Health Benefits - Summary of Coverage and Benefits
Health coverage is provided by Anthem Blue Cross
1-855-333-5730, www.anthem.com/ca/welcome.
MDLive provides 24/7/365 access
to doctors and pediatricians anytime, anywhere through the following:
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Health Insurance Marketplace Coverage Options and Your Health Coverage
To assist you as you evaluate options for you and your family, this notice provides some basic information about the new Marketplace and employment-based health coverage offered
by the Tulare County Office of Education. Please note that this notice is informational only.
Prescription Benefits
TCOE employees and their eligible dependents who are enrolled in the employer-sponsored health plan are provided with prescription coverage which is administered by Navitus Health Solutions. Their telephone
number is (866) 333-2757. Ninety-day and free generics are now available at Costco Walk-in Pharmacies, as well as through mail order. No Costco membership is required to utilize the pharmacy.
Dental Benefits
Dental coverage is provided by Delta Dental Premier. To receive the greatest value of benefits, services should be obtained from a participating network provider. To contact customer service for claim and benefit
inquiries, call toll-free 1-866-499-3001 (Monday through Friday from 5 a.m. to 6:00 p.m. PST), or visit their website at www.deltadentalins.com.
Vision Benefits
Vision coverage is provided by VSP, 1-800-877-7195, www.vsp.com. To receive the greatest value of benefits, services
should be obtained from a participating network provider.
Basic Life/Accidental Death & Dismemberment Insurance
All TCOE employees, regardless of working part-time or full-time, are eligible for term life insurance. This coverage is terminated on the last day of the month in which the employee resigns,
retires, or is terminated; however, it may be continued at the individual's expense if converted to an individual policy. For additional information, contact Human Resources at 559-733-6306.
Voluntary Life Insurance
At TCOE, employees have the opportunity to purchase additional life insurance through Lincoln Financial. As a new hire you will have the option to sign up for guaranteed amounts - no health questionnaires.
Long Term Disability
This plan is employer-provided for all classified, confidential, and classified management employees. The disability benefits are coordinated with sick leave paid by TCOE. Benefits begin on the 31st day of Total Disability due
to a covered accident or illness. The plan pays a monthly disability benefit of 60% of your Monthly Compensation not to exceed: (1) a maximum monthly disability benefit of $3,600; (2) a maximum covered monthly compensation of $6,000; and (3) the
amount for which premium is being paid.
The plan is administered by American Fidelity Assurance Company, 1-866-504-0010.
Employee Assistance Program
This free, confidential, professional service is available for you and eligible family members during those times when your personal problems seem to be taking control of your life and job performance. EAP provides problem
evaluation, referral, and short-term intervention services for help in dealing with issues such as: stress, anxiety, and depression; divorce and separation; conflict in the workplace; care of elderly parents; alcohol or drug concerns; parent-child
issues; family/relationship concerns; grief and loss; financial problems; life change; illness and disability; and domestic abuse.
IRS Section 125 Benefit Summary
The Section 125 Plan is administered by American Fidelity Insurance, www.afadvantage.com.
General Information
1-800-654-8489
Flex Account Administration 1-800-325-0654
Benefits 1-800-662-1113
This plan allows you, as a benefit-eligible employee, to improve your overall benefit plan and to help reduce the amount of taxes you pay.
Substitute, Temporary & Overtime Timesheet
The timesheet and instructions must be printed back-to-back and on GREEN paper.
Comp Time Form
The two forms above must be printed back-to-back and on BLUE paper.