| Employee Benefit Enrollment Information | |
| 2008 Benefit Information | |
| VEBA web site (includes health plan summaries) | |
| Health Enrollment Form | |
| Dental Enrollment Form | |
| Creative Benefits, Inc | |
| Customer Service: (800) 295-5656, Group #1151 You may fax claims with receipts to (760) 599-9890 Online claim form (pdf) Track your claims, payments, and balance available here Not sure this benefit is for you? Review the information in the documents below. Eligible expenses (pdf) Dependent care worksheet (pdf) Health care worksheet (pdf) |
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| Delta Dental | |
| Membership Services Department: (866) 499-3001, Group #6267 www.deltadentalca.org | |
| Plan Document (pdf) | |
| Employee Assistance Services for Education (EASE) | |
| Client Services (858) 277-3273 This District-paid counseling program offers eligible employees and their family members up to 6 visits a year for personal, job related, alcohol, drug, emotional, family and/or marital problems. It is completely confidential. |
|
| Eyemed Vision Care | |
| (effective 12/1/05-not available to retirees) Provider Locator Service: 1-866-723-0596 |
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| www.enrollwitheyemed.com | |
| Benefit Summary, with premium rates(pdf) | |
| Enrollment form (pdf) | |
| FAQ (pdf) | |
| Hyatt Comprehensive Legal Plan | |
| (effective 10/1/05-not available to retirees) Client Service Center (800) 821-6400 Premium rate (10-pay): $21.00 per month, September through June Employee-paid plan. For more information visit: www.legalplans.com , click "Thinking about enrolling?" and enter password 100010 |
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| Plan information sheet (pdf) | |
| Enrollment form(pdf) | |
| Plan Document(pdf) | |
| Kaiser Permanente | |
| Member Services: (800) 464-4000, Group #227322 Seven days a week, 7 a.m. to 7 p.m. Emergency: (619) 528-5700 www.kp.org |
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| Kaiser Permanente Healthwise Handbook | |
| Summary of benefits effective 12/1/05-11/30/06 (pdf) | |
| Kaiser claims review process for coordination of benefits (pdf) | |
| PacifiCare Behavioral Health Of California (PBHC) | |
| Effective 12/1/2006 Membership Services: 1-800-999-9585 or TTY 1-800-735-2929 |
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| PacifiCare SignatureValue Advantage HMO-10 | |
| 800 624-8822 - Chiropractic - American Specialty Health http://www.ashcompanies.com/ | |
| HMO-10 Plan Summary (pdf) | |
| Plan Document(pdf) | |
| PacifiCare SignatureValue Advantage POS-15 | |
| 800-913-9133 - Chiropractic - American Specialty Health http://www.ashcompanies.com/ | |
| POS-15 Plan Summary(pdf) | |
| Plan Document(pdf) | |
| SafeGuard Dental Plan | |
| Membership Services: (800) 880-1800, Group #9707351 www.safeguard.net | |
| Standard Income Protection Insurance | |
| District-paid disability insurance, claim form (pdf) | |
| UNUM/Provident Long Term Care | |
| Customer Service: (800) 227-4165, ID#105237-0013 Long-Term Care Flyer (pdf) | |
| VEBA Voluntary Employees Benefit Assoc | |
| Customer Service: (619) 260-2660 www.vebaonline.com | |
Payroll / Benefits
Insurance Benefits/Benefits Providers