- Certificated Employees
- Classified Employees
- Management Employees
- Head Start/Early Head Start Employees
- HIPAA Privacy Notice - Summary
- Full Notice of Privacy Practices
- Western Health Advantage Annual Member Update
- Delta Dental California - Dental
- Kaiser Permanente - Medical
- Vision Service Plan - Vision
- Western Health Advantage - Medical
- TSA 403(b) and 457 Providers
Certificated Employee Benefits
CERTIFICATED
HEALTH & WELFARE BENEFIT COSTS
EFFECTIVE 11/1/11-10/31/12
|
Type of Plan
|
Single | +One |
Family
|
| WHA HMO $20 OV, 100%, $10/20/30 RX |
$571.76 |
$1,143.52
|
$1,618.08
|
| WHA Low $20 OV,$500 per day Hospital, $15/30/50 RX $150 Deductible |
$481.42 | $962.85 | $1,362.41 |
| Kaiser (Vision included) $20 OV, 100% Hospital, $10/25 RX |
$773.46 | $1,546.91 | $2,188.88 |
| Kaiser Low $20 OV, $500 per person--80% Hospital, $10/30 RX |
$622.18 | $1,244.36 | $1,760.78 |
| Delta Dental $2,000 per year |
$120.00 |
$120.00
|
$120.00 |
| Vision Service Plan (VSP) | $29.65 |
$29.65
|
$29.65 |
|
Assurant Life Insurance |
$5.00 | ||
|
Negotiated Monthly Benefit Cap
New Cap Amount $414.00 Effective 7/1/09 |
|
|
Certificated Bargaining Unit Hired after 1/18/82
|
|
| Full Time: | $414.00 |
| 90% | $372.60 |
| 80% | $331.20 |
| 70% | $289.80 |
| 60% | $248.40 |
| 50% | $207.00 |
| Less than 50% | Ineligible |
Your Cap ___________
Your Cost __________
Total the costs of your choice of benefits and subtract your negotiated cap. The result is your monthly cost for your health and welfare selections.
Classified Employee Benefits
|
Type of Plan
|
Single | +One |
Family
|
| WHA HMO $20 OV, 100% Hospital, $10/20/30 RX |
$571.76 |
$1,143.52
|
$1,618.08
|
| WHA Low $20 OV, $500 per day Hospital, $15/30/50 RX $150 Deductible |
$481.42 | $962.85 | $1,362.41 |
| Kaiser (Vision included) $20 OV, 100% Hospital, $10/$25 RX | $773.46 | $1,546.91 | $2,188.88 |
| Kaiser Low $20 OV, $500 per person--80% Hospital, $10/$30 RX |
$622.18 | $1,244.36 | $1,760.78 |
| Delta Dental $2,000 per year |
$120.00 |
$120.00
|
$120.00 |
| Vision Service Plan (VSP) | $29.65 |
$29.65
|
$29.65 |
|
Assurant Life Insurance |
$5.00 | ||
|
Negotiated Monthly Benefit Cap
|
|
|
Classified Bargaining Unit Hired on or before 1/18/82
|
|
| Half Time or more: (4-8 hrs/day) | $414.00 |
|
Classified Bargaining Unit Hired after 1/18/82
|
|
| Full Time: (8 hours per day) | $414.00 |
| 6 7 hours per day | $362.25 |
| 5 hours per day | $258.75 |
| 4 hours per day | $207.00 |
| Less than 4 hours per day | - 0 - |
Your Cap ___________
Your Cost _____________
Total the costs of your choice of benefits and subtract your negotiated cap. The result is your monthly cost for your health and welfare selections.
Management Employee Benefits
MANAGEMENT
HEALTH & WELFARE BENEFIT COSTS
EFFECTIVE 11/1/11-10/31/12
|
Type of Plan
|
Single | +One |
Family
|
| WHA HMO $20 OV, 100% Hospital, $10/20/30 RX |
$571.76 |
$1,143.52
|
$1,618.08 |
| WHA Low $20 OV, $500 per day Hospital, $15/30/50 RX $150 Deductible |
$481.42 | $962.85 | $1,362.41 |
| Kaiser (Vision included) $20 OV, 100% Hospital, $10/25 RX |
$773.46 | $1,546.91 | $2,188.88 |
| Kaiser Low $20 OV/ $500 per person--80% Hospital, $10/30 RX |
$622.18 | $1,244.36 | $1,760.78 |
| Delta Dental $2000 per year |
$120.00 |
$120.00
|
$120.00 |
| Vision Service Plan (VSP) | $29.65 |
$29.65
|
$29.65 |
|
Assurant Life Insurance |
$5.00 | ||
NEGOTIATED MONTHLY BENEFIT CAP
$414.00/Month--Full Time
Your Cap ___________
Your Cost _____________
Total the costs of your choice of benefits and subtract your negotiated cap. The result is your monthly cost for your health and welfare selections.
Head Start/Early Head Start Employee Benefits
|
Type of Plan
|
Single | +One |
Family
|
| WHA HMO $20 OV, 100% Hospital, $10/20/30 RX |
$571.76 |
$1,143.52
|
$1,618.08
|
| WHA Low $20 OV, $500 per day Hospital, $15/30/50 RX $150 Deductible |
$481.42 | $962.85 | $1,362.41 |
| Kaiser (Vision included) $20 OV, 100% Hospital, $10/25 RX |
$773.46 | $1,546.91 | $2,188.88 |
| Kaiser Low $20 OV, $500 per person--80% Hospital, $10/30 RX |
$622.18 | $1,244.36 | $1,760.78 |
| Delta Dental $2,000 per year |
$120.00 |
$120.00
|
$120.00 |
| Vision Service Plan (VSP) | $29.65 |
$29.65
|
$29.65 |
|
Assurant Life Insurance |
$5.00 | ||
|
Negotiated Monthly Benefit Cap
|
|
| Full Time | $387.00 |
| 6 and 7 hours per day | $290.25 |
| 5 hours per day | $241.88 |
| 4 hours per day | $193.50 |
| Less than 4 hours per day | - 0 - |
Your Cap ___________
Your Cost _____________
Total the costs of your choice of benefits and subtract your negotiated cap. The result is your monthly cost for your health and welfare selections.