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Benefits

 

The Tamalpais Union High School District provides a health benefits package to certificated staff who work at least 60% of full time and to classified staff who work at least 30 hours per week. Benefits begin on the first day of the month following a 30-day waiting period. The benefits package includes Health/Medical Insurance, Dental Insurance, Vision / Eye Care, Life Insurance and the Employee Assistance Program (EAP). Employee costs for benefits are monthly.

Per District policy, and in accordance with TFT and CSEA collective bargaining agreements, District coverage is required for all eligible staff. TUSHD does not offer cash in lieu as an alternative to taking district coverage.

Double Coverage: If newly employed by TUHSD, but are currently enrolled under a spouse/partner’s plan, you are still required to take the TUHSD benefit package.  As the employee, your TUHSD coverage becomes your primary coverage. Double coverage is allowable, but you will need to work with either Kaiser or Blue Shield to coordinate those benefits. Kaiser does not automatically coordinate double coverage and you will need to contact customer support directly. It is strongly recommended to reach out to Kaiser before seeking care with another other provider.

Please see this link for information on Double Coverage with Delta Dental.

*** PER SISC, THERE IS A 30-DAY WINDOW TO MAKE CHANGES TO YOUR BENEFIT COVERAGE WITH A QUALIFYING EVENT. ANYTHING OUTSIDE 30 DAYS WILL NEED TO WAIT FOR THE OPEN ENROLLMENT PERIOD.  OPEN ENROLLMENT TYPICALLY HAPPENS IN AUGUST, AND ALL CHANGES TAKE EFFECT OCTOBER 1st. ***    

 

QUALIFYING EVENTS (Documentation is required for all QEs)

  1. Birth / Adoption
  2. Loss of Coverage elsewhere (Spouse/Domestic Partner/ Child)
  3. Change in employment status
  4. Marriage / Divorce
  5. Qualified Medical Child Support Order (QMCSO) requiring enrollment of dependent child


2024 - 2025 Plan Starts 10/01/2024 - 09/30/2025

Employee Plan  Employee  Cost
Hired Prior to June 2019		 Employee Cost
Hired After June 2019
Kaiser HMO $0 $437.74
Blue Shield 80% PPO $102.00 $539.74
Blue Shield 100% PPO $650.00 $1,087.74

*Employee cost is monthly

GENERAL INFORMATION

*Per District policy, and in accordance with the CA School Employee Association (CSEA) Collective Bargaining Agreement (CBA), a health cap of $20,000 has been instituted for all new employees hired after June of 2019, and requires enrollment in said coverage for all eligible staff.

Benefits Group Numbers

TUHSD 2024-25 Benefit Summary & Health Cap

Self-Insured Schools of California (SISC) HIPAA Notice of Privacy Practices

HEALTH INSURANCE PLAN SUMMARIES

HEALTH INSURANCE ENROLLMENT FORMS



COBRA: Notice of Continuation Coverage Rights

 

DENTAL

Please note, Delta Dental does not send out membership cards. You will need to log in/create  your account and can access your membership card from there. Membership cards are not required as most dental providers can find you in the system by your SSN.  

VISION

Vision Service Plan (VSP) provides for WellVision exam, prescription lenses, frames, laser vision care, contacts and primary eye care.

Please note, VSP does not send out membership cards. You will need to log in/create  your account and can access your membership card from there. Membership cards are not required as most vision providers can find you in the system by your SSN.  

LIFE INSURANCE
Life insurance is employer paid and provided through Metlife.
Enrollment Form

 

EMPLOYEE ASSISTANCE PLAN (EAP)

The Employee Assistance Program (EAP) is available to all TUHSD employees, and includes access to the following services: clinical counseling, tobacco cessation,  alcohol and substance abuse counseling, financial consultations, pre-retirement counseling, child care consultations, elder care consultations, federal taxpayer consultation and representation service, legal counseling and organizational help.

 

ADDITIONAL HEALTH PLAN BENEFITS


The following value-added services are included with employee benefit plans (as noted):

  • LifePerks - Savings to smile about (additional dental benefit)

  • Teladoc Medical Experts - Expert Medical Opinions (Kaiser & Blue Shield members)

  • Eden Health Virtual Primary Care (Blue Shield members)

  • Contigo Health - Enhanced Cancer Benefit (Blue Shield members)

  • Carrum Health - Hip, Knee, and Spine Surgical Benefit. (Blue Shield members)

  • MD Live – 24/7 Physician Access—Anytime, Anywhere (Blue Shield members)

  • Hinge Health– Physical Therapy for Back or Joint Pain (Blue Shield members)

  • Vida – Personal Health Coach or Therapist (Blue Shield members)
  • Maven - Virtual Maternity and Postpartum Support (Blue Shield members)

  • MyStrength – Digital Tools for Emotional Wellness (Kaiser Members)

  • Omada – Diabetes Prevention Program (Kaiser members – Ask your Kaiser  Primary Care Physician)

  • Calm – Meditation app (Kaiser members – Visit www.kp.org/selfcareapps)

  • Telephonic Wellness Coaching (Kaiser members – Visit www.kp.org/coaching)

  • ClassPass – Video workout and Livestreams (Kaiser members – Visit www.kp.org/exercise)

  • Eyeconic Online Eyewear & Contacts Discount (VSP)

 

OMNI 403(b) PLAN

*Only full-time regular employees are eligible to participate in this optional benefit.  It is not offered to part-time employees or extra hires.

Process to Start/ Stop/ Change 403b Contributions or Providers:

  1. When looking to access 403b funds to complete any transaction (withdrawal, exchange, transfer, etc.), Employees first obtain the necessary paperwork from the service provider(s),  they secondly obtain authorization/approval from OMNI. This is done by submitting the transaction form on the TUHSD/Omni website.
  2. OMNI reviews and approves the participant’s transaction on the District’s behalf.
  3. Some service providers request physical signatures; however, the OMNI Certificate of Approval should be honored by the service provider to authorize/complete the transaction.  If the participant needs to complete additional paperwork, as required by the service provider, that is to be worked out between the participant and the service provider(s).
  4.  For additional questions about the process/timeline, please call (1-877-544-6664) and one of OMNI’s representatives will assist and explain the process.

 

American Fidelity TUHSD Account Representative:

Mike Whittingham, Lic# OK18118
Account Executive, Northern California Branch Office
Mike.Whittingham@americanfidelity.com  
(916) 405-8156 office / Efax (405) 429-4674 

Per CSEA, Classified employees are covered under a group disability policy through American Fidelity. Should the need arise to use this plan, please contact AF customer service after completing the necessary forms (below). At the top of the form, and when you contact customer service, please tell them the following – “ I am covered under a group CSEA policy under MCP# 26738”.  Attempting to log in or create an account is not suggested as that is more associated with individual policies. There is a 7-day waiting period for this policy to take effect and includes a $50,000 Accidental Death Benefit.  

The customer service number is 1-800-662-1113.  
Plan highlights start on page two of the Policy Overview

FORMS
American Fidelity Disability Claim Form
American Fidelity Disability Claim Form - Spanish
American Fidelity Physician Statement

AMERICAN FIDELITY - SUPPLEMENTAL INSURANCE