2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

WELCOMETOSANFRANCISCOUNIFIEDSCHOOLDISTRICT!ThefollowingpacketcontainsasummaryofbenefitsforeligibleemployeesoftheSanFranciscoUnifiedSchoolDistrict(SFUSDorDistrict).SFUSDemployeesandtheireligibledependentsmayenrollintheplansoutlinedwithinthispacket.Ifyouneedfurtherassistance,pleasee-mailtheSFUSDSalaryandBenefitsteamatbenefits@sfusd.eduorcallus(415)241-6101.Note:Thebenefitandvendorinformationcontainedinthispacketreflectsthe2016CalendaryearonlyandissubjecttochangeeffectiveJanuary1,2017.PleasevisittheSalaryandBenefitswebsiteathttp://www.sfusd.edu/en/employment/salary-and-benefits.htmlforup-to-datedocuments. HEALTHBENEFITS(ATAGLANCE)YourhealthinsuranceplanisadministeredbyHealthServicesSystemoftheCityandCountyofSanFranciscolocatedat:1145MarketStreet,3RdFloor(between7thand8thstreets,nearCivicCenter)SanFrancisco,CA.94103(415)554-1750or(800)541-2266www.myhss.org

MEDICALHEALTHPLANS

HMO(HealthMaintenanceOrganization)§ KaiserPermanente§ BlueShield

PPO(PreferredProviderOrganization)

§ CityHealthPlan(UnitedHealthcareChoicePlus)

SeeSFUSD2016HEALTHBENEFITSGUIDEfordeductibleamounts,premiumratesandcoveragedetails.

ELIGIBLEDEPENDENTS

ThefollowingareeligibleforMedical,VisionandDentalbenefits:§ LegalSpouseorRegisteredDomesticPartner(proofoflegalmarriageor

domesticpartnershipisrequired).§ NaturalChildren,StepchildrenandAdoptedChildren(frombirthto26years

ofage).§ LegalGuardianshipsandCourt-OrderedChildren.§ AdultDisabledChildren(mustmeetHSScriteria).

EFFECTIVEDATES(OFCOVERAGE)

Coveragebeginsonthefirstofthemonthfollowingyourstartdate.

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

VISIONANDDENTALBENEFITS(ATAGLANCE)

VISIONCARE

ProvidedbyVisionServicePlan(VSP)–NorthernCalifornianetworkofproviders(800)877-7195www.vsp.comSeeSFUSD2016HEALTHBENEFITSGUIDEforadetailedlistofcoverageandlimitations.NOTE:Ifyoudonotenrollinanavailablemedicalplan,youwillnotbeeligibleforvisionplancoverage.

DENTALPLAN

ProvidedbyDeltaDentalPremierPlanofCaliforniaPOBox7736SanFrancisco,CA.94120(415)972-8300or(888)335-8227DeltaDentalInsuranceCoveragebeginsonthefirstofthemonthfollowingyourinitialhiredate.Benefits:

§ Employeescanenrollormakechangesanytime.§ Thereisnomonthlypremiumdeduction.§ BasicBenefitsarecoveredat70%thefirstyear,80%thesecond,90%the

thirdand100%inthefourthyear,providedemployeeandeachcovereddependentusesthebenefitatleastonceeachyearandwithnobreakincoverage.

§ Maximumbenefitpayableinacalendaryearis$1,500.00§ Orthodontic(Braces)-50%uptoalifetimemaximumof$750.00§ Prosthodontic(Plates&Partials)-50%-70%coverage

GroupNumber:652-0011NOTE:Useyourname,SSN,andGroup#forservices.DeltaDentaldoesnotissueIDcardsbutyoucanprintoneoutonline.LicensedDeltaDentalproviderscanbelocatedatthedeltadentalwebsite:www.deltadentalins.com.

