2019 - 2020 Employee Health Benefits
For More Information Contact:
Employees Last Name beginning A-K: Karen Kettenhofen kkettenhofen@dcjesd.us / 916-770-8877
Employees Last Name beginning L-Z: Lorna LeBeau llebeau@dcjesd.us / 916-770-8878
important open enrollment information:
2019-2020 Fringe Benefit Options & Rates
Kaiser Permanente
SUMMARY OF BENEFITS AND COVERAGE:
Kaiser Plan 20 600559D (CSEA employee group)
Kaiser Plan 20 600559E (ATU, Confidential, DCTA, Management/Board Member employee groups)
Kaiser High Deductible (All employee groups)
Kaiser Permanente 2019 Sample Fee List (High Deductible Plan)
sutter health plus
Sutter Health Plus Service Area
SUMMARY OF BENEFITS AND COVERAGE:
Sutter Health Plus HMO (All employee groups)
Sutter Health Plus High Deductible ($1,500/$3,000) (All employee groups)
Sutter Health Plus High Deductible ($2,500/$5,000) (All employee groups)
Sutter Health Plus Estimated Costs for Services 2020 calendar year
western health advantage
WESTERN HEALTH ADVANTAGE WEBSITE
Western Health Advantage Service Area
SUMMARY OF BENEFITS & COVERAGE:
Western Health Advantage HMO (All employee groups)
Western Health Advantage High Deductible ($1,800/$3,600) (All employee groups)
Western Health Advantage High Deductible ($2,800/$5,600) (All employee groups)
Health Savings Account
Optum HSA Information (All employee groups)
FORMS:
Optum HSA Salary Reduction Form
Request for Additional Debit Card- Authorized User
Withdrawal/Distribution Request Form
IRS Publication 502 Medical and Dental Expenses for 2018 returns
IRS Publication 969 Health Savings Accounts and Other Tax-Favored Health Plans for 2017 returns
Delta Dental Information
PLAN INFORMATION:
Delta Dental Plan IB (ATU, CSEA, DCTA, Management/Board Members employee groups)
Delta Dental Plan IIB Confidential employee group
Heart Disease & Your Oral Health
