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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


Benefit Rates for 2025 - 2026 ~ Plan Starts 10/01/2025 - 09/30/2026

*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 2025-26 Benefit Summary & Health Cap   July 2025 - Sept. 2025

TUHSD 2025-26 Benefit Summary & Health Cap   Oct. 2025 - Sept. 2026

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

HEALTH INSURANCE PLAN SUMMARIES

HEALTH INSURANCE ENROLLMENT FORMS

Documents needed for new enrollment/changes to coverage:

  • If adding a spouse, you must provide a copy of the marriage certificate and the first page of your most current Federal Income Tax Return (financial information may be redacted). If married less than one year, only the marriage certificate is required
  • If adding a Domestic Partner (DP), you must provide a CA State registration of your Domestic Partnership. Per IRS mandates, additional taxes will be imputed from your paycheck
  • If adding dependents, you must provide a copy of their birth certificates and a copy of their social security card (when applicable)


COBRA: Notice of Continuation Coverage Rights

 

​LIFE INSURANCE

Life insurance is employer paid and provided through Madison Life Group
 

Group Life Insurance Enrollment Form

FAQ's for Life Insurance

 

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)
  • Costco - Pharmacy Benefit (Kaiser and 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)
  • Midi - Virtual Menopause Care (Blue Shield members)
  • Well Theory -  Personalized Autoimmune Care (Blue Shield members)

 

 

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.  For resources and information on your Delta Dental Plan, please visit: Delta Dental Group Member Resource Page

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.  

 

AMERICAN FIDELITY TUHSD ACCOUNT REPRESENTATIVE

Mike Whittingham, Lic. #OK18118

Account Executive, Northern California Branch Office

mike.whittingham@americanfidelity.com

Office (916) 405-8156 / E-fax (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 American Fidelity Customer Service after completing the necessary forms (below). At the top of the form, and when you contact Customer Service, please tell them "I am covered under a group CSEA policy under MCP#26738".  There is a 7-day waiting period for this policy to take effect and includes a $50,000 Accidental Dearth Benefit.

American Fidelity Customer Service: (800) 662-1113

Plan highlights start on page 2 of the Policy Overview

 

FORMS:

American Fidelity Disability Claim Form

American Fidelity Disability Claim Form (Spanish)

American Fidelity Physician Statement

 

SUPPLEMENTAL INSURANCE:

New Hire Overview

Cancer Insurance

Disability Insurance

Accident Insurance

 

OMNI 403(b) and 457(b) PLANS

*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.

 

COMMUTER BENEFITS PROGRAM BY EDENRED

Commuter Benefits are tax-free fringe benefits,  authorized by the Internal Revenue Code 132(f), that allows hardworking employees to pay for qualified commuting costs using pre-tax money. This can be applied to transit and parking expenses. Biking vouchers are also available through Edenred Commuter Benefits.

Commuter Benefit Resources:

-Please reach out to HR if you have trouble using the system.