Cabrillo College Benefits
The District cares about the well-being of its employees and works with them to provide a variety of benefit plans that address their needs. Eligible employees at Cabrillo College enjoy a comprehensive employee benefits package.
Open Enrollment 2021
Opens Monday August 9, 2021 through Friday August 27, 2021
During this Open Enrollment window, you can make the following changes:
Re-enroll in a different medical plan - or-
May enroll/disenroll dependents in a medical, dental and/or vision plan -or-
Enroll in a medical and/or dental plan if coverage has been previously waived -or-
Enroll/disenroll in a vision plan
Any and all medical/dental/vision plan changes will be effective October 1, 2021
Open Enrollment Forms:
Self- Service
Current employees can use Self-Service to view their benefits and other compensation information. For instructions on how to access your current benefits information or leave balances use the links below.
Benefits
Medical, Dental, Vision & More
Benefit Information for all eligible employees
2021-2022 Medical Plan Comparisons
Medical Plan Benefit Information for Non-Benefit Eligible Employees:
Contact Information
Blue Shield:
Customer Service: (855) 256-9404
Address: P.O. Box 272540 Chico, CA 95927-2540
Kaiser Permanente:
Customer Service: (800) 464-4000
Contact Information:
- Customer Service: (866) 499-3001
- Address: 100 First Street, San Francisco, CA 94105
- Claims: PO Box 7736, San Francisco, CA 94120
- Website: deltadentalins.com
- Active Group Number: 7046-7505
- Retiree Group Number: 7046-7506
Forms:
- Medical, Dental and Vision Plan Rate Table
- Summary of Benefits- Active Employees & Retirees
- Costco Benefit for VSP Vision Program
- Real Provider Choices through VSP Vision Program
Contact Information:
- Customer Service: (800) 877-7195
- Fax Number: (916) 851-4852
- Website: www.vsp.com
- Email: imember@vsp.com
- Active Group Number: TBD
To add a spouse and/or dependent children, provide the following:
- Copy of marriage certificate
- Copy of current year Federal Tax 1040 Form (top sheet only)
- Copy of birth certificate(s) (Children Only)
Employee Assistance Program (EAP)
Services:
- Summary of Services
- Childcare Resources
- Eldercare Resources
- Identity Theft
- Lean on Us
- Legal Services
- My Strength
- Work Life
Contact Information:
- Customer Service: (800) 999-7222
- Website: www.anthemEAP.com
- Company name: SISC
Life Insurance:
- President
- Certificated, Classified and Confidential Employees
- Classified and Educational Administrators
- Classified Employees, 20 hours per week, at least 9 months per year
- Beneficiary Form
Disability Insurance:
- Educational Administrators and Certificated Employees with 5 or more years of District service
- Educational Administrators, Certificated Employees and Classified Managers with less than 5 years of District service
- Classified and Confidential Employees
- Classified Employees, 20 hours per week, at least 9 months per year
Contact Information:
- Customer Service: (800) 289-9140
- Website: www.TheHartfordAtWork.com
- SISC Flex Plan Enrollment Guide 2021
- Maximum amounts that can be contributed for 2020:
- $2,750- Health Care Spending Account (increase from last year)
- $5,000- Dependent Care Spending Account
- $10 minimum per month for either account
- Frequently Asked Questions (FAQs)
Forms:
- Navia Health Care and Dependent Care Claim Form
- Navia Dependent Care Receipt for Services
- Recurring Day Care Claim Form
- Letter of Medical Necessity
- Direct Deposit Request Form
- Navia Flex Change Form
Contact Information:
- Dependent Care
- Dependent Care Eligible Expenses
- Unreimbursed Medical Program
- Unreimbursed Medical Program Eligible Expenses
- Customer Service: (425) 452-3500 or Toll-Free: (800) 669-3559
- Website: www.naviabenefits.com
- Mobile App Available
Submit a Claim:
- Email: claims@naviabenefits.com
- Fax: (425) 451-7002 or Toll Free: (866) 535-9227
- Address: P.O. Box 53250, Bellevue, WA 98015-3250
Retiree Benefits and Medicare- FAQs
Medical Plans
Blue Shield PPO/HMO Medical Plan Comparison for Retirees Age 65+
Blue Shield PPO/HMO Medical Plan Comparison for Retirees Under Age 65
Kaiser Senior Advantage HMO Benefit Booklet
Contact Information:
Anthem Blue Cross Customer Service: (800) 825-5541
Blue Shield Customer Service: (800) 642-6155
Blue Shield Address: P.O. Box 272540 Chico, CA 95927-2540
Blue Shield MDLIVE: (888) 632-2738
Mental Health: (800) 256-9404
SISC Dedicated Customer Service Unit: (855) 599-2657
Kaiser Permante Customer Service: (800) 443-0815
Dental Plans
Rates effective October 1, 2020:
Dental Monthly Self-Pay Premiums:
Single: $63.80
2-Person: $115.50
Family: $166.10
Retiree Dental Group Number: 7046-7506
Contact Information:
Customer Service: (888) 335-8227
Claims: P.O. Box 7736 San Francisco, CA 94120
Vision Plans
Rates effective October 1, 2020:
VSP Vision Monthly Self-Pay Premiums:
Single: $8.80
2-Person: $17.60
Family: $28.40
Retiree Group Number: TBD
Contact Information:
Customer Service: (800) 877-7195
Fax Number: (916) 851-4852
Website: www.vsp.com
Email: imember@vsp.com