Employee Benefits Information

 

 

Photo of Human Resources Staff Photo of Human Resources Staff Photo of Human Resources Staff

 

2019 OPEN ENROLLMENT

The month of August 2019 is the Open Enrollment period for the District’s medical and vision plans. 

If you would like to enroll in medical or vision, change your medical coverage from one plan to another, or add or remove eligible dependents to or from your coverage, August is the time to complete the required forms. Dental Open Enrollment is every three years, so the next dental open enrollment is in 2021.

**Documents need to be submitted to Human Resources by Friday, August 30, 2019**

All changes made during Open Enrollment will become effective October 1, 2019.

Please review the complete renewal information provided below. Questions about Open Enrollment can be directed to Christie Colón at ccolon@santarosa.edu or 707-527-4304.

 

Employees who are eligible for Open Enrollment include:

  • Contract Faculty
  • Classified employees with an FTE of 50% or greater
  • Management employees with an FTE of 50% or greater
  • Adjunct employees currently participating in the Adjunct Medical Benefits Program (medical only/no vision available)
  • Board of Trustees

 

MEDICAL INSURANCE
The District offers a choice of five medical plans through our membership in Self-Insured Schools of California (SISC). Please click on the links below to view the Benefit Summaries of these five plans:

 

MEDICAL ENROLLMENT FORMS

Enrollment forms should be sent to SRJC Human Resources

Medical - Use the Medical Enrollment Form to switch medical plans or enroll for the first time

Medical - Use the Membership Change Form to make changes to your current medical plan (like adding or deleting a dependent)

Eligible Dependent Requirements

Employees who enroll a spouse/domestic partner or children on the plans must provide the following documents to Human Resources, along with the enrollment forms:

  • Spouse - a copy of a marriage certificate and a copy of your most recent 1040 tax return that shows your married status (block out all income and first five digits of SSN)
  • Domestic Partner - a copy of the notarized affidavit or copy of the State of California Registration and a copy of each person's most recent tax return (block out all income and first five digits of SSN)
  • Children up to age 26 - a copy of the birth certificate

 

RATES 

 

Additional medical plan information:

 

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.

VISION ENROLLMENT FORMS

Vision for Faculty - use this Change Form to add or delete dependents

Vision for Classified and Management - use this Change Form to add or delete dependents

 

2019 OPEN ENROLLMENT FOR RETIREES

The month of August is the Open Enrollment period for the District’s retiree medical plans. If you would like to switch your medical coverage from one plan to another, or add or drop eligible dependents to or from your medical coverage, August is the time to complete the required forms. Dental Open Enrollment is every three years, so the next dental open enrollment is in 2021.

Santa Rosa Junior College Retirees who are under age 65 can make changes to any of the five medical plans offered by the District. Please click on the links below to view the Benefit Summaries of these five plans:

 

Retirees who are over age 65 can make changes to either of the Medicare Advantage and Medicare Supplement plans. Please click on the links below to view the Benefit Summaries of these two plans:

Medicare Part D notice

ENROLLMENT FORMS

Enrollment forms should be filled out and returned to SRJC Human Resources

Additional medical plan information:
- Kaiser Senior Advantage Silver&Fit Exercise and Healthy Aging Program

The renewal rates listed below will become effective October 1, 2019 and will remain in place through September 30, 2020.

KAISER SENIOR ADVANTAGE

Single Party: Senior Advantage (1) over 65 $348.00
2-Party: Senior Advantage (2) over 65 $696.00
2-Party: Senior Advantage/Kaiser HMO (1) over 65+ (1) under 65 $1,026.00
3-Party: Senior Advantage/Kaiser HMO (1) over 65+ (2) under 65  $1,584.00

COMPANION CARE       

Single Party: Companion Care (1) over 65   $386.00
 2-Party: Companion Care       (2) over 65   $772.00
2-Party Companion Care/Blue Shield PPO (1) over 65+ (1) under 65    $1,229.00

**For questions about Open Enrollment, please contact Christie Colón at ccolon@santarosa.edu or 707-527-4304.

 

 

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Benefit Information for New Employees for the period October 1, 2018 to September 30, 2019

Santa Rosa Junior College offers its employees 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). Please click on the links below to view the Benefit Summaries of these five plans:

 

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. 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 and click here for the List of Participating Dentists.

 

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.

 

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.

 

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 a marriage certificate and a copy of your most recent tax return that shows your married status (block out all income and first five digits of SSN)
  • Domestic Partner - a copy of the notarized affidavit or copy of the State of California Registration and a copy of each person's most recent tax return (block out all income and first five digits of SSN)
  • Children up to age 26 - a copy of the birth certificate

 

ENROLLMENT FORMS

Medical - Use the Medical Enrollment Form to switch medical plans or enroll for the first time

Medical - Use the Membership Change Form to make changes to your current medical plan (like adding or deleting a dependent)

Dental - use this Form 

Life - use the Beneficiary Change Form to make changes to your plan

Vision for Faculty - use this Form

Vision for Classified and Management - use this Form

 

Rates and additional medical plan information:

 

RETIREE BENEFITS - for retirees age 65 and over

FacultyClick here for information on Retirement Health Benefits 

ClassifiedClick here for information on Retirement Health Benefits 

 

Benefit Summaries for Retiree Medical Benefits:

Additional Retiree Benefit: Silver & Fit benefits with Kaiser Senior Advantage and Companion Care

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 and click here for the Listing of Participating Dentists.

 

Annual Notices

Listed below are annual notices provided for informational purposes.

2018-19 Annual Notices

 

 

ADJUNCT FACULTY MEDICAL BENEFITS


The current Eligibility Period for the Adjunct Medical Benefits Program is March 1 through March 31, 2019 for the benefit period April 1, 2019 through September 30, 2019. For information see the following,

Cover Letter

Declaration of Eligibility & Enrollment Request

Premium Payment Voucher


Long-Term Disability

Income protection coverage for employees is provided through Sun Life Financial. Should you become disabled, after a 60-day waiting period, the benefit payable to you is two-thirds of your monthly salary before tax liability. Depending on your employment status, you are 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.

 

HEALTHCARE REPORTING LAW

According to the Affordable Care Act (ACA), when you file your Federal income tax return, you must provide proof that you and your dependents had the type of healthcare coverage that is now required by law or face tax penalties.

How do I provide proof of coverage?

If you enrolled in coverage, you will receive a Form 1095-B from your medical provider. (For Santa Rosa Junior College employees enrolled in coverage, this would come from Kaiser Permanente for Kaiser members, or SISC for Blue Shield members). This form provides details about your coverage, including which members of your family were covered and in which months during 2018. Information from Form 1095-B can be used in completing your Federal income tax return. Employees and retirees who have health coverage through Santa Rosa Junior College should have already received form 1095-B from their medical provider. 

The deadline for employers to provide employees with Form 1095-C is March 4, 2019, so if you are considered a full-time employee under the ACA guidelines, you could expect to receive the 1095-C form at the beginning of March. Retirees will not be receiving a form 1095-C.