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Employee Health Benefits » 2023-24 & 2024-25 New Hire Benefit Packet

2023-24 & 2024-25 New Hire Benefit Packet

 
Welcome to PYLUSD! 
 
The PYLUSD benefit plan year runs from October 1 to June 30, each year. If an employee's benefits begin prior to October, depending on the date of hire, employees are required to submit enrollment forms for both plan years.
 
All benefit-eligible employees must review the attached New Hire Employee Benefit Check-Off List which lists the documents that must be reviewed. It is required that this checklist form be completed and returned to Risk Management along with the Mandatory Documents.
 
Return documents to:
Viveka (Vee) Rodriguez
Risk Management Department
1301 E. Orangethorpe Avenue,
Placentia, CA 92870.
714-985-8476 or [email protected]. 
 
NOTE:
  • Employees working between 90% - 100% of a 1 FTE are required, per SISC rules, to enroll in a minimum of single medical coverage unless an employee has other coverage. Effective 10/1/24, employees who prefer to decline SISC medical coverage, may elect the *Waiver of Active Benefits (WABE) option at no cost. Employees electing WABE must provide documentation with coverage dates to show proof of an active health plan
 
  • Certificated or Management employees working 50% to 89% of a 1 FTE may decline coverage
 
  • Classified employees working 7.2 (permanent position) hours per day or 36 hours per week may decline coverage
 
  • Certificated and Management employees who work less than 100% FTE pay a higher cost for their benefits (rates are available upon request)
 
  • If an employee declined benefits when the District transitioned to SISC in 2018, they were approved by SISC to be grandfathered, allowing them to continue to decline medical benefits. This allows those employees to decline medical coverage, each year, even though they are considered a mandatory enrollee. If one of those employees choose coverage at any time in the future, they will no longer be eligible to be considered a grandfathered employee and they must select at least single-party coverage in the future or select the WABE option and provide proof of coverage in another health plan.
 
  • Employees have 31 days from their date of hire or return to work to elect coverage or coverage is not guaranteed.
 
  • Check your bargaining unit contract for eligibility rules to enroll in a PPO plan.
 
  • Certificated temporary employees (one-year contract) and temporary employees whose service days begin after the beginning of the second semester shall not be entitled to benefits beyond June 30th.
 
For a smooth & timely enrollment, documents are required 10 working days from your date of hire. If documents are received after the 15th of the month, there will be a delay in your enrollment due to a two-week enrollment process period. 
 
ACTION REQUIRED
Mandatory Documents to be READ and RETURNED
Please note:
 
  • Effective 7/1/16 Cigna will no longer be available to new enrollees. 
  • Employees who are currently enrolled in the Cigna dental plan may elect to stay in the plan.

  • If you are hired before October 1, you will have additional documents to complete as the previous plan year is in effect until September 30. Contact Risk Management for instructions.