OPENENROLLMENT

OpenEnrollmentisaperiodoftimeduringwhichemployeescanenrollinbenefits(Medical/VisionandFlexibleSpendingAccounts),makeplanchangesorterminatecoveragewithoutneedofaqualifyingevent.TheannualOpenEnrollmentperiodtakesplaceinthefallandanychangeswillbecomeeffectiveonJanuary1stofthefollowingyear.NOTE:EmployeesarenotifiedoftheOpenEnrollmentperiodviamailandtheWAD(WeeklyAdministrativeDirective)foundinSFUSD’sEmployeeIntranet.

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

LIFEINSURANCE/LONGTERMDISABILITYSymetraLifeInsuranceCompany777108thAveNE,Ste1200Bellevue,WA.98004-5135Phone:(800)796-3872TTY/TDD:(800)833-6388www.symetra.comLifeInsuranceGrouppolicynumber:01-016916-00Long-TermDisabilityGroupnumber:01-016916-00

COVERAGE(Nocosttoemployee)

§ TheLifeInsurancebenefitamountis$25,000.§ TheAccidentalDeath,Dismembermentbenefitisalso$25,000.§ Coveragebeginsonthe1stdayofthemonthfollowinghiredateorbenefit

eligibilitydate.Note:Lifeinsurancepoliciesrequireabeneficiarydesignation.Pleasecontactyourbenefitsspecialisttoassignbeneficiaries.

§ ForLong-termdisability,coverageis50%ofsalary,uptoamaximumof$1,000permonth.

§ Eligibleemployeeshavea180daywaitingperiodfromthedatelastworkedordateofinjury/illness.

RETIREMENTCaliforniaStateTeachers’RetirementSystem(CalSTRS)P.O.Box15275Sacramento,CA.95851-0275(800)228-5453http://www.calstrs.com

WHATISCALSTRS?

TheCalSTRSPensionPlanisadefinedbenefitplanthatprovidesserviceretirementbenefitscalculatedusingaformulabasedonageatretirement,yearsofserviceandfinalcompensation.

ELIGIBILITYRULEMandatorymembershipbeginsonthefirstdayofemploymentforallcertificatedstaffwhorequireacredential,certificateorpermitandwhoareemployedtoperformcreditableserviceonafullorpart-timebasis.

CONTRIBUTION

Employee

Contribution(Currently)

SFUSDContribution(Currently)

EmployeeContribution(asofJuly1,2016)

SFUSDContribution(asofJuly1,2016)

CalSTRSMemberbeforeDecember31,2012

9.20%ofbasewages10.73%ofbase

wages

10.25%12.58%ofbase

wagesCalSTRSMemberafterDecember31,2012

8.56%ofbasewages 9.205%

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

SOCIALSECURITY/MEDICARE/STATEDISABILITY

CONTRIBUTION

SocialSecurity:§ CertificatedemployeesareexemptfromSocialSecuritycoveragedueto

membershipinaCalSTRS(aqualifiedretirementplan).

Medicare:§ MandatorycontributionforallemployeeshiredafterApril1,1986§ Employee–1.45%ofgrosssalary

StateDisability:

§ Certificatedemployeesdonot contributetoStateDisabilityInsurance(SDI). SICKLEAVE,EXTENDEDSICKANDPARENTALLEAVES

SICKTIME

AllTenured,ProbationaryandTemporarycertificatedemployeesareentitledtoten(10)daysofsickleaveallowance,whichwillbecreditedatthebeginningoftheschoolyearorpro-ratedfromthetimeofappointment.ChildDevelopmentProgramTeachersworkinga218daycalendarwillbecreditedwitheleven(11)daysofsickleaveatthebeginningoftheschoolyearorpro-ratedfromthetimeofappointment.

EXTENDEDSICKAfterallearnedandaccumulatedsickleaveisexhausted,ateacherwillhaveupto100daysofextendedsickleaveforasingleillnessoraccidentandwillbepaidtheirownproratasalary(minustheperdiemrateofasubstituteteacher).

