Medical Program Information

Blue Shield Documents

Plan Comparisons

Comparación de Planes en Español

Blue Shield 80% PPO (xlsx Espanol)

Blue Shield 90% PPO (xlsx Espanol)

Blue Shield 100% PPO (xlsx Espanol)

Blue Shield $1700 HDHP (xlsx Espanol)

Blue Shield $3400 HDHP (xlsx Espanol)

Blue Shield 2-tier HSA $5000 (xlsx Espanol)

 

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 2024 to September 2025

2024-2025 RX Plans & Information (PDF)

80% PPO Plan G Benefit Summary (PDF)

90% PPO Plan E (Frozen) Benefit Summary (PDF)

100% PPO Plan B Benefit Summary (PDF)

HSA - Plan A  Individual - Benefit Summary (PDF)

HSA - Plan A Family - Benefit Summary (PDF)

HSA - Plan B - Benefit Summary (PDF)

2-Tier HSA (Formerly Anchor Bronze) Benefit Summary (PDF)

2-Tier HSA MEC (PDF)

 

Resúmenes de Beneficios de Blue Shield en Español: Octubre 2024 a Septiembre 2025

80% PPO Plan G (PDF Espanol)

90% PPO Plan E (PDF Espanol)

100% PPO Plan B (PDF Espanol)

HSA $1700 (PDF Espanol)

HSA $3400 (PDF Espanol)

HSA $5000 (PDF Espanol)

HSA $9000 (PDF Espanol)

 

Blue Shield & Navitus Prescription
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 healthcare services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.

October 2024 to September 2025

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

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

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

HSA - Plan A PPO Family (PDF)

HSA - Plan B PPO Family (PDF)

2-Tier HSA (Formerly Anchor Bronze) (PDF)

2-Tier HSA MEC (PDF)

 

Waiver of Active Benefit Enrollment - WABE

SISC Benefit Handbook WABE Option (PDF)

WABE Fact Sheet (PDF)

WABE District Letter of Understanding (docx)

WABE Employee Election Form (docx)

 

Blue Shield Value-Added Services

Away from Home Care (PDF)

Costco Zero Dollar Generics (PDF)

Find a PPO Provider (PDF)

Mobile App (PDF)

PPO Zero Dollar Copay First Three PCP Visits (PDF)

PPO & HMO Total Wellness (PDF)

Print ID Card (PDF)

RX Navitus Customer Care 24-7 (PDF)

SISC Microsite (PDF)

Solera 4 Me Diabetes Prevention Program (PDF)

Value-Based Purchasing - Hospital Limit for Outpatient Procedures (PDF)

Wellness and Discounts (PDF)

Wellvolution (PDF)

Out of State (PDF)

Carrum Flyer (PDF)

Eden Virtual Primary Care (PDF)

Enhanced Cancer Benefit (PDF)

Hinge with HSA Information (PDF)

Maven (PDF)

MDLive Medical $10 Copay (PDF)

 

 

Kaiser Documents

Plan Comparisons

Comparación de Planes en Español

$0 Office Visits, $5 Prescriptions (xlsx Espanol)

$10 Office Visits, $10 Prescriptions (xlsx Espanol)

$10 Office Visits, $10 Prescriptions with Optical (xlsx Espanol)

$20 Office Visits, $10 to $20 Prescriptions (xlsx Espanol)

$20 Office Visits, $10 to $20 Prescriptions with Optical (xlsx Espanol)

$30 Office Visits, $10 to $30 Prescriptions (xlsx Espanol)

$30 Office Visits, $10 to $30 Prescriptions with Optical(xlsx Espanol)

DHMO $500 (xlxs Espanol)

DHMO $500 with Optical (xlsx Espanol)

DHMO $1,000 with Optical (xlsx Espanol)

HDHP $1,700 (xlsx Espanol)

 

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 2024 to September 2025

 

Resúmenes de Beneficios de Kaiser Permanente en Español: Octubre 2024 a Septiembre 2025

$0 Office Visits, $5 Prescriptions (PDF Espanol)

$10 Office Visits, $10 Prescriptions (PDF Espanol)

$10 Office Visits, $10 Prescriptions with Optical (PDF Espanol)

$20 Office Visits, $10 to $20 Prescriptions (PDF Espanol)

$20 Office Visits, $10 to $20 Prescriptions with Optical (PDF Espanol)

$30 Office Visits, $10 to $30 Prescriptions (PDF Espanol)

DHMO $500 (PDF Espanol)

DHMO $500 with Optical (PDF Espanol)

DHMO $1,000 (PDF Espanol)

DHMO $1,000 with Optical (PDF Espanol)

HSA $1,700 (PDF Espanol)

HSA $3,400 (PDF Espanol)

$0 Senior Advantage Plan (PDF Espanol)

$25 Senior Advantage Plan (PDF Espanol)

 

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 2024 to September 2025

Kaiser Value-Added Services

The Kaiser Difference (PDF)

Active and Fit (PDF)

Calm App (PDF)

Care Away From Home (PDF)

Center for Healthy Living Core Program (PDF)

Choose Healthy (PDF)

Explore Healthy Resources (PDF)

Getting Started with Video Appointment (PDF)

Healthy Balance Weight Management (PDF)

Hearing Aid (PDF)

HSA High Deductible Paying For Care (PDF)

Kaiser Mobile App (PDF)

Telehealth - Skip the Trip (PDF)

Total Health Assessment (PDF)

 

 

Health Savings Account Information

COBRA Documents

COBRA Forms

COBRA/Retiree Notification Form (PDF)

FAQ COBRA Continuation Health Coverage for Workers (PDF)

2023-2024 Plan Comparisons

COBRA Blue Shield PPO Rates (PDF)

COBRA Kaiser Rates Without Vision(PDF)

COBRA Kaiser Rates With Vision (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.

 

Notices & Rights

Annual Notices 2024 to 2025 (docx)

RESIG Privacy Practices Notice (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, 2023, to September 30, 2024.

The Health Program includes Kaiser Permanente and Blue Shield plans sponsored through Self-Insured Schools of California (SISC). Kaiser Permanente includes HMO plans and High Deductible Health Plan (HDHP) compatible with a Health Savings Account (HSA). Blue Shield health plans include PPO plans including an HDHP compatible with an HSA. The HSA plans are administered by RESIG.

Two Kaiser Permanente Senior Advantage (KPSA), two Blue Shield PPO 65+ and an 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.