Health & Welfare Benefits
Health & Welfare Benefits
Human Resources Benefit Related Activities >>
2014-2015 Master Planning Calendar Coming Soon!
August 18, 2014 - September 3, 2014
Open Enrollment Workshop -
August 27, 2014, 10:00 a.m. to 2:00 p.m.
in the Sesnon House
Open Enrollment Materials:
- Plan Election Form - Active Employees
- Plan Election Form - Retirees
- SISC III Enrollment Form (medical)
- SISC Membership Change Form
- Delta Dental Enrollment Form
- SISC Flex Premium Only Plan (POP) Enrollment Form
Medical Plan Information
Benefit Information for all eligible employees effective October 1, 2014:
Medical Plan Benefit Comparisons:
- Blue Shield PPO Medical Plan Comparisons
- Blue Shield PPO (80-E) Plan Summary of Benefits and Coverage (SBC)
- Blue Shield PPO (80-J) Plan Summary of Benefits and Coverage (SBC)
- Blue Shield PPO (HDHP-B) Plan Summary (high deductible plan)
- Blue Shield HMO Medical Plan Comparisons
- Blue Shield HMO Plan ($10-0)
- Summary of Benefits Coverage (SBC)
- Navitus Health Solutions Rx Program - $5 generic/$10 brand name
- Blue Shield HMO Plan ($25-500)
- Summary of Benefits Coverage (SBC)
- Navitus Health Solutions Rx Program - $9 generic/$35 brand name
- Blue Shield HMO Plan ($30-20%)
- Summary of Benefits Coverage (SBC)
- Navitus Health Solutions Rx Program - $9 generic/$35 brand name
- Blue Shield HMO Chiropractic and Acupuncture Benefits (Acupuncture effective October 1, 2014)
- Blue Shield HMO Substance Abuse Treatment Benefits
Medical and Dental Benefit Contact Information and Useful Web Links:
- Blue Shield of California PPO (Preferred Provider Organization)
- SISC Dedicated Customer Service Unit: (800) 642-6155
- P.O. Box 272540, Chico, CA 95927-2540
- Click here to locate a Participating PPO Provider
- Blue Shield MDLIVE
- Telephone Number: (888) 632-2738
- Mental Health
- Customer Service Telephone Number: (800) 642-6155
- Blue Shield of California HMO (Health Maintenance Organization)
- Evidence of Coverage - HMO ($10-0) Medical Plan
- Evidence of Coverage - HMO ($25-500) Medical Plan
- Amendment to Evidence of Coverage eff July 1, 2012
- Customer Service Telephone Number: (800) 642-6155
- Click here to locate a Participating HMO Provider (Access + HMO)
- Chiropractor and Acupuncture Benefits (American Specialty Health Plans of California - ASH)
- Mental Health (MHSA Network)
- Customer Service Telephone Number: (877) 263-9952
Forms
- SISC III Enrollment Form (medical)
- SISC Membership Change Form
- Delta Dental Enrollment Form
- SISC Flex Premium Only Plan (POP) Enrollment Form
- May 18, 2012
- March 30, 2012
- October 27, 2011
- June 23, 2011 Minutes / Retiree Benefits Overview
- May 25, 2011 Minutes / Presentation
- April 13, 2011 Minutes / Presentation
- October 7, 2010 Minutes
- September 9, 2010 Minutes
- August 19, 2010 Minutes
- August 11, 2010 Minutes
- July 26, 2010 Minutes
- July 12, 2010 Minutes
Health and Welfare Benefits Committee
Next Benefits Committee Meeting: TBD
2011 - 2012
2010 - 2011
