans			MetLife and VSP Vision care
Consumer medical	Mental Health and Wellness- Power of Self-Care
Hospital Outpatient Services	Kaiser- Virtual Health	Where's my ID Card
MDLIVE - Your virtual doctor
Change Your Life in 16 weeks
Earn rewards for wellness
Connect with the care: Anthem-Sydney Health
Anthem-Sydney mobile App
Other information:
CVT - HIPAA Privacy Notice
CVT - Exchange Notification

Unrepresented Certificated

Letter: CVT - 2022-23 Open Enrollment Letter
Plan Selection Form: 2022-2023 CVT Unrepresented Certificated Plan Selection Form
Forms:	CVT- Group Membership Enrollment/Change Form
	CVT- Kaiser Enrollment/Change Form
	CVT- MetLife Beneficiary Designation Form
Medical		Dental	Vision	Life Insurance
CVT - Anthem PPO	CVT - Kaiser
Rate Sheet - Health / Dental / Vision / Life
Flyers with information
Employee Assistance Program - EAP
CVT- PPO Health Plans	CVT- HMO Kaiser Health Plans	Delta Dental - Network Advantage		CVT- Life Insurance Plans
CVT- PPO Bronze / Wellness Plans			MetLife and VSP Vision care
Consumer medical	Mental Health and Wellness- Power of Self-Care
Hospital Outpatient Services	Kaiser- Virtual Health	Where's my ID Card
MDLIVE - Your virtual doctor
Change Your Life in 16 weeks
Earn rewards for wellness
Connect with the care: Anthem-Sydney Health
Anthem-Sydney mobile App
Other information:
CVT - HIPAA Privacy Notice
CVT - Exchange Notification

Classified

Letter: SISC - 2022-23 Open Enrollment Letter
Plan Selection Form: Classified: 2022-23 SISC-Plan Selection Form (Required for all new and changes)
Forms:	SISC III Enrollment Form
	SISC III Membership Change Form
	Kaiser- California Region Group Enrollment Form
	Declination of Coverage Form - *(only for Part-Time staff)*
	WABE Option Form
Medical			Dental	Vision
SISC - Anthem PPO	SISC - Kaiser	SISC - WABE		EyeMed	Kaiser
Rate Sheet: Medical Health Plan			Rate Sheet: Dental Plan	Rate Sheet: EyeMed Vision Plan	Included in Health Plan
SISC - Rates At A Glance - As of 10/1/2022
Anthem/BlueShields/Kaiser - HSA A Deductible Change effective 1/1/2023 SISC Coverage of At-Home COVID-19 Test Kits SISC- Carrum Health - Surgery benefit SISC- California Floods-Natural Disaster COE SISC- Specialists & Expert Advice
Flyers with information
Stanford Health effective: 9/1/2022 Pre-Termination FAQ Alternate Facilities to Stanford
Employee Assistance Program EAP - How to reach us? EAP - Resources		WABE Value Added		SISC EyeMed Plans	Kaiser-Vision Benefits
In-Shape Club - Corporate Discount Blue Shields- Fitness your way SISC- Need Someone to talk to?
Anthem Blue Distinction Plus	Healthy LifeStyle Programs
Anthem PPO 1st Three Visit $0 Co-pay	Mental Health and Wellness
Anthem Sydney App	Digital Tools for Emotional Wellness
Benefits of Health Savings Account(HSA)	Plan & Member Benefits
Carrum Health-The Smart Surgery Benefit
Contigo Health Cancer Benefit
Costco Free Generic Medications
Hinge Health		Hinge Health
MDLive - $0 Co-pay		MDLive - $0 Co-pay
Navitus Customer Care 24-7
Value Based Site-of-Care Benefit
VIDA Health		VIDA Health
Anthem SISC Plan Features and Member Benefits
Blue Shields SISC Plan Features and Member Benefits
SISC 2022-23 Benefit Changes
Eden - Virtual Primary Care
Other information:
HIPAA Notice of Privacy Practices
SISC Exchange Notification

