Etiwanda School District
   6061 East Avenue. Etiwanda, CA 91739
   (909) 948-7739  Fax (909) 948-2119
   "Excellence in Education"
 

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Health & Welfare Benefit Changes for 2017/2018

Open Enrollment must be completed online through eBenefits.

Click here to register with EBenefits and select your benefits for 2017/2018.

Please refer to the EBenefits Employee User Guide for additional information.

District Contribution: $13,800.00 annually per full-time employee (contribution pro-rated for employees working less than full-time). Any unused portion of the contribution will return to the benefit pool.         

Kaiser Permanente:   New Marketplace Plan Structure with 5 plans to choose from.

Blue Shield:                New Medical Plan for 2017/2018. Marketplace Plan Structure with 8 HMO Plans and 3 PPO Plans.

Anthem Blue Cross:   No longer available. All plans and coverage terminate July 1, 2017!

Delta Dental:              No change.

MES:                            Enhanced benefits on Option 1 with slight rate increase.

Voluntary Deductions:    Changes to voluntary deductions can be made at any time. Please refer to the documents section below for appropriate forms.

Opt-Out:                     Benefit eligible employees, regardless of hire date, wishing to waive their right to medical coverage, must select "Opt Out"-->Waive/Decline Coverage on the bottom of the EBenefits Medical Insurance Enrollment page and submit acceptable documentation of proof of group coverage. Please refer to "Acceptable Documentation for Proof of Coverage" in the Documents section for additional information.

ALL CHANGES AND RATES ARE EFFECTIVE JULY 1, 2017
 

THE FOLLOWING DOCUMENTS ARE AVAILABLE FOR YOUR USE:



 
Welcome Letter
 

 
EBenefits Employee User Guide
 

 
American Fidelity Schedule
 
Waive Medical Insurance
 

 
Health & Welfare Benefits - Board Policy 4554
 

 
Benefit Table and Rates
 
Kaiser Permanente
   Benefit Summaries:
 
Blue Shield of California
   Benefit Summaries:
 

 
Delta Dental

 
MES Vision

 
VOYA Life Insurance

 
Payroll Voluntary Deduction Form
 

 
Deferred Net Pay Authorization Form
 

 
Direct Deposit - EFT Enrollment Form
 

 
E3 Payroll Deduction Form  
 

 
Tax Sheltered Annuities 403(b) - www.403bcompare.com


 

Tax Forms

 


Need assistance? Please contact payroll.