KAISER PERMANENTE
Effective March 1, 2024 the District is proud to offer eligible associate faculty TWO different medical plans with Kaiser Permanente to select from.
THE ENROLLMENT PERIOD FOR SPRING '24 HAS CLOSED. IF YOU HAD A QUALIFYING EVENT, PLEASE CALL 408.223.6713 WITHIN 30 DAYS OF THE EVENT TO SEE IF YOU CAN ENROLL/CHANGE
Plan A is the District’s Traditional (existing) Kaiser Plan, and Plan B is a new Kaiser Deductible Plan. Enrollment for these plans is available each semester to employees and their eligible dependents. The coverage period for spring semester is March 1 through August 31, and for fall semester it is September 1 through February 28 (effective dates may vary based on your eligibility). All participants are required to submit a Verification of Eligibility form each semester to continue coverage and an Enrollment form for those not currently enrolled, as well as proof of dependent eligibility, if applicable. Enrollment documents will not be accepted outside of the date span above unless you have a qualifying event under HIPAA or you become eligible for coverage mid-semester (for example if you have only late-start classes, lose your other insurance, or are offered an additional assignment that now qualifies you for coverage).
Click here for the Spring '24 Associate Faculty Kaiser Plan Info Letter
Click here for a side-by-side comparison chart between Plan A & Plan B
Qualification for both plans is as follows:
- You must carry at least a .40 (40%) cumulative equivalent load of a minimum full-time faculty assignment (instructional and/or non-instructional).
- If you have less than a 40% load this spring, but had more than a 40% load Fall 2023 semester, you are eligible to enroll if your combined load averages 40% each semester.
- If your minimum 40% assignment includes late start classes, you are eligible to enroll effective March 1 as long as at least one active loaded assignment starts at the beginning of the semester and your contract lists the late start classes.
- If your entire assignment this semester is of late start classes, you are eligible to enroll effective the first of the month after you start working your assignment at 40%.
- If your load is reduced after February 16, 2024 (voluntarily or involuntarily) below 40%, coverage will end the last day of the month in which your load is reduced. You may be eligible for continuation coverage under COBRA.
- You and any enrolled dependent may not have any other medical coverage and must sign a statement verifying that you have no other coverage.
- Eligible dependents may be enrolled at full cost to the employee. Click here for a list of documentation accepted to establish their eligiblity.
- Children may be covered until their 26th birthday regardless of their dependent or student status. Disabled children over age 26 may be enrolled as long as they are your IRS dependent.
- Eligible dependents may be enrolled at full cost to the employee. Click here for a list of documentation accepted to establish their eligiblity.
- Your original signature is required on the Kaiser Enrollment Form and SISC Member Change Form. True electronic signatures are accepted, but typed names are not.
- All completed forms and supporting documentation, as applicable, are due in Human Resources by 5:00pm n Wednesday 2/21/2024.
NO LATE FORMS WILL BE ACCEPTED
Plans Available
PLAN A - Kaiser (Traditional) Plan (606364-0030ACN)
Click here for detailed information on Plan A - including copays, prescription coverage, the EAP Plan, and Teledoc
The monthly premium for Plan A through September 30, 2024 is:
Full Monthly Premium | |||
Employee Only | Employee + Spouse/Domestic Partner | Emp + Child/Children | Family |
$954.00 | $1,994.00 | $1,650.00 | $2,852.00 |
If enrolling dependents, the difference (amount less the District’s portion) per month to cover them on Plan A is:
Employee’s Monthly Share | ||||
Emp Only | Employee + Spouse/Domestic Partner | Emp + Child/Children | Family | |
March, April, May, & June 2024 | $00.00 | $1,040.00 | $696.00 | $1,898.00 |
Pre-tax deduction to pay for your dependent’s coverage on Plan A is taken from March, April, May, and June 2024 paychecks. Contact HR.Benefits@sjeccd.edu if you will not receive a paycheck in any of these months.
Employee’s Monthly Deduction - Plan A | ||||
Emp Only | Employee + Spouse/Domestic Partner | Emp + Child/Children | Family | |
March, April, May, & June 2024 | $00.00 | $1,560.00 | $1,044.00 | $2,847.00 |
DOCUMENTS REQUIRED TO ENROLL IN/CONTINUE COVERAGE IN PLAN A
New Enrollees
If you are NOT currently enrolled (from fall 2023) in this District plan, you MUST submit the following by 5:00pm, February 21, 2024 to enroll:
Proof of Dependent Eligibility (click here for list of accepted documents if enrolling dependents)
Late forms will not be accepted. Your actual signature or an electronic signature is required (Kaiser/SISC will reject any typed signatures).
