Please visit our new HR Benefits website at https://hr.santarosa.edu/benefits
COVID - 19 Resources from Employee Assistance Program (EAP)
BENEFIT INFORMATION FOR THE PERIOD OCTOBER 1, 2021 TO SEPTEMBER 30, 2022
Santa Rosa Junior College offers its regular employees (Faculty, Classified and Management) and their eligible dependents a comprehensive fringe benefit package that includes medical insurance, dental insurance, vision care and life insurance. The highlights of the package include:
MEDICAL INSURANCE
The District offers a choice of five medical plans through our membership in Self-Insured Schools of California (SISC).There are limitations depending on where you live:
- If you live outside of California, the Blue Shield PPO plans are the only plans you’d be eligible to enroll in since they are available in every state.
- Kaiser operates by region, so if you live outside of the San Francisco Bay Area, then you are not eligible to enroll in the District’s Kaiser plans. We are part of the Kaiser Bay Area/Northern California region and are not part of the Southern California Kaiser region, nor are we a part of the Kaiser regions in other states.
- Blue Shield HMO is only available in California.
Please click here for more information about SRJC medical insurance, including Benefit Summaries and Enrollment forms.
Rates October 1, 2021 to September 30, 2022 for For Contract Faculty, Classified, Management, Board of Trustees and retirees who are on the Early Retirement Option. For employees working less than full-time, benefits will be pro-rated.
ELIGIBLE DEPENDENT REQUIREMENTS
Employees who enroll a spouse/domestic partner or children on the plans must provide the following documents showing of dependent eligibility:
- Spouse - a copy of your marriage certificate and a copy of page 1 of your 1040 tax return from 2021 that shows your married status (block out all income)
- Domestic Partner - a certified copy of the State of California Certificate of Registration of Domestic Partnership and a copy of page 1 of each person's 1040 tax return from 2021 (block out all income)
- Children up to age 26 - a copy of the birth certificate
Additional medical plan information:
- Employee Assistance Program (EAP)
- Blue Shield PPO plan: Ambulatory Surgery Center option
- Health Savings Account with Optum Bank - FAQs and Guide.
- Additional benefits for employees enrolled in a SISC medical plan include the Employee Assistance Program (EAP), expert medical opinions and 24/7 physician access. Advance Medical is now Teledoc. Want a second opinion? Click here for information about how to get an independent medical review from Teledoc.
- Optum Bank - Health Savings Account FAQs and Guide
SISC has also implemented new programs to add value and give members access to the best care:
- Hinge Health: Blue Shield PPO members have free access to a program that provides personalized, interactive physical therapy using the latest technology. With Hinge, members are empowered with tools to address knee or back pain whenever and wherever it works best for them. For more information go to http://www.hingehealth.com/healthyschools.
- Vida Digital Coaching: Blue Shield PPO members will have access to a virtual care platform that treats a full range of lifestyle, chronic and behavioral health conditions. For more information go to http://www.vida.com/sisc.
- Enhanced Cancer Benefit at City of Hope: All Blue Shield PPO plans will feature access to an in‐person evaluation with confirmation of diagnosis and development of a customized treatment plan at no charge. For more information go to https://www.cityofhope.org/.
- Fitness Classes: Kaiser Permanente members can get access to on-demand video workouts - click here.
- Calm: Kaiser Permanente members can access all the great features of Calm at no cost. Calm is #1 app for meditation and sleep, designed to help lower stress, reduce anxiety, and more. For more information go to www.kaisercalmapp.
- myStrength: myStrength is a personalized program that helps you improve your awareness and change behaviors. Kaiser Permanente members can explore interactive activities, in-the-moment coping tools, community support, and more at no cost. Members can access myStrength at www.kaisermystrength.
DENTAL INSURANCE
Santa Rosa Junior College offers a self-insured dental plan that includes more than 750 participating dentists. The annual dental benefit provided each benefit year is $1,700.00. It's an incentive plan, so each enrollee must go to the dentist each year during the first three years to reach 100% coverage. Claims are administered by: Arrow Benefits Group, 1 Willowbrook Court, Suite 230, P.O. Box 750758, Petaluma, CA 94975, (707) 544-1801.
Click here for the Summary Plan Description.
Click here for the List of Participating Dentists.
Click here for the Dental Enrollment form.
VISION INSURANCE
The District provides a Vision Service Plan (VSP) benefit to employees. This vision plan provides an annual exam and an allowance to purchase vision products from participating providers. Click here for the VSP benefits summary.
Click here for the Vision Enrollment form if you’re a Faculty employee or work 10 months of the year.
Click here for the Vision Enrollment form if you’re a Management or Classified employee or or work 12 months of the year.
LIFE INSURANCE
The District paid basic life insurance benefits are provided by Standard Insurance Company. The benefit amount is $50,000.00 for the employee and $5,000.00 for eligible dependents. These benefit amounts are doubled if an accidental death & dismemberment event occurs. Voluntary supplemental coverage is available at the employee’s expense.
Life - use the Beneficiary Change Form to make changes to your plan
Adjunct Eligibility and Enrollment Period Fall 2021
The month of September 2021 is the Eligibility and Enrollment period for the District’s Adjunct Faculty Medical Benefits Program.
You may be eligible for medical insurance for yourself, your spouse or registered domestic partner and dependent children. This program is part of the benefit package negotiated between the District and the All Faculty Association and may be subject to change and/or cancellation. There are two eligibility/enrollment periods per year.
