1. Health Benefits
The District will pay up to nine thousand four hundred eighty-seven dollars and forty cents [$9,487.40 annualized] toward the actual cost of health benefit premiums for a full-time temporary, probationary or permanent employee and dependents for the plans set forth below which are available through the Schools Insurance Group (“SIG”), a joint powers agreement organization. The district funded health benefit premium can be used toward medical, dental and vision costs.
2. Health Plans Available
Medical plans currently available are: Blue Shield HMO, Blue Shield PPO or Kaiser. The Dental plan currently available through SIG is the Delta Dental Plan. Information on these plans is available through the District Office or directly from SIG.
3. Plan Limitations
A. Eligible employees are restricted in choosing only those plans made available by SIG and are further restricted in choosing only those plans made available by the collective bargaining agreement. Eligibility is determined by SIG, the insurance carrier, and this contract. Enrollment, including new family members, will be in accordance with SIG rules. Failure to properly follow these rules may result in the employee having to wait until the next available period for coverage.
B. The employee is responsible to notify the District Office within thirty (30) days of when the employee knew or should have known of a change in his or her status. Change of status includes, but is not limited to, births, deaths, divorce, marriage, ineligibility of dependents due to age, and similar events.
C. Coverage will normally commence the first of the month following the first day of work. When making additions, deletions or changes to current coverage, a “Change of Status” form must be completed. When a “Change of Status” is received, the coverage change will be effective the first of the following month. It is the responsibility of the employee to make sure that all forms are completed accurately and received timely by the District Office.