Unrepresented Classified

Letter: SISC- Open Enrollment Letter for 2022-2023
Plan Selection Form: Unrepresented Classified: 2022-23 SISC-Plan Selection Form *(Required for all new and changes)*
Forms:	SISC III Enrollment Form
	SISC III Membership Change Form
	Kaiser- California Region Group Enrollment Form
	Declination of Coverage Form - *(only for Part-Time staff)*
	WABE Option Form
Medical			Dental	Vision
SISC - Anthem PPO	SISC - Kaiser	SISC - WABE		EyeMed	Kaiser
Rate Sheet: Medical Health Plan			Rate Sheet: Dental Plan	Rate Sheet: EyeMed Vision Plan	Included in Health Plan
SISC - Rates At A Glance - As of 10/1/2022
Anthem/BlueShields/Kaiser - HSA A Deductible Change effective 1/1/2023 SISC Coverage of At-Home COVID-19 Test Kits SISC- Specialists & Expert Advice
Flyers with information
Stanford Health effective: 9/1/2022 Pre-Termination FAQ Alternate Facilities to Stanford
Employee Assistance Program EAP - How to reach us? EAP - Resources		WABE Value Added		SISC EyeMed Plans	Kaiser-Vision Benefits
Anthem Blue Distinction Plus	Healthy LifeStyle Programs
Anthem PPO 1st Three Visit $0 Co-pay	Mental Health and Wellness
Anthem Sydney App	Digital Tools for Emotional Wellness
Benefits of Health Savings Account(HSA)	Plan & Member Benefits
Carrum Health-The Smart Surgery Benefit
Contigo Health Cancer Benefit
Costco Free Generic Medications
Hinge Health		Hinge Health
MDLive - $0 Co-pay		MDLive - $0 Co-pay
Navitus Customer Care 24-7
Value Based Site-of-Care Benefit
VIDA Health		VIDA Health
Anthem SISC Plan Features and Member Benefits
Blue Shields SISC Plan Features and Member Benefits
SISC 2022-23 Benefit Changes
Other information:
HIPAA Notice of Privacy Practices
SISC Exchange Notification

Management

Letter: SISC- Open Enrollment Letter for 2022-23
Plan Selection Form: Management: 2022-23 Plan Selection Form (Required for all new and changes)
Forms:	SISC III Enrollment Form
	SISC III Membership Change Form
	Kaiser: California Region Group Enrollment Form
	WABE Option Form

Medical			Dental	Vision
SISC - Anthem PPO	SISC - Kaiser	SISC - WABE		EyeMed	Kaiser
Rate Sheet: Medical Health Plan			Rate Sheet: Dental Plan	Rate Sheet: EyeMed Vision Plan	Included in Health Plan
Anthem/BlueShields/Kaiser - HSA A Deductible Change effective 1/1/2023 SISC Coverage of At-Home COVID-19 Test Kits SISC- Specialists & Expert Advice
Flyers with information
Stanford Health effective: 9/1/2022 Pre-Termination FAQ Alternate Facilities to Stanford
SISC-EAP Overview EAP Information EAP Caring for our Communities		WABE Value Added		SISC- EyeMed Plans	Kaiser-Vision Benefits
Anthem Blue Distinction Plus	Healthy LifeStyle Programs
Anthem PPO 1st Three Visit $0 Co-pay	Mental Health and Wellness
Anthem Sydney App	Digital Tools for Emotional Wellness
Benefits of Health Savings Account(HSA)	Plan & Member Benefits
Carrum Health-The Smart Surgery Benefit
Contigo Health Cancer Benefit
Costco Free Generic Medications
Hinge Health		Hinge Health
MDLive - $0 Co-pay		MDLive - $0 Co-pay
Navitus Customer Care 24-7
Value Based Site-of-Care Benefit
VIDA Health		VIDA Health
Anthem SISC Plan Features and Member Benefits
Blue Shield SISC Plan Features and Member Benefit

Other information:
HIPAA Notice of Privacy Practices
SISC Exchange Notification

Self-pay No-Cap Employees

CERTIFICATED	CLASSIFIED	MANAGEMENT
SISC Anchor Bronze Plan Selection Form	SISC Anchor Bronze Plan Selection Form	SISC Anchor Bronze Plan Selection Form
	SISC Blue Cross Anthem Minimum Value PPO