The Kaiser & Flexible Spending Account
Special Enrollment Period for Spring '25 has Ended
If 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) you may enroll as long as you notify HR Benefits and submit all necessary documents within 30 days of your qualifying event.
KAISER PERMANENTE
As of March 1, 2024 the District is proud to offer eligible associate faculty TWO different medical plans with Kaiser Permanente to select from.
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 regular coverage period for fall semesters is September 1 through February 28 and spring semesters is March 1 through August 31 (effective dates may vary based on your eligibility). All participants are required to submit a Verification of Eligibility form each semester to continue coverage. Those not currently enrolled must also submit an enrollment form as well as proof of dependent eligibility, if applicable. Enrollment documents are only accepted during each semester's regular enrollment window and our regular Open Enrollment period (typically held in September) with an effective date of your coverage/change of OCTOBER 1. If 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) you may enroll as long as you notify HR Benefits and submit all necessary documents within 30 days of your qualifying event.
Click here for the Spring '25 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 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 your courses' census date (voluntarily or involuntarily) below 40%, your coverage will end the last day of the month in which your load is reduced. You may be eligible for continuation coverage under COBRA.
- If you have less than a 40% load spring semesters, but have more than a 40% load the previous fall semester, you are eligible to enroll if your combined load averages 40% each semester. This only applies during the same academic year.
- You and any enrolled dependent may not have any other medical coverage and must sign a statement verifying that you have no other coverage. You are resonsible for any premium paid by the District for you and/or any covered dependent determined to be ineligible.
- As of September 1, 2024, the district will contribute 50% of the premium for any eligible dependents you enroll. Click here for a list of documentation accepted to establish their eligibility.
- 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.
- The employee is responsible for any premium the district overpays for you or a dependent you enroll that is ultimately ineligible for coverage so you must notify HR.Benefits@sjeccd.edu immediately if you and/or your dependent's status changes.
- As of September 1, 2024, the district will contribute 50% of the premium for any eligible dependents you enroll. Click here for a list of documentation accepted to establish their eligibility.
Your actual signature or an electronic signature with Certificate is required. Yped signatures or electronic signatures without the Certificate will be rejected and your enrollment may be delayed or denied.
Plans Available
PLAN A - Kaiser (Traditional) Plan (606364-0030ACN)
Click here for the enrollment packet for Plan A - including copays, prescription coverage, the EAP Plan, and Teledoc
The monthly premium for Plan A is:
DOCUMENTS REQUIRED TO ENROLL IN/CONTINUE COVERAGE IN PLAN A
New Enrollees
If you are NOT currently enrolled in this District plan, you MUST submit the following within 30 days of the qualifying event (newly hired, increased hours/assignment, marriage, birth, adoption, etc.,) to enroll:
Proof of Dependent Eligibility - Click here for a list of documentation accepted to establish their eligibility
Late forms will not be accepted. Your actual signature or an electronic signature with Certificate is required. Yped signatures or electronic signatures without the Certificate will be rejected and your enrollment may be delayed or denied.
Changes - Adding a Dependent
If you are currently enrolled in this plan and now elect to add a dependent, you MUST submit the following within 30 days of the qualifying event (marriage, birth, adoption, etc.,) to enroll him/her/them.
Required Proof of Dependent Eligibility - Click here for a list of documentation accepted to establish their eligibility
Late forms will not be accepted. Your actual signature or an electronic signature with Certificate is required. Typed signatures or electronic signatures without the Certificate will be rejected and your enrollment may be delayed or denied.
Switching From Plan B to Plan A
If you are currently enrolled in one plan and wish to switch to the other plan, you MUST submit the new plan Enrollment Form during our regular Open Enrollment Period (typically held in September/August).
Late forms will not be accepted. Your actual signature or an electronic signature with Certificate is required. Yped signatures or electronic signatures without the Certificate will be rejected and your enrollment may be delayed or denied.
Kaiser (Deductible) Plan (606364-0134ACN) – Plan B
Click here for the enrollment packet for Plan B - including copays, prescription coverage, the EAP Plan, and Teledoc
The monthly premium for Plan B is:
Of the amounts above, the District will contribute 100% of the monthly employee only cost. Employee is responsible for 50% of their dependent’s coverage.
DOCUMENTS REQUIRED TO ENROLL IN PLAN B
New Enrollees
If you are NOT currently enrolled in this District plan, you MUST submit the following within 30 days of the qualifying event (newly hired, increased hours/assignment, marriage, birth, adoption, etc.,) 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 new plan Enrollment Form during our regular Open Enrollment Period (typically held in September/August).
Proof of Dependent Eligibility (if enrolling dependents)
IF YOU ARE NOT ELIGIBLE NOW, BUT BECOME ELIGIBLE MID-SEMESTER, ENROLLMENT FORMS AND PROOF OF DEPENDENT ELIGIBILITY DOCUMENTS ARE DUE IN HUMAN RESOURCES WITHIN 30 DAYS OF YOUR QUALIFYING EVENT (BECOMING ELIGIBLE). Email HR.Benefits@sjeccd.edu
LATE FORMS WILL NOT BE ACCEPTED.
NO EXCEPTIONS.
ADDITIONAL BENEFITS
FLEXIBLE SPENDING ACCOUNTS
Each spring semester you will have an opportunity to enroll in a flexible spending account for that calendar year. If you are hired mid-year, you have 30 days from your first day of work to enroll in a flexible spending account, unless you have a qualifying event (marriage, new baby, spouse loses coverage, etc). As long as you within 30 days of your qualifying event. For the spring semester, your effective date is based on when you had your contract in place (if you worked the previous fall semester) your start date in the spring, and your full annual election will be deducted from March, April, May, and June paychecks for eligible expenses incurred between your effective date and December 31 of that year, as long as you remain employed by the District.
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.
The enrollment period for 2025 accounts is closed. If you believe you have had a qualifying event, email HR.Benefits@sjeccd.edu for assistance.
Click here for more information on the plans:
Medical/Health Care Plan Overview
2025 Plan Year Highlights - including information on carry over and online registration
2025 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.