The current Eligibility and Enrollment Period to enroll in this benefit is during the month of September 2021.
The dates of coverage will be October 1, 2021 to March 31, 2022 while you’re employed. If you resign your position or retire, then your medical insurance ends at the end of the month that you last worked.
Eligibility and Enrollment documents are due to Human Resources
by September 30, 2021.
Rates for Adjunct Faculty employees
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TO CONTINUE YOUR ADJUNCT MEDICAL INSURANCE, YOU MUST FOLLOW THESE INSTRUCTIONS:
Your medical insurance doesn't automatically renew, so if you are already enrolled in SRJC medical, are eligible for this benefit and want to continue your medical insurance, you must fill out and submit the "Declaration of Eligibility Form for Continuing Enrollees " to Human Resources by September 30, 2021. If you miss this deadline, your medical insurance will end on September 30, 2021. Please click here for the form.
The AFA/District Side Letter “Effects of District Emergency Action Due to Coronavirus Pandemic” dated 5/25/2021 states:
Adjunct faculty members who are currently participating in the Adjunct Medical Benefits Program (AMBP) will maintain eligibility for the program during the 2021-2022 academic year, even if the faculty member's load drops below the 40% threshold required by the state-funded program. In order to continue to be eligible to receive medical insurance, adjunct faculty members must have an assignment in the District or be on an approved leave during the Fall 2021 enrollment period.
You must meet the eligibility criteria as listed above and submit the “Continuing Enrollees Declaration of Eligibility Form” to Human Resources by September 30, 2021 to continue your medical insurance.
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IF YOU ARE A NEW ENROLLEE THIS SEMESTER, YOU MUST FOLLOW THESE INSTRUCTIONS:
Please click here to read the Eligibility Information to determine if you’re eligible. If you’re eligible, please complete the forms below and return them to me by 9/30/2021:
- Declaration of Eligibility Form for New Enrollees
- Kaiser enrollment form or Blue Shield enrollment form (Please click here for enrollment form instructions)
- Verification of Teaching Load Form (If you are working at least 40% load at SRJC, you don’t need to complete this form. You only need to have your other college complete this form if you have less than a 40% load at SRJC, but are working at least 20% at SRJC and 20% at another California Community College during Fall 2021).
- Dependent documentation per below:
- Spouse - a copy of your marriage certificate and a copy of page 1 of your 1040 tax return from 2021 that shows your married status (block out all income)
- Domestic Partner - a certified copy of the State of California Certificate of Registration of Domestic Partnership and a copy of page 1 of each person's 1040 tax return from 2021 (block out all income)
- Children up to age 26 - a copy of the birth certificate
Payment Voucher - Your premium payment will be deducted from your paycheck. During a coverage period when you do not receive a paycheck, you are responsible for making the premium payments directly to the Accounting Department using this Payment Voucher.
RETIREE HEALTH BENEFITS
Faculty - Click here for information on Retirement Health Benefits
Classified - Click here for information on Retirement Health Benefits
Management - Click here for information on Retirement Health Benefits
Retiree Medicare Supplement and Medicare Advantage plans effective 10/1/2021:
CompanionCare
The monthly premium for CompanionCare is decreasing to $378.00/per person/per month. Click here for the benefit summary.
Kaiser Senior Advantage
The monthly premium for Kaiser Senior Advantage is decreasing to $330.00/per person/per month. Click here for the benefit summary.
Silver&Fit program for all retirees enrolled in Kaiser Senior Advantage and CompanionCare.
Medicare Part D notice 2020-2021
Retiree Dental Benefits:
Santa Rosa Junior College offers a self-insured dental plan that includes more than 750 participating dentists. The annual dental benefit provided each benefit year is $1,700.00. Claims are administered by: Arrow Benefits Group, 1 Willowbrook Court, Suite 230, P.O. Box 750758, Petaluma, CA 94975, (707) 544-1801.
Click here for the Summary Plan Description
Click here for the Listing of Participating Dentists.
FLU SHOTS
SISC Blue Shield Members:
- Costco Pharmacies – Walk-in flu shots are available at all Costco pharmacy locations (no membership required). Click here for the flyer.
- Network Pharmacies – Walk-in flu shots are available at pharmacies such as Rite Aid and CVS. Members interested in this option may contact Navitus at 1-866-333-2757 to locate participating pharmacies. Click here for the flyer.
SISC Kaiser Permanente Members:
- $0 flu shots are available at many of their facilities. Members may access https://healthy.kaiserpermanente.org/health-wellness/flu for specific locations.
Income protection coverage for regular employees (Faculty, Classified and Management) is provided through Sun Life Financial and is dependent on your employment status. Should you become disabled, after a 60-day waiting period, the benefit payable to you may be two-thirds of your monthly salary before tax liability. You may be entitled to either a one-year benefit or up to the age of 65.
Retirement Plans
Employees are eligible for participation in either the State Teachers Retirement System (CalSTRS) or the Public Employees Retirement System (CalPERS) based upon the position classification and/or prior membership. These programs provide a lifetime retirement allowance based upon a retirement system formula which includes five full-time years of service. Adjunct faculty also have the option of participating in Fidelity Investments or the CalSTRS Cash Balance system which do not require any vesting or years of service.
For information on 403(b) and 457 plans, please click here to go to the Payroll department website.
For information on the Flexible Spending plan (FSA) or Health Savings Account (HSA), please click here to go to the Payroll department website.
If you have any questions or need assistance with these documents, please contact Human Resources at 707-527-4954