Eligible Faculty Members 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 BlueCross PPO
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.
Coverage, California Residents:
Coverage, Non-California Residents:
Anthem Faculty Grandfathered Status Disclosure:
Medical Eye Services (MES):
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:
Delta Dental PPO Plus Premier Plan
Delta Dental Delta Care HMO
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.
Please use the program name, "AnthemResourceAdvisor", to log into your services.
District's Cafeteria/125 Plan Administrator:
Benefits - Disability, Life Insurance, Cancer/Intensive Care:
Fax: 800-818-3453(Disability Only)
Flex Account Administration - Medical Expense/Dependent Care Accounts:
403(b) & 457(b) Plan Information
3rd Party Administrator:
ENVOY PLAN SERVICES, INC.
73 Elgin Parkway NE, Suite 202
Fort Walton Beach, FL 32548
California State Teachers' Retirement System