2021 - 2022 Employee Health Benefits

Employees Last Name beginning A-K: Karen Kettenhofen kkettenhofen@dcjesd.us / 916-770-8877

Employees Last Name beginning L-Z: Lorna LeBeau llebeau@dcjesd.us / 916-770-8878

Benefitsolver Registration Instructions

Benefitsolver Member Login

Schools Insurance Group Website

2021-2022 Fringe Benefit Options & Rates

KAISER PERMANENTE WEBSITE

Kaiser Service Area

SUMMARY OF BENEFITS AND COVERAGE: 
Kaiser Plan HMO 600559E (All employee groups)
Kaiser High Deductible  (All employee groups)

 

Kaiser Permanente 2021 Sample Fee List (High Deductible Plan)

SUTTER HEALTH PLUS WEBSITE

Sutter Health Plus Service Area

SUMMARY OF BENEFITS AND COVERAGE:

Sutter Health Plus HMO (All employee groups)
Sutter Health Plus High Deductible ($1,500/$3,000) (All employee groups)
Sutter Health Plus High Deductible ($2,500/$5,000) (All employee groups)

WESTERN HEALTH ADVANTAGE WEBSITE

Western Health Advantage Service Area

SUMMARY OF BENEFITS & COVERAGE:

Western Health Advantage HMO (All employee groups)
Western Health Advantage High Deductible ($1,800/$3,600)- Single (All employee groups)
Western Health Advantage High Deductible ($1,800/$3,600)-Family (All employee groups)
Western Health Advantage High Deductible ($2,800/$5,600) (All employee groups)

Kaiser Permanente Medicare Senior Advantage- Retirees only

United Healthcare Medicare Advantage- Retirees only

Optum HSA Information (All employee groups)

Optum Bank Website

FORMS:

HSA user guide

HSA application

Optum HSA Salary Reduction Form

Request for Additional Debit Card- Authorized User

Withdrawal/Distribution Request Form

 

IRS Publication 502 Medical and Dental Expenses for 2020 returns

IRS Publication 969 Health Savings Accounts and Other Tax-Favored Health Plans for 2020 returns

PLAN INFORMATION:

Delta Dental Plan IB (ATU, CSEA, DCTA, Management/Board Members employee groups)

Delta Dental Plan IIB Confidential employee group

 

Delta Dental Mobile App

Diabetes and Your Mouth

Heart Disease & Your Oral Health

PLAN INFORMATION:

(All employee groups)

Freedom to Choose

Vision Benefits Summary

 

TruHearing (For VSP Vision Care members)