Benefits


The Payroll Department handles a range of services for the employees of the Elk Grove Unified School District. This page offers information and forms to employees related to their benefits.

Enrollment/Change Information

The following forms can be used to make changes to your currents benefits. All changes are subject to approval from the Benefits Department. Most mid-year changes require a qualifying event (i.e. marriage, divorce, newborn/adoption/legal guardianship, student status change, loss of coverage). You will have 60 days from the qualifying event to complete the forms and turn them into our office. Proof of the qualifying event will be required with your enrollment/change forms. For more details about what documentation will be required, please contact the Benefits Department by phone at (916) 686-7778 option 2 or by e-mail: egusdpayben@egusd.net.

2017 Open Enrollment Letter
Co-Pay Comparison
Qualifying Events for Mid-Year Changes

Benefit Notices

Affordable Care Act, Notice of Exchange

2014-2017 Notice of Coverage Options

Mental Health Parity and Addiction Equity Act (MHPAEA) – Evidence of Coverage Notification

Kaiser Permanente Update Notification – January 2016
Western Heath Advantage Update Notification – January 2016

Health Benefits (Medical, Dental & Vision)

The Elk Grove Unified School District offers health benefits to qualified employees and their eligible dependents. For qualifications of benefited employees, please refer to the Union Contracts.

Employees who receive medical benefits through EGUSD have the opportunity to earn an Employee Wellness Rebate. For more information please visit the “Your Health, Your Choice” wellness rebate webpage.

Medical

The Elk Grove Unified School District offers three HMO medical plans for eligible employees to choose from along with the opportunity to waive medical insurance if they are currently enrolled in an alternative insurance. EGUSD does not allow married EGUSD employees to be double covered on medical. One spouse must waive their medical.

Kaiser Permanente
(800) 464-4000

Evidence of Coverage
Summary of Benefits – Employee and Family
Principal Benefits


Sutter Health Plus (SHP)
(855) 315-5800

Sutter Health Plus Network – Valley Area
Sutter Health Plus Network – Bay Area
Enrollment Guide
Pharmacy Benefits
Health Plan Benefits & Coverage Matrix
Summary of Benefits & Coverage
Chiropractic & Acupuncture Schedule of Benefits
Chiropractic & Acupuncture Evidence of Coverage
Infertility Services Benefit Rider


Western Health Advantage (WHA)
(888) 563-2250

Summary of Benefits & Coverage
Evidence of Coverage
Preferred Drug List
WHA Network Pharmacy List
EGUSD Rx Benefits Letter
WHA Rx Benefits
WHA Rx Q2


Dental

The Elk Grove Unified School District offers dental coverage through Delta Dental.  For details about the plan, please refer to the Coverage Summary below.

Delta Dental
(866) 499-3001

Delta Dental Coverage Summary –  Standard
Evidence of Coverage – Standard
Delta Dental Coverage Summary – Voluntary Reduced


Vision

The Elk Grove Unified School District offers vision coverage through Vision Service Plan (VSP).  For details about the plan, please refer to the Coverage Summary below.

Vision Service Plan (VSP)
(866) 213-2249

VSP Coverage Summary
VSP Voluntary Plan Summary

Cash Waivers

Cash Waiver payments of $65 per month will be made to employees who opt to waive medical insurance due to alternative medical coverage. Proof of alternative coverage, via a District Waiver Form and proof of coverage (copy of ID card), must be completed, signed, and submitted every year during Open Enrollment per IRS Section 125.

EGUSD employees on the highest cost plan whose spouses waive medical insurance through EGUSD will have their premium reduced to the lowest cost plan. Spouses that waive must renew their waiver each year during Open Enrollment to qualify. (Both members must be an EGUSD benefited employee or a benefit qualified EGUSD Retiree)

 

Group Life Insurance

For benefit eligible employees, the Elk Grove Unified School District offers a Basic Life Insurance Plan through The Hartford Financial Services Group.

