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.

2022 Benefit Information – Open Enrollment was from October 4, 2021 – October 29, 2021 and is now closed.

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 changes online using Benefit Bridge ( Proof of the qualifying event will be required with your enrollment and can be attached online. For more details about what documentation will be required, please contact the Benefits Department by phone at (916) 686-7778 option 2 or by email:

2022 Open Enrollment Letter
Qualifying Events for Mid-Year Changes
Life Events BenefitBridge Instructions
Co-Pay Comparison

Virtual Open Enrollment

2022 Open Enrollment Orientation
  Open Enrollment Changes Video
  Open Enrollment Waiver Video
  Open Enrollment FSA Video

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.

Standard Medical Coverage - Employee Monthly Share

Standard Medical Coverage – Employee Monthly Share


The Elk Grove Unified School District offers two 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

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

Sutter Health Plus Network – In Your Community
Great Coverage Book
Health Plan Benefits & Coverage Matrix
Summary of Benefits & Coverage
Sutter Health Plus Evidence of Coverage
Chiropractic & Acupuncture Schedule of Benefits
Chiropractic & Acupuncture Evidence of Coverage
Infertility Services Benefit Rider


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
Evidence of Coverage – Voluntary 

Additional Services Offered by Delta Dental


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)
(800) 877-7195

VSP Coverage Summary
VSP Voluntary Plan Coverage 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)

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 the online enrollment with Benefit Bridge. Please visit to enroll. Please contact them at the number listed below for more information.

Flexible Spending Information

Navia Benefit Solutions
(800) 669-3539
(425) 452-3500

Navia Benefits Academy

Section 125 Plan Document and 2021 Amendment


Benefit Notices

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.

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) – CalSTRS 403(b)
2021 CalSTRS 403b Annual Notice
1 (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 – CalPERS
(800) 260-0659
457 Enrollment Form
457 Beneficiary Form
457 Change Form

For Withdrawal Request information, please use the following forms.

Distribution Request Form
Rollover Form
Inter-Plan Transfer Form
In-Service Withdrawal/Transfer Request Form
3 Year Catch-Up Form
Emergency Withdrawal Request Form

457 – CalSTRS Pension2
(844) 353-2872
Access the Pension2 Website
Enrollment Information

Steps to Retirement

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


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.**


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

Director: Carrie Hargis
Manager: Susan Moitoso
Supervisor: Michelle Grupp

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