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Home :: Employment :: Benefits
Benefits
The Benefits Department manages district-wide health benefits enrollment and changes for employees, retirees, and their families.
Administration:
Ellie Cervantes, Manager, Compensation and Benefits
Phone: 916-686-7778
Mailing Address:
Elk Grove Unified School District
Benefits
9510 Elk Grove-Florin Road
Elk Grove, CA. 95624
Benefits Information
Elk Grove Unified School District offers various benefits to eligible employees. The information on this page will help employees enroll in or make changes to specific benefits available.
Health Benefits
Elk Grove Unified School District offers health benefits to qualified employees and their eligible dependents. For qualifications of benefited employees, please refer to the Union Contracts. For dependent eligibility, please refer to the Benefits Overview below.
For employees eligible for Health Benefits, this Benefits Overview will explain information needed to complete the benefits packet at time of eligibility.
Benefits Overview (.pdf)
Medical
Elk Grove Unified School District offers two HMO medical plans for eligible employees to choose from along with the opportunity to waive the medical insurance if they are currently enrolled in an alternative insurance.
The Medical Co-Pay Comparison is only a brief description of the plans offered. For a more complete listing of all benefits and copayments, please refer to the websites listed below.
Medical Co-Pay Comparison (.pdf)
Kaiser “Buy Up” Plan (Please refer to the Benefits Overview for Employee cost):
Co-Pays for Kaiser High Cost Plan (.pdf)
Kaiser – www.kp.org
Health Net – www.healthnet.com
American Health Care (AHC) – www.americanhealthcare.com
(American Health Care is the Rx plan for Health Net Members)
Formulary & Pharmacy Information (.pdf)
Dental
Elk Grove Unified School District offers dental coverage through Delta Dental. For details about the plan, please refer to the Coverage Summary below.
Delta Dental – www.deltadentalca.org
Delta Dental Coverage Summary (.pdf)
Vision
Elk Grove Unified School District offers vision coverage through Vision Service Plan. For details about the plan, please refer to the Coverage Summary below.
Vision Service Plan (VSP) – www.vsp.com
VSP Coverage Summary (.pdf)
Enrollment/Change Forms
The following forms can be used to make changes to your currents benefits. All changes are subject to approval from the Benefits Department. Most mid-year changes require a qualifying event (i.e. marriage, divorce, newborn/adoption/legal guardianship, student status change, loss of coverage). You will have 30 days from the qualifying event to complete the forms and turn them in completed to our office. Proof of the qualifying event will be required with your enrollment/change forms. For more details about what documentation will be required, please contact Michelle Peter in the Benefits Department by phone at (916) 686-7778 Ext. 7677 or by e-mail: mapeter@egusd.net.
Cash Waivers
Cash Waiver payments of $65.00 per month will be made to employee’s pay who opts to waive medical insurance due to alternative medical coverage. Proof of alternative coverage, via a District Waiver Form, must be completed, signed, and submitted every year during Open Enrollment per IRC Section 125. STRS member will have STRS contributions collected from this payment.
EGUSD Employees whose spouses waive medical insurance through EGUSD and are enrolled through an EGUSD Employee or Retiree as their dependent will have the additional cost of premium waived if enrolled on the higher cost plan. You must make this change at time of hire or during Open Enrollment and the spouse that waives must renew their waiver each year to qualify. (Both members must be an EGUSD benefited employee or a benefit qualified Retiree from EGUSD)
**Effective January 1, 2008 a provision of the John Warner national Defense Authorization Act prohibits the payment of cash in lieu of District sponsored insurance when using TRICARE as primary insurance coverage.
To process your Cash Waiver print out the form below, complete the form with your name, social security number, and the “Cash Waivers” section of the form. Remember to sign and date your form and send the completed form to our office.
Cash Waiver Enrollment Form (.pdf)
MetLife Information
For benefit eligible employees, Elk Grove Unified School District offers a Basic Life Insurance Plan through MetLife
Life Insurance Plan Summary:
The following beneficiary form should be completed when an employee becomes benefit eligible with the district and should be updated as needed. In the unfortunate event of an employee’s death, the district will refer to this form in order to provide payments of specific Death Benefits to your surviving beneficiaries.
Along with the Life Insurance Plans, MetLife also offers other services for little or no cost to the employee.
Will Preparation covers the participating plan attorney’s fees for the employee and his/her spouse for services detailed in this summary.
MetDESK, MetLife’s Division of Estate Planning for Special Kids, can help employees who have dependents with special needs with proper planning that can help provide a quality of life. Services covered are detailed in this summary.
Survivor Assistance is a service offered to give advice to beneficiaries appointed by an employee in the unfortunate event of their death. Services are detailed in this summary.
Elk Grove Benefits Employee Retirement Trust
In July of 1995, Elk Grove Unified School District and the unions representing the employees formed Elk Grove Benefits Employee Retirement Trust (EGBERT) to provide post-retirement health insurance benefits. Please read the Summary Plan Description for details of the trust and the qualifications for eligibility.
Elk Grove Benefits Employee Retirement Trust (EGBERT) Summary Plan Description (.pdf)
**If you are within 2 years of retirement and wish to request a current count of health benefited months as an EGUSD employee, please complete the form below and submit to the Payroll Department.
Elk Grove Benefit Trust Health Insurance Eligibility Request (.pdf)
Disability
Active employees have access to disability benefits based on their classification and/or bargaining unit. This summary will give a brief description of those benefits.
Summary of Disability Benefits (.pdf)
**Please note, if you change bargaining units, there may be a change in your disability benefits. Please contact Payroll for more information.
Section 125 Flexible Spending Accounts (FSA)
Flexible spending accounts (FSA) are a tax-advantaged way to pay for qualified out-of-pocket health care expenses and work-related day care expenses. This benefit allows employees enrolled in the Elk Grove Unified School District Group Health Benefits to pay expenses with “pre-tax” dollars. The information summary will detail how the program works and what expenses are eligible. Enrollment in the FSA program can only occur at time of employment or during Open Enrollment. All employees participating in the FSA program must renew their account every year during Open Enrollment to continue the deduction.
Information (.pdf)
Enrollment Form (.pdf)
Tax Deferred Programs
Elk Grove Unified School District offers two types of voluntary tax deferred retirement plans to participate in through payroll deduction. Employees may contribute to one or both programs listed below. For more information on both programs, please visit the websites below.
Notice of Eligibility to Participate in a 403(b), 457 Deferred Compensation Program (.pdf)
403(b) – www.calstrs403bcomply.com
(888) 892-7494
**All enrollments and changes are processed on this website or by calling this number.
457 – www.calpers.ca.gov
(800) 260-0659
457 Enrollment Form (.pdf)
457 Beneficiary Form (.pdf)
457 Change Form (.pdf)
**For withdrawal request information, please contact CalPERS.
Benefits Staff Directory:
Supervisor: Kathy Stone
Office Support: Carlos Flores
Michelle Peter - Ext. 7677
- Active Employee Health Benefits Enrollment
- Health Benefits Changes (i.e., Name/Address Changes, Adding/Removing Dependents)
- Leave of Absence/Family Medical Leave Benefits
- COBRA Enrollment
Linda McGill - Ext 7672
- Retiree Health Benefits
- COBRA Billing
- CalPERS 457
- 403(b)
- Section 125 Flexible Spending Account
Rosalie Tecson - Ext 7630
- Life Insurance Conversion
Jeannie Boulet - Ext 7541
- Payroll Docks
- State Disability Insurance
- Worker’s Compensation
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