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Human Resources

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Open Enrollment May 2014
Deadline: Friday, May 23, 2014

Announcements

Initial Notice of Plan Change (Memo dated May 7, 2014)
Open Enrollment Instructions (Memo dated May 13, 2014)
Open Enrollment Guide for Blue Shield PPO plans
Benefit Plan Rates (for the period of 7/1/14 to 1/31/15)

Continuing Plans

Kaiser

2/1/2014 to 1/31/2015 – Traditional Plan
7/1/2014 to 1/30/2015 – Deductible HMO Plan

Kaiser's List of Covered Zip Codes for the Northern California Service Area

Delta Dental

Active Employees
Retired Employees

VSP

VSP Vision Benefit Summary

New Plans

Blue Shield PPO

SISC Blue Shield of California 100% Plan A / $20.00 Copayment
Summary of Benefits (100% Plan)

SISC Blue Shield of California 80% Plan K / $30.00 Copayment
Summary of Benefits (80% Plan)

Plan Being Discontinued as of July 1, 2014

Health Net

Health Net is being discontinued as of July 1, 2014. It will be replaced with Blue Shield

Open Enrollment Sessions

Session Dates

Open Enrollment Forms

Step 1: Complete Plan Election Form

Step 2: Complete Enrollment Forms

Step 3: Provide Required Dependent Eligibility Information

Other: Complete Agreement to Save Taxes on Premiums (complete Option 3 on this form)

Resources and Contact Information

KAISER – Group #554
Get immediate assistance to your routine questions by calling KP Member Services at 800-464-4000.            

Blue Shield
Contact your Member Services Team at 1-800-642-6155.

Delta Dental
Visit web site: www.deltadentalins.com/enrollees

VSP
Call 1-800-877-7195 for details on your vision plan or go to www.vsp.com

Self-Insured Schools of California
Visit web site:  http://sisc.kern.org/hw/


Human Resources Web Site
If you have questions about the Human Resources web site, please contact 415.485.9340, or hrjobs@marin.edu