MATERNITY/PATERNITY

ThedistrictprovidesMaternity/Paternityleaveforcertificatedemployeeswhoarerequiredtobeabsentfromworkduetopregnancy,miscarriage,childbirthandrecovery.

§ AccumulatedsicktimeisusedforMaternity/Paternityleaves.§ Onceaccumulatedsicktimeisexhausted,extendedsicktimewillbeused.§ Theteacher’sphysicianshalldeterminethelengthoftheleaveofabsence,

includingthedateonwhichtheteacherresumesduties.§ AteacherreturningfromMaternity/Paternityleaveshallreturntothe

positionpreviouslyheld.

CHILDBONDINGLEAVE

Certificatedemployeesmayusehis/herearnedandaccumulatedunusedsickandextendedsickdaysforthepurposeofbondingwithanewbornchild,anadoptedchildorachildplacedinfostercare.

§ Mayuseuptoamaximumofforty-five(45)days.§ Canonlybeusedinblocksofatleastfive(5)consecutivedays.

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

TAXSHELTEREDANNUITIES(VOLUNTARY)

403(B)PLAN

§ AdministeredbyTaxDeferredServices:(800)542-5829.

§ Californiapublicschoolemployeescanusethehttp://www.403bcompare.comwebsitetoviewthelistofapprovedvendors,availableplans,investmentoptions,performanceinformationandassociatedfees.

§ PleaserefertoappropriateIRSregulationsregarding403(b)pre-taxcontributions.

NOTE:AsofJuly1,2004,all403(b)providersarerequiredtoregisterwithCalSTRS.PleasecontactthePayrollDepartmentat(415)241-6114formoreinformation.

457SAVINGSPLAN

The457SavingsplanprovidesawidearrayofinvestmentoptionsandlowcostmutualfundsoptionswithnoIRSpenaltyforwithdrawingfundsuponseparationofservice,regardlessofage.

§ AdministeredbyTaxDeferredServices:(800)542-5829.

§ Pleasevisitwww.403bcompare.comforaccountoptions.

SUPPLEMENTALACCIDENTAL,LIFEINSURANCEANDSHORT-TERMDISABILITYPleasecontacttheinsurancecompaniesdirectlyforsupplementalplanpremiumsandcoverageoptions.Theplanvendorsarelistedbelow:

§ AmericanFamilyLifeAssuranceCompany(AFLAC)RickYoung(DistrictSalesCoordinator)1390WillowPassRoad,Ste.420Concord,CA.94520Phone:(510)764-9853Fax:(510)764-9854Email:R4_young@us.aflac.comCustomerService:(800)992-3522http://www.aflac.com

§ ColonialLifeandAccidentInsuranceCompanyPhone:(510)220-8031Fax:(415)899-8032CustomerService:(800)325-4368http://www.coloniallife.com

§ WashingtonNationalInsuranceCompanyChrisEkstrom(DistrictRepresentative)Phone:(800)458-9094ext.75532Fax:(707)428-6700CustomerService:(800)541-2254

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

EMPLOYEEASSISTANCEPROGRAM(EAP)

TheEmployeeAssistanceProgram(EAP)isadministeredbytheSymetraLifeInsuranceCompanyandisprovidedatnocosttotheemployee.Theprogramoffersthefollowingservices:

§ MentalHealthandCounselingServices

§ FinancialandLegaladviceonParenting/familyissues

§ AlcoholandDrugdependencycounseling

§ ChildandEldercarereferrals

§ Livingwithchronicconditionscounseling

§ Workplaceconflictscounseling

Allactivestaffareeligibleasoftheirdateofhire.

Talkwithaspecialistat(888)327-9573orvisitwww.guidanceresources.com

First-timeusers:clickon“Iamafirst-timeuser”andprovideyourorganizationwebID:SYMETRA.Youcanthencreateausernameandpasswordforfuturelog-ins.

