Kaiser Permanente
The District is pleased to offer a medical plan for adjunct faculty who qualify. Enrollment for the plan, offered through Kaiser Permanente, is available each semester to employees and their eligible dependents. If enrolled during spring semester, coverage is effective March 1st through August 31st; and September 1st through February 28th during fall semester. You will be required to re-enroll/re-certify, if eligible, each semester. The enrollment window each semester typically begins after the first full week of the semester and lasts 10 business days. If you do not enroll during the enrollment window but later in the semester become eligible, or lose your other coverage, you may be eligible for a special enrollment period (HIPAA) provided you notify HR.Benefits@sjeccd.edu within 30 days of the qualifying event. A qualifying events include (but are not limited to) divorce, birth of a child, loss of other coverage, and your load increasing to over 40%.
For more information on the plan design, please click on the link below:
Kaiser Plan Summary including Chiropractic & Acupuncture Care
To qualify:
- You must carry at least a 40% cumulative equivalent load of a minimum full-time faculty assignment (either instructional or non-instructional) on a specific day the first month of each semester. If your load is reduced after that time or classes are cancelled, you may still be eligible to participate or may be offered COBRA continuation coverage.
- You may not have any other medical coverage and must sign a statement verifying that you have no other coverage. (Those who decline/do not enroll because they have other health coverage who then lose eligiblity or lose employer contributions may enroll mid-year provided they notify HR.Benefits@sjeccd.edu within 30 days of the loss of other coverage and submit the proper forms timely.)
- You must pay at least 50% of the premium for yourself, and 100% of the premium for any eligible dependent(s). Your share of the premium is deducted from your paycheck from pre-taxed dollars.
Eligible dependents may be enrolled at full cost to the employee. (A copy of the first page your prior year federal tax return is required to enroll your spouse; a copy of your State Registry for Domestic Partners is required to enroll your domestic partner; and birth/adoption certificates are required to enroll eligible children. Children may be covered until their 26th birthday regardless of their dependent or student status.
Full Monthly Premium thru September 30, 2021:
Employee Only
| Employee + Spouse
| Employee + Child/ren
| Family
|
$840.00
| $1,757.00
| $1,454.00
| $2,513.00
|
Of these amounts, the District will contribute 50% of the monthly Employee Only cost ($420.00).
The pre-tax deduction from your paycheck will be as follows:
| Employee Only
| Employee + Spouse
| Employee + Children
| Family
|
October, November, December 2020, & January 2021
| $628.25
| $2,000.00
| $1,546.00
| $3,130.75
|
Enrollees pay for their six months of coverage through four payroll deductions each semester (March, April, May and June during the spring and October, November, December and January in the fall).
Those enrolled in this plan will be automatically enrolled in an employee assistance plan, AnthemEAP that offers confidential counseling services, and legal and financial planning assistance to you and anyone living in your household.
Proof of dependent eligibility if enrolling dependents (see page two of the enrollment packet)
Participants must recertify each semester to continue coverage.
EAP Services available for all enrollees, covered dependents and anyone living in the covered employee's household (for more information, please see the EAP section on the main Benefits webpage.)
All adjunct faculty regardless of their load each year are eligible to enroll in a Flexible Spending Account.
The District offers three accounts:
Medical Spending Account
Dependent Care Account
Transportation Account
2020 Enrollment Form (for all flexible spending account plans)
Click here for additional information related to flexible spending accounts
More flyers are available on the Benefits Webpage by clicking on this link then scrolling down to the Flexible Spending Account section.
New for 2020 Plan Year ONLY:
Due to COVID, the District is allowing all eligible employees to make mid-year plan changes, including late enrollments without requiring a qualifying event. As a result, even those of you that worked as faculty at EVC and/or SJCC spring 2020 semester that did not enroll when first eligible may elect to enroll now, for the remainder of the 2020 plan year.
Effective Dates:
Those of you whose employment is continuing from spring '20: your effective date will be the first of the month after your enrollment form is received by Michelle McKay in Human Resources (michelle.mckay@sjeccd.edu or fax to 408.239.8804). Your annual deduction amount will be taken from your remaining paychecks between your effective date and 12/10/2020.
If this is your first semester, or you did not work spring 2020 you may now sign up for the rest of 2020 if you submit your form prior to 09/25/2020 your effective date of coverage will be 09/01/2020. This means you can submit claims for services rendered between 09/01/2020 and 12/31/2020.
Enrollment Window for 2021 Plan year
Each November/December, the District holds a special enrollment period for the following calendar year. Adjunct faculty teaching in the fall who already have an assignment for the following spring semester must enroll during that enrollment window. Those without a spring assignment will be allowed to enroll in February once they have an assignment. Faculty who only work in the fall will be allowed to enroll at that time for the remainder of the calendar year. Flexible Spending Accounts are not for everyone every year so be sure to plan accordingly as there are no refunds provided and accounts can only be closed mid-year under certain circumstances. For more information go to our 3rd Party Administrator's website at
www.goigoe.com or check with the IRS.
If you need information regarding benefits, please contact Arleene Miranda or Michelle McKay at
HR.Benefits@sjeccd.edu or call 408.223.6713
2020 Flex Enrollment Form-BLANK.pdf