Changes - Adding a Dependent
If you are currently enrolled in this plan and now elect to add a dependent, you MUST submit the following by 5:00pm, February 21, 2024 to enroll him/her/them.
Proof of Dependent Eligibility (click here for list of accepted documents if enrolling dependents)
Late forms will not be accepted. Your actual signature or an electronic signature is required (Kaiser/SISC will reject any typed signatures).
Continuing From Fall ’23 with No Changes
If you are currently enrolled in this plan and plan to continue your coverage exactly as it is, you MUST submit the following by 5:00pm, February 21, 2024 to continue your coverage, if eligible. Your portion of the premium will be terminated effective 3/1/2024.
Late forms will not be accepted. Your actual signature or an electronic signature is required (Kaiser/SISC will reject any typed signatures).
Kaiser (Deductible) Plan (606364-0134ACN) – Plan B
Click here for detailed information on Plan B - including copays, prescription coverage, the EAP Plan, and Teledoc
The monthly premium for Plan B through September 30, 2024 is:
Full Monthly Premium | |||
Employee Only | Employee + Spouse/Domestic Partner | Emp + Child/Children | Family |
$831.00 | $1,737.00 | $1,438.00 | $2,485.00 |
Of the amounts above, the District will contribute 100% of the monthly employee only cost. Employee is responsible for 100% of their dependent’s coverage.
If enrolling dependents, the difference (amount less the District’s portion) per month to cover them in Plan B is:
Employee’s Monthly Share | ||||
Emp Only | Employee + Spouse/Domestic Partner | Emp + Child/Children | Family | |
March, April, May, & June 2024 | $00.00 | $906.00 | $607.00 | $1,654.00 |
Pre-tax deduction to pay for dependent’s coverage is taken from March, April, May, and June 2024 paychecks. Contact HR.Benefits@sjeccd.edu if you will not receive a paycheck any of these months.
Employee’s Monthly Deduction - Plan B | ||||
Emp Only | Employee + Spouse/Domestic Partner | Emp + Child/Children | Family | |
March, April, May, & June 2024 | $00.00 | $1,359.00 | $910.50 | $2,481.00 |
DOCUMENTS REQUIRED TO ENROLL IN PLAN B
New Enrollees
If you are not currently enrolled in a District plan, you MUST submit the following by 5:00pm, February 21, 2024 to enroll:
Proof of Dependent Eligibility (if enrolling dependents)
Switching from Traditional Plan to the Deductible Plan
If you are currently enrolled in the District’s Traditional Plan (Plan A), but wish to switch coverage to this Deductible plan, you MUST submit the following by 5:00pm, February 21, 2024 to continue your coverage, if eligible.
Proof of Dependent Eligibility (if enrolling dependents)
ENROLLMENT FORMS AND PROOF OF DEPENDENT ELIGIBILITY DOCUMENTS ARE DUE IN HUMAN RESOURCES WITHIN 30 DAYS OF YOUR QUALIFYING EVENT
LATE FORMS WILL NOT BE ACCEPTED.
NO EXCEPTIONS.
ADDITIONAL BENEFITS
FLEXIBLE SPENDING ACCOUNTS
If you are teaching/counseling at SJCC or EVC you may participate in a Flexible Spending Account (FSA). As long as you enroll during your enrollment window, which is based on whether you were worked the previous semester, or within 30 days of your hire date, or qualifying event. Contact HR.Benefits at 408.223.6713 for assistance on determining your eligibility to enroll. Your full annual election will be deducted from your March, April, May, and June 2024 paychecks for spring semester, or October, November and December if you are elgible to enroll during the fall semester.
This is a use-it-or-lose-it plan so please be sure you will have eligible expenses during your eligibility period. All adjunct faculty may participate each year, regardless of your FTE. This enrollment period is strictly for new hires or returning faculty who did not work for the District fall semester 2023.
Click here for more information on the plans:
Medical/Health Care Plan Overview
2024 Plan Year Highlights - including information on carry over and online registration
2024 Flexible Spending Account Enrollment Form - Associate Faculty
ANTHEM EAP
AnthemEAP plans offer confidential counseling services to all our benefit eligible employees, associate faculty, covered retirees, covered dependents, and anyone living in the employee/covered retiree's household. Telephonic, electronic (like Facetime or Skype), and in person counseling services are available, as are legal services, financial planning services, child care assistance, elder care assistance, discounted tickets for movies and attractions, etc., as are resources for tobacco, alcohol and drug dependency and our over all emotional health and mental wellness.