FLEXIBLESPENDINGACCOUNTWageWorks1100ParkPlace,4thFloorSanMateo,CA.94403(877)924-3967www.wageworks.com

WHATISAFLEXIBLESPENDINGACCOUNT?

(FSA)

AHealthcareFSAisapre-taxbenefitaccountusedtopayforeligiblemedical,dentalandvisioncareexpensesthataren’tcoveredbyyourinsuranceplan.ADependentCareFSAisapre-taxbenefitaccountusedtopayfordependentcareservicessuchaselderdaycare,preschool,summerdaycamp,beforeorafterschoolprogramsforchildrenuptoage13.

ELIGIBILITY

Activestaffworkingatleast20hoursaweekareeligibleasoftheirdateofhireandmustenrollwithin30daysofthatdate.CurrentemployeescanenrollduringOpenEnrollmentforthefollowingplanyear.NOTE:TheplanyearrunsfromJanuary1sttoDecember31stofeachyear.

CONTRIBUTION Employeeselectsthecontributionamount,subjecttoIRSlimits(seeHealthBenefitsGuideforIRSlimits).

HOWTOENROLL CompletetheWageWorksSalaryRedirectionAgreementformandsubmitittoyourHRBenefitsAnalyst.

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

COMMUTERBENEFITSPROGRAMWageWorks1100ParkPlace,4thFloorSanMateo,CA.94403(877)924-3967www.wageworks.com

WHATARECOMMUTERPARKING,TRANSITANDVANPOOLACCOUNTS?

WageWorksoffersthreeCommuterBenefitAccounts.Allaregreatwaystoputextramoneyinyourpocketeachmonthandmakeyourcommutemoreconvenientandaffordable.

§ ACommuterParkingAccountisapre-taxbenefitaccountusedtopayforparkingaspartofyourdailycommutetowork.

§ ACommuterTransitAccountisapre-taxbenefitaccountusedtopayforpublictransit—includingtrain,subway,bus,andferry—aspartofyourdailycommutetoandfromworkandcanincludeyoureligibledependents.

§ ACommuterVanpoolAccountisapre-taxbenefitaccountusedtopayforvanpoolsaspartofyourdailycommutetowork.

ELIGIBILITYANDCONTRIBUTION

§ Activestaffworkingatleast50%ofafull-timeemploymentbecomeeligibletoenrollonthedateofhire.

§ Currentemployeescanenrollanytimeduringtheplanyear.NOTE:TheplanyearrunsfromJanuary1sttoDecember31stofeachyear.

SIGNINGUPEnrollingintheCommuterBenefitsProgramisquickandeasy.Justvisitwww.wageworks.comandchoosethe“Login/Register”optionlocatedatthetop-rightcornerofyourbrowser.

AUTO/TRAVELMEMBERSHIPS

AAA@WORK

AAA@Workprovidesemployeeswithayear-longAAAClassicmembershipwithspecialdiscountpricing.AAAClassicMembershipincludes:

Visitwww.aaa.com/atworkandenterpromocode:AAASFUSDtoobtainspecialpricing($17enrollmentfeewaivedand$6offannualsubscriptionprice).

Foradditionalquestions,pleasecontactthebelowAAAreps:

§ ErickVargas:(415)553-7214

§ IngridLozada:(415)553-7205

§ LeonCastillo:(415)553-7218

§ RichardMikles:(415)553-7201

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

RIDESHAREPROGRAMS

BAYAREABIKESHARE

TheBayAreaBikeShareistheregion’sbikesharingsystemwith700bikesand70stationsacrosstheregion,withlocationsinSanFrancisco,RedwoodCity,MountainView,PaloAlto,andSanJose.IntendedtoprovideBayArearesidentsandvisitorswithanadditionaltransportationoptionforgettingaroundtheregion,theBayAreaBikeShareisfun,easy,andaffordable.

§ DistrictEmployeesign-uprateis$75(Regularprice:$88)

§ Registeronlineat:https://www.bayareabikeshare.com/signup/sfcourt(besuretoregisterusingyour@sfusd.edue-mailaddress.

