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BENEFITS

 

The District provides excellent paid Health and Welfare Benefits for all employees and their eligible dependents.



Annual Benefits Open Enrollment for Eligible Part-Time Faculty

Deadline: Thursday, July 31, 2008, 5:00 p.m.


The Open Enrollment for the Part-Time Faculty will be conducted over the entire month of July 2008, ending on July 31, 2008. The benefits would be in effect from October 1, 2008 through September 30, 2009.

Eligible part-time faculty with an accumulation from 0.4000 through 0.49999 load are eligible for 50% District paid benefits and those who averaged 0.5000 or more are eligible for 100% District paid benefits. The eligible part-time faculty will be receiving an Annual Benefits Open Enrollment packets around June 20th.

Only out-of-state faculty are eligible to participate in either the PPO Network or PPO+ Medical Plan option. Kaiser HMO serves strictly to California residents. Members who select the PPO Plan option are required to pay the difference in cost between HMO and PPO rates less District's Kaiser contribution rates.

Current enrollees for PY 07/08 who continued to qualify for PY 08/09 must go through the renewal process - you are only required to submit the Affidavit Statement which must be notarized ANNUALLY; there is no exception! In addition, we do not provide the notary public service in-house.

If you have misplaced or need additional copies of the Open Enrollment information that was sent to you, please see the links below.

Note: You may only submit the forms and enroll in the benefits plan for which you are eligible. If you submit the incorrect form, your enrollment is incomplete. Improper completion of the open enrollment process and/or submitting incorrect paperwork could jeopardize your benefits.


Forms for Eligible Part-Time Faculty (.4000-.4999 load)



Forms for Eligible Part-Time Faculty (.5000 and above load)

Forms for Eligible OUT-OF-STATE Part-Time Faculty (.4000-.4999 load)

Forms for Eligible OUT-OF-STATE Part-Time Faculty (.5000 and above load)



Table of Contents

HOW TO ORDER ADDITIONAL ID CARDS FOR OVERAGE OR REPLACEMENT OF LOST ID CARDS (PPO Network Only/PPO+):

    Please follow the following instructions.

    First, access the web page: www.MyUHC.com. Under the section on the right, "Need a username and password?", you must register on-line by entering the newly assigned ID number (listed on ID card) or your SSN to register and set your own LOGIN and PASSWORD to access personalized health care, benefits information and order ID cards.

    Once logged in, go to the "Manage my Account" menu at the top, and then choose, "Request ID cards".

    Please Note: Individuals can only place one ID card request per individual per day. If you need to request more cards for the same person, please try again tomorrow. Otherwise, you can print a temporary ID card immediately.

    If you are experiencing technical difficulties, while accessing myuhc.com, please contact UHC Technical Support at (877) 844-4999.

    If you don't have access to a computer, you can always contact UHC customer care at 1-800-510-4846 to request it.

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INFORMATION FOR RETIREES


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MEDICAL BENEFITS - Effective July 1, 2006

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DISEASE MANAGEMENT PROGRAM FOR PPO NETWORK ONLY AND PPO+ PLAN - Effective July 1, 2006

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FLEXIBLE SPENDING ACCOUNT (FSA)

    Important Deadline for FSA claims submission:
    • PY 07/08 - September 30, 2008
    • PY 08/09 - September 30, 2009

    *Terminated employees must submit FSA claim form within 90 days after the last day of coverage.

    FSA UHC Direct Deposit Request Form

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GROUP TERM LIFE and ACCIDENTAL DEATH & DISMEMBERMENT(AD&D) - HARTFORD LIFE INSURANCE COMPANY(GROUP# 677313):


SUPPLEMENTAL TERM LIFE INSURANCE - HARTFORD LIFE INSURANCE COMPANY (GROUP #677313):

NOTE: "Group Term Life and AD & D Application and Beneficiary Designation Forms" are mandatory.


LONG TERM DISABILITY (LTD) BENEFITS - HARTFORD LIFE INSURANCE COMPANY (GROUP # 677313):


WORKERS' COMPENSATION

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COBRA CONTINUATION RIGHTS Return to Top


REQUEST FOR CONTINUING HEALTH COVERAGE FORMS

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FORMS


PRESCRIPTION DRUGS, DENTAL, VISION, BEHAVIORAL/COUNSELING INFORMATION

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VISIT RELATED WEB SITES:

  • Visit District Self-Insured Medical Plan - PPO
  • Visit Kaiser Permanente - HMO
  • Visit United Behavior Health (UBH)
  • Visit MyUHC.com
  • Visit Delta Dental of California
  • Visit Vision Service Plan
  • Visit United HealthCare List of Providers

  • For PPO Network Only, you must access providers from United HealthCare CHOICE Health Plan.

      It is imperative that you obtain the provider's tax ID number and verify it with United Healthcare Customer Service @ 1-800-510-4846, to ensure fully paid benefits.

  • For PPO+, you can access providers from United HealthCare CHOICE PLUS Health Plan, or any non-contracted provider.

  • Please search under "FACILITY" for list of Ambulance Services, Ambulatory Surgical Center, Dialysis Center, Extended Care Facility, Home Health Agency, Home IV Therapy, Hospice Center, Labs, Medical Equipment Vendors, Medical Rehab Center, MRI, Nursing Home, Physical Therapy, Radiology Center, and Urgent Care Center.




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Last Updated: Wednesday, August 6, 2008 at 5:08:54 PM
©2008 Foothill-De Anza Community College District

 
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