ASCC Benefits

Eligible Administrators / Supervisors / Confidential / Classified Employees and Retirees:

General Information and Requirements:
Change forms must be completed and returned to the Human Resources Department within 30 days of the event (marriage/domestic partnership; birth/adoption/legal guardianship). Please contact the Benefits Assistant in the Human Resources Department for change forms and required documentation.

Please note: Dependent children are eligible to the age of 26. The Patient Protection and Affordable Care Act (PPACA) requires health plans and issuers that offer dependent coverage to make the coverage available until the adult child reaches the age of 26. This coverage must be extended regardless of the adult child's marital or student status or financial dependence on the employee.

Medical Benefits Documents:

Anthem Blue Cross PPO  Anthem BlueCross Logo

Under the Prudent Buyer Plan, you can choose your own physician or a Prudent Buyer Physician each time you receive care. A non-Prudent Buyer Physician will be paid a percent of eligible charges according to customary and reasonable rates. A Prudent Buyer Physician will be paid based on Blue Cross pre-negotiated fees. Therefore, your out-of-pocket cost will be lower when you use a Prudent Buyer Provider.

Medical:

Phone: 800-288-2539
Web: www.anthem.com/ca

Documents:
Coverage, California Residents:

Coverage, Non-California Residents:

Prescriptions:

Phone: 866-297-1013
Web: www.anthem.com/ca
Documents:

Vision (For Anthem Blue Cross Subscribers):

Medical Eye Services (MES):
Phone: 800-877-6372
Web: www.mesvision.com
Documents:

Kaiser Kaiser Logo

Kaiser Foundation Plan is a Federally Qualified Health Maintenance Organization (HMO) which arranges for medical and hospital care to be provided at their Kaiser Permanente facilities or with the contracted affiliated physicians or hospitals in Western Ventura County. Members may use any one of their medical offices and hospitals when care is required. This plan includes annual vision exam, and $150 towards frames, lenses, or contact lenses once every 24 months.

Medical & Vision:

Phone: 800-464-4000
Web: www.kaiserpermanente.org

Documents:

Delta Dental DeltaDental Logo

Delta Dental PPO Plus Premier Plan

Phone: 866-499-3001
Web: www.deltadentalins.com

Documents:

Delta Dental Delta Care HMO

Phone: 800-422-4234
Documents:

Note: If you make a change from the Delta Dental PPO Plan to the Delta Dental DHMO (Delta Care) and then switch back to the Delta Dental PPO Plan at then next Open Enrollment or Qualifying Event, your incentive level will revert back to 70%. Please review the Delta Care Network of Providers. It is unlikely that your current Delta Dental PPO Dentist is in the Delta Care HMO Network.

American Fidelity American Fidelity Logo

District's Cafeteria/125 Plan Administrator:

Web: https://americanfidelity.com

Documents:


Benefits - Disability, Life Insurance, Cancer/Intensive Care:
Phone: 800-662-1113
Fax: 800-818-3453 (Disability Only)

Customer Service:
Phone: 800-323-3748
Fax: 800-522-6343

Flex Account Administration - Medical Expense/Dependent Care Accounts:
Phone: 800-325-0654
Fax: 800-543-3539

Annuity Services:
Phone: 800-662-1106

Social Security Administration Social Security Logo

Phone: 800-772-1213
Web: www.socialsecurity.gov

Documents:

403(b) & 457(b) Plan Information Envoy Plan Services logo

3rd Party Administrator:
ENVOY PLAN SERVICES, INC.
c/o TSACG
73 Eglin Parkway NE, Suite 202
Fort Walton Beach, FL  32548
Phone: 800-248-8858
Fax: 877-513-2272
Email: info@envoyplanservices.com
Web:   www.EnvoyPlanServices.com

Documents:

 

California Public Employees' Retirement System CalPERS logo

Phone: 888-225-7377
ID: 4498279959
Web: www.calpers.ca.gov