Skip to Content  |   A to Z Index  |   Kentfield Campus  |   Indian Valley Campus

College of Marin

Fiscal Services

Home New Students - Prospective Students Current Students of College of Marin Colletge of Marin Faculty and Staff About the College of Marin College of Marin Search Engine

Employee Benefits


Name Contact Responsibilities
Ron Owen
Senior Benefits Analyst
415.883.2211 ext. 8159
Employee Health and Welfare Benefits and Workers' Compensation
Peggy Isozaki
Fiscal Services Director
415.883.2211 ext. 8160
Fiscal Services Administration

Health Plans

Blue Shield

2014/2015 Enrollment Guide

2015/2016 Enrollment Guide

SISC Enrollment Form

Blue Shield 80% PPO Schedule of Benefits

Summary of Benefits and Coverage

Evidence of Coverage

Blue Shield 100% PPO Schedule of Benefits

Summary of Benefits and Coverage

Evidence of Coverage

Blue Shield of California: 2-Tier Anchor Bronze Plan

               Summary of Benefits and Coverage:

                Benefit Summary

Kaiser Permanente

Kaiser Enrollment Form

Kaiser Senior Advantage Enrollment Form

Kaiser Traditional HMO Schedule of Benefits

Summary of Benefits and Coverage

Evidence of Coverage

Kaiser Deductible HMO Schedule of Benefits

Summary of Benefits and Coverage

Evidence of Coverage

Chiropractic Care Benefit

Beginning February 1, 2015 a chiropractic benefit has been added to both the Kaiser Traditional HMO and the Kaiser Deductible HMO plans.


Accessing Your American Specialty Health Networks Chiropractic Benefit

Find a Chiropractic Provider

Autism Services Amendment Added to Your Group Agreement

In October 2011, Governor Jerry Brown signed into law Senate Bill 946, which requires California health plans to cover “behavioral health treatment” for autism or pervasive developmental disorders when medically necessary.  In response, Kaiser Foundation Health Plan, Inc .has added  Senate Bill 946 amendments to their group health plans, effective July 1, 2012 and August 1, 2012, respectively.

Kaiser Senate Bill 946 Amendment 2012

Delta Dental

How to manage your dental plan online with Delta Dental’s easy to use tools and services

Delta Dental Website

Delta Dental Claim Form

Delta Dental Schedule of Benefits



Vision Service Provider

VSP Website

VSP Vision Plan Schedule of Benefits


Coverage for insulin and diabetic test strips on Navitus RX Plans (Effective October 1, 2015)

MD Live

Costco Main Order Pharmacy

Costco Mail Order Pharmacy

Employee Assistance Program through Anthem Blue Cross

Anthem Employee Assistance Program

Anthem EAP Flyer

Anthem EAP Website


Anthem EAP Login (use SISC for company name)

Domestic Partners

Definitions of AB 205 and non-AB205 Domestic Partnerships

Affidavit of Domestic Partnership

Affidavit of Termination of Domestic Partnership

The Hartford


Beneficiary Form

Business Travel and Accident Policy Gerber (through 09/30/2015), The Hartford (effective 10/01/2015)

Benefit Summary


Basic Life and AD&D Insurance Program (Formerly Sun Life)

Plan Document

Long Term Disability Plan- (UPM and Unrepresented Groups) (Formerly UNUM)

Benefits Highlight
Plan Document
Claim Form

Short Term Disability - Unum (CSEA and SEIU) (Formerly Unum)

Benefits Highlight
Plan Document
Claim Form

Voluntary Life and AD&D

Benefits Highlights

Additional Services

Ability Assist(R) Counseling Services (Employee Assistance Program)

Beneficiary Assist(R) Counseling Services

Estate Guidance (R) Will Services

Funeral Panning and Concierge Services

Health Champion(SM) Health care support service

Travel Assistance and ID Theft Protection Services

Aflac and WageWorks

Flexible Spending Account Enrollment Form (Wageworks)

Commuter Benefits Program

Bay Area Commuter Benefits Program:  Claim up to $130 per month of transit or van pooling expenses

Commuter Benefits Enrollment Form

For additional information on the Commuter Benefits Program, please visit the Wage Works website.  If you have additional questions, please call Wage Works Customer Service at 1.800.950.0105; please request to speak with an agent even if you are not a current participant.

Aflac Accident and Cancer Plans

If you are a current policyholder you with Accident, Cancer, or Disability Plans, there is no action required.  Your plan(s) will automatically rollover.

If you are not currently enrolled in Aflac Plans, review the information below.

Accident Indemnity Coverage: A cash benefit for injury on or off the job.

Cancer Indemnity Coverage:  Cash benefits in the event of cancer diagnosis and annual cancer screening benefits.

For additional information on Aflac's Accident and Cancer In de mi ties please follow the links above.  If you have additional questions, please contact the District's Aflac Representative, Donna Reeve 415.250.0540.

College of Marin Enrollment Form

Retirement Plans

403(b) Retirement Plan

As an employee of Marin Community College District, we are pleased to inform you that you are eligible to participate in our 403(b) retirement plan. Our 403(b) plan allows you to contribute pre-tax dollars into an investment provider of your choice. Participation in the plan not only helps you prepare for a more financially secure future, it provides significant tax advantages today.

To learn more, order the booklet A Guide to Your California Retirement Benefits, available at no charge from our plan administrator, Tax Deferred Solutions (TDS), California’s largest independent provider of 403(b) and 457(b) plan administration services. In addition, you may also request a FREE estimate of your projected retirement benefits. Visit Tax Deferred Solutions (TDS) web site to request your FREE information.

For additional information about 403(b) vendors and the products they offer, please visit 403bCompare web site.

403(b) Plan Setup or Plan Change Instructions - including a link to the Salary Redirection Agreement form.

Important Notice regarding 403(b) Administration Fees

403(b) Salary Reduction Authorization and Amendment Form

California Public Employees' Retirement System (CalPERS)

California State Teachers' Retirement System (CalSTRS)

California CalPERS & CalSTRS PEPRA Reform Info 2013

CalPERS Employer Paid Member Contribution Resolution for CSEA Employees 2013

CalPERS Employer Paid Member Contribution Resolution for SEIU Employees 2013

Social Security Administration

Healthcare Reform Information

Healthcare Reform - "What You Need to Know"

Healthcare Reform Survival Guide

Other Benefit

Redwood Credit Union


Children's Health Insurance Program (CHIP)

Fiscal Services Website
Content Responsible: Peggy Isozaki, Director of Fiscal Services, 415.883.2211 ext. 8160
Technical Contact: Katy Bauer, Executive Assistant to the Vice President of College Operations, 415.883.2211 ext. 8101