§ Whenasked,usepassword:RideSF2015

CITYCARSHARE/CARMA

CityCarShareisaservicethatallowsacommunitytosharevehiclesratherthaneachhouseholdowningit’sowncar.Mostprivatelyownedcardsspendagreatdealoftimesittingidle.Withcarsharing,fewercarscanservemorepeople,resultinginlesstrafficandparkingcongestion.

AsaCityCarSharemember,you’llgettoskipcarpayments,maintenancecostsandinsurancepremiums.Yourmembershipcomeswith24/7remoteaccesstoadiverseandfuel-efficientfleetofvehicles.

§ DistrictEmployeesget$30infreedrivingcredits

§ Registeronlineat:https://citycarshare.org

§ Whenprompted,usepromocode:LOCAL30

ZIPCAR

ZIpcarisacarsharingservicethatallowscarrentlsbythehourordaywithgasandinsuranceincludedintherentalcost.

§ Districtemployeesreceive50%offthemembershipfee,waivedapplicationfeeand10%-25%offofrentalratesfromMon–Fri.

§ Registeronlineat:www.zipcar.com/sfusd

SCOOT

Scootsaresharedelectric,smartphoneactivatedmotorscootersyoucanrideinthecity.Theyarecustomizedelectricmopedsandminicars,cangoupto30MPHandhaveapproximately20-25milesrange.

§ BayArearesidentsreceivea$25sign-upspecial(3monthsofpromembershipextra)

§ Registeronlineat:www.scootnetworks.com

§ Usepromocode:SFisNumber1

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

WORKERS’COMPENSATIONAsanSFUSDemployee,youarecoveredbyWorkers’Compensation.Itisyourresponsibilitytoreportanyinjuryorillnessimmediatelytoyoursupervisor.Ifyouhaveanyquestionsorconcernsregardingaclaim,pleasecontacttheSFUSDWorkers’CompensationUnit:

SFUSDWorkers’CompensationUnit555FranklinStreet,2ndFloorSanFrancisco,CA94102(415)241-6308

UNIONINFORMATION

UnitedEducatorsofSanFrancisco(UESF)2310MasonSt.SanFrancisco,CA.94133(415)956-8373www.uesf.org

UndertheorganizationalsecurityprovisionsoftheCollectiveBargainingAgreementwithSFUSD,unitmembersarerequiredtodooneofthefollowing:

§ Becomeamemberor§ Payanagencyfeeinlieuofmembership.

PRE-PAIDLEGALSERVICESLegalShieldRhonaS.Unsell(District’ssalescoordinator)Business:(800)530-3151E-mail:rhona@unsellinc.comwww.prepaidlegal.com/info/sanfranciscousdCustomerService:(800)654-7757

EMPLOYMENTVERIFICATION(FORCREDITLOANS,MORTGAGE,APARTMENTLEASE,ETC.)

§ SFUSDHumanResourcesDept.555FranklinStreet,2ndFloorSanFrancisco,CA94102(415)241-6101

2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES

(TENURED, PROBATIONARY AND TEMPORARY)

Rev. 04/15/2016

CREDITUNIONSFUSDemployeesmayapplyforaccountswiththefollowingCreditUnions:

§ SanFranciscoFederalCreditUnion770GoldenGateAveSanFrancisco,CA.94102(415)775-5377

§ SanFranciscoBayAreaEducatorsCreditUnion258BLagunaHondaBlvd.SanFrancisco,CA.94116(415)664-4313

§ ProvidentCentralCreditUnion303TwinDolphinDr.SanMateo,CA.94065(650)508-0300

NOTE:Youmustfirstcontacttheagencytoset-uptheaccount.ThensendacompletedPayrollDeductionAuthorizationFormto:SFUSDPayrollOperationsDepartment135VanNessAveSanFrancisco,CA.94102(415)241-6114