The beneficiary form below should be completed when an employee becomes benefit eligible and should be updated as needed. In the unfortunate event of an employee’s death, the district will refer to this form in order to provide payments of specific Death Benefits to surviving beneficiaries.

Along with the Life Insurance plans, The Hartford also offers other services for little or no cost to the employee. Services are detailed in the summaries below.

Section 125 Flexible Spending Accounts (FSA)

Flexible spending accounts (FSA) are a tax-advantaged way to pay for qualified out-of-pocket health care expenses and work-related day care expenses. This benefit allows employees enrolled in Elk Grove Unified School District Group Health Benefits to pay expenses with “pre-tax” dollars. The information summary will detail how the program works and what expenses are eligible. Enrollment in the FSA program can only occur at time of employment or during Open Enrollment. All employees participating in the FSA program must renew their account every year during Open Enrollment to continue the deduction. All enrollments or changes take place with Navia Benefit Solutions using either the online enrollment or paper enrollment form. Please contact them at the number listed below for more information.

Flexible Spending Information

Navia Benefit Solutions
(800) 669-3539
(425) 452-3500
 customerservice@naviabenefits.com

Section 125 Plan Document

Enrollment Instructions & Forms

2017 Flexible Spending Online Enrollment Instructions
A convenient online option to enroll.

2017 Flexible Spending Paper Enrollment Form
Return the completed form to Compensation & Benefits no later than November 4, 2016. No late forms will be accepted.

Tax Deferred Programs

The Elk Grove Unified School District offers two types of voluntary tax deferred retirement plans to participate in through payroll deduction.  Employees may contribute to one or both programs listed below.  For more information on both programs, please visit the websites below.

Notice of Eligibility to Participate in a 403(b), 457 Deferred Compensation Program

403(b)
(800) 943-9179
All enrollments and changes are processed on this website or by calling this number.

How to Navigate CalSTRS 403(b) Comply Website
For distributions, rollovers, and transfers, please use the above website or use the following forms.

403 (b) Distribution Fax Cover Sheet
403 (b) Distribution Form

457
(800) 260-0659
457 Enrollment Form
457 Beneficiary Form
457 Change Form

For Withdrawal Request information, please use the following forms.

Distribution Request Form
Account Transfer Form
Rollover Form
Direct Rollover Request Form
Inter-Plan Transfer Form
In-Service Withdrawl/Transfer Request Form
Rollover Request Form for CalPERS Service Credit Purchase
Emergency Withdrawal Request Form

Steps to Retirement

Planning for retirement?  Please find some general information in the link below to help guide you through this process with EGUSD.

Steps to Retirement

Elk Grove Benefits Employee Retirement Trust

In July of 1995, the Elk Grove Unified School District and the unions representing the employees formed Elk Grove Benefits Employee Retirement Trust (EGBERT) to provide post-retirement health insurance benefits.  Please read the Summary Plan Description for details of the trust and the qualifications for eligibility.

Elk Grove Benefits Employee Retirement Trust (EGBERT) Summary Plan Description

Employees who are within two years of retirement and wish to request a current count of health benefited months as an EGUSD employee, please complete the form below and submit to the Payroll Department.

Elk Grove Benefit Trust Health Insurance Eligibility Request

Disability

Active employees have access to disability benefits based on their classification and/or bargaining unit. This summary will give a brief description of those benefits.

Summary of Disability Benefits

**Please note, if you change bargaining units, there may be a change in your disability benefits. Please contact Payroll for more information.**

Medicare

When an active employee or retiree turns 65 they will need to work with Medicare to get enrolled. There may be certain parts of Medicare that don’t require enrollment depending on an employee’s status. Please read the information in the document below for more details.

Medicare Tip Sheet

Benefits Staff Directory

Manager: Tina Tillman
Supervisor: Michelle Grupp
Office Support: Gina Cedros

For questions regarding your benefits you should contact the Payroll Department at (916) 686-7778, Option 2