2024-25 Employee Health Benefits

The District offers medical, dental, and vision coverage to employees and their eligible dependents. Employees who work a minimum of 20 hours per week are eligible for benefits. Annual open enrollment for medical, dental, and vision coverage is conducted each May with an effective date of July 1. The Open Enrollment period is an opportunity to change medical carriers, plans, and/or change dependent coverage.

Open Enrollment

2024-25 Employee Benefit Guide

We are proud to offer a comprehensive benefits package to eligible employees. The complete benefits package is briefly summarized in this booklet. Documents from the carriers will give you more detailed information about each of these programs.

Employees may have a cost share for some benefits and other benefits may be provided at no cost. In addition, you may have access to voluntary benefits with reasonable group rates that you can purchase through payroll deductions.

Benefitsolver

Schools Insurance Group

Rates

2024-25 Medical Rates

The rate sheets below show the monthly deduction per pay period for each employee classification:

Medical coverage is subject to availability depending on residence. See Carriers section below for the service area maps/lists. Dental and vision plans available for employees are as follows:

Dental

Vision

Certificated

DEL1B

VSC10

Classified

DEL1X

VSB00

Confidential/Admin

DEL1B

VSB00

Participation in dental and/or vision coverage requires participation in medical coverage.

What's New for 2024-25?

We will be keeping the current Traditional HMO plans for Kaiser, Sutter Health Plus, and Western Health Advantage. No changes to those benefits.

A New Deductible HMO plan will be added to Kaiser, Sutter Health Plus, and Western Health Advantage. This plan is not HSA compatible:

  • These plans will have a $1,000/Individual or $2,000/Family Deductible and a 20% Coinsurance (after the deductible has been met). The deductible and coinsurance apply to:

    • Hospitalization

    • Emergency Room Visit

    • Outpatient Surgery

  • $3,000/Individual or $6,000/Family Out-of-Pocket per calendar year.

  • Office visit copay is $20 for primary care and specialists.

  • No Drug deductible.

Blue Shield TRIO increased Member Cost Share

  • $30 Office Visit Copay.

  • $250 Emergency Room Visit Copay.

  • Max Out-of-Pocket $3,500 Individual/$7,000 Family.

HDHP Plan Changes (IRS Mandates)

  • Sutter Health Plus $1,500/$3,000 Deductible plan will change to a $1,600/$3,200 Deductible plan. The Out-of-Pocket max will change to $3,200 Individual /$6,400 Family.

  • Kaiser $2,000 HDHP Out-of-Pocket max will change to $3,200/Individual

  • Kaiser $3,000 HDHP will change to $3,000/$3,200/$6,000.

  • Individual Deductible within a family will move to $3,200 (IRS Mandate). Applies to:

    • Kaiser, SHP, and WHA HDHP Plans

    • Blue Shield $2,700 HDHP Plan

Delta Dental

  • Addition of the SmileWay program for eligible members. Please click here for additional information.

VSP

  • Frame Allowance increases to $200.

Carriers

Links to the carriers' microsites, webinars, service area, and Summaries of Benefits and Coverage (SBCs).