Medical Program Information

Blue Shield Documents

Plan Comparisons

 

Blue Shield Forms

These matrixes are intended to be used to help you compare coverage benefits and is a summary only. The plan contract should be consulted for a detailed description of coverage benefits and limitations.

October 2018 to September 2019

80% PPO Benefit Summary (PDF)

90% PPO Benefit Summary (PDF)

100% PPO Benefit Summary (PDF)

H.S.A.- Plan A - Benefit Summary (PDF)

H.S.A.- Plan B - Benefit Summary (PDF)

Anchor Bronze Benefit Summary (PDF)

 

$9-$35 (80% PPO) Navitus Summary (PDF)

$7-$25 (100% & 90% PPO) Navitus Summary (PDF)

$9-$35 (H.S.A.- Plan A Family) Navitus Summary (PDF)

$9-$35 (H.S.A.- Plan B Family) Navitus Summary (PDF)

$9-$35 (H.S.A.- Plan A Single) Navitus Summary (PDF)

$9-$35 (Anchor Bronze & MVP) Navitus Summary (PDF)

 

Blue Cross Summary of
Benefits & Coverage

The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.

October 2018 to September 2019

80% - G PPO - $30 Office Visits, $9 to $35 Prescriptions (PDF)

90% - E PPO (Frozen) - $20 Office Visits, $7 to $25 Prescriptions (PDF)

100% - B PPO - $20 Office Visits, $7 to $25 Prescriptions (PDF)

HSA - Plan A PPO Family (PDF)

HSA - Plan B PPO Family (PDF)

HSA - Plan A PPO Individual (PDF)

Anchor Bronze (PDF)

 

 

Kaiser Documents

Plan Comparisons

 

Kaiser Forms

 

Kaiser Benefit Summaries

These are summaries of the most frequently asked-about benefits. These charts do not explain benefits, Cost Share, out-of-pocket maximums, exclusions, or limitations, nor do they list all benefits and Cost Share amounts.

October 2018 to September 2019

 

Kaiser Summary of
Benefits & Coverage

The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.

October 2018 to September 2019

 

COBRA Documents

Plan Comparisons

COBRA Blue Shield PPO Rates (PDF)

COBRA Kaiser Rates (PDF)

COBRA Delta Dental - All Plans Comparison Sheet (PDF)

 

Benefit Summaries &
Summary of Benefits and Coverage

Benefit Summaries & Summary of Benefits and Coverage can be found under the listing for each specific program: Medical, Dental, and Vision.

 

COBRA Notices & Rights

Annual Notices 2018 to 2019 (PDF)

Continuation Coverage Rights Under COBRA (PDF)

Medical Program Overview

RESIG’s broker, Alliant Insurance Services, negotiates with health benefit program carriers on an annual basis. The current plan period is October 1, 2016 to September 30, 2017.

The Health Program includes Kaiser and Blue Shield plans sponsored through Self-Insured Schools of California (SISC). Kaiser includes three HMO plans and a High Deductible Health Plan (H.D.H.P.); compatible with a Health Savings Account (H.S.A.). Blue Shield health plans include four PPO plans including an H.D.H.P. compatible with an H.S.A. The H.S.A. plans are administered by RESIG.

Two Kaiser Permanente Senior Advantage (KPSA), Blue Shield PPO 65+ and Anthem Blue Cross Medicare supplemental (CompanionCare) plans are available for retirees over age 65 with Medicare Parts A & B or retirees who are Medicare eligible prior to age 65.