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<ul><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p> 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</p><p>MEDICALHEALTHPLANS</p><p>HMO(HealthMaintenanceOrganization) KaiserPermanente BlueShield</p><p>PPO(PreferredProviderOrganization)</p><p> CityHealthPlan(UnitedHealthcareChoicePlus)</p><p>SeeSFUSD2016HEALTHBENEFITSGUIDEfordeductibleamounts,premiumratesandcoveragedetails.</p><p>ELIGIBLEDEPENDENTS</p><p>ThefollowingareeligibleforMedical,VisionandDentalbenefits: LegalSpouseorRegisteredDomesticPartner(proofoflegalmarriageor</p><p>domesticpartnershipisrequired). NaturalChildren,StepchildrenandAdoptedChildren(frombirthto26years</p><p>ofage). LegalGuardianshipsandCourt-OrderedChildren. AdultDisabledChildren(mustmeetHSScriteria).</p><p>EFFECTIVEDATES(OFCOVERAGE)</p><p>Coveragebeginsonthefirstofthemonthfollowingyourstartdate.</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p>VISIONANDDENTALBENEFITS(ATAGLANCE)</p><p>VISIONCARE</p><p>ProvidedbyVisionServicePlan(VSP)NorthernCalifornianetworkofproviders(800)877-7195www.vsp.comSeeSFUSD2016HEALTHBENEFITSGUIDEforadetailedlistofcoverageandlimitations.NOTE:Ifyoudonotenrollinanavailablemedicalplan,youwillnotbeeligibleforvisionplancoverage.</p><p>DENTALPLAN</p><p>ProvidedbyDeltaDentalPremierPlanofCaliforniaPOBox7736SanFrancisco,CA.94120(415)972-8300or(888)335-8227DeltaDentalInsuranceCoveragebeginsonthefirstofthemonthfollowingyourinitialhiredate.Benefits:</p><p> Employeescanenrollormakechangesanytime. Thereisnomonthlypremiumdeduction. BasicBenefitsarecoveredat70%thefirstyear,80%thesecond,90%the</p><p>thirdand100%inthefourthyear,providedemployeeandeachcovereddependentusesthebenefitatleastonceeachyearandwithnobreakincoverage.</p><p> Maximumbenefitpayableinacalendaryearis$1,500.00 Orthodontic(Braces)-50%uptoalifetimemaximumof$750.00 Prosthodontic(Plates&amp;Partials)-50%-70%coverage</p><p>GroupNumber:652-0011NOTE:Useyourname,SSN,andGroup#forservices.DeltaDentaldoesnotissueIDcardsbutyoucanprintoneoutonline.LicensedDeltaDentalproviderscanbelocatedatthedeltadentalwebsite:www.deltadentalins.com.</p><p>OPENENROLLMENT</p><p>OpenEnrollmentisaperiodoftimeduringwhichemployeescanenrollinbenefits(Medical/VisionandFlexibleSpendingAccounts),makeplanchangesorterminatecoveragewithoutneedofaqualifyingevent.TheannualOpenEnrollmentperiodtakesplaceinthefallandanychangeswillbecomeeffectiveonJanuary1stofthefollowingyear.NOTE:EmployeesarenotifiedoftheOpenEnrollmentperiodviamailandtheWAD(WeeklyAdministrativeDirective)foundinSFUSDsEmployeeIntranet.</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p>LIFEINSURANCE/LONGTERMDISABILITYSymetraLifeInsuranceCompany777108thAveNE,Ste1200Bellevue,WA.98004-5135Phone:(800)796-3872TTY/TDD:(800)833-6388www.symetra.comLifeInsuranceGrouppolicynumber:01-016916-00Long-TermDisabilityGroupnumber:01-016916-00</p><p>COVERAGE(Nocosttoemployee)</p><p> TheLifeInsurancebenefitamountis$25,000. TheAccidentalDeath,Dismembermentbenefitisalso$25,000. Coveragebeginsonthe1stdayofthemonthfollowinghiredateorbenefit</p><p>eligibilitydate.Note:Lifeinsurancepoliciesrequireabeneficiarydesignation.Pleasecontactyourbenefitsspecialisttoassignbeneficiaries.</p><p> ForLong-termdisability,coverageis50%ofsalary,uptoamaximumof$1,000permonth.</p><p> Eligibleemployeeshavea180daywaitingperiodfromthedatelastworkedordateofinjury/illness.</p><p> RETIREMENTCaliforniaStateTeachersRetirementSystem(CalSTRS)P.O.Box15275Sacramento,CA.95851-0275(800)228-5453http://www.calstrs.com</p><p>WHATISCALSTRS?</p><p>TheCalSTRSPensionPlanisadefinedbenefitplanthatprovidesserviceretirementbenefitscalculatedusingaformulabasedonageatretirement,yearsofserviceandfinalcompensation. </p><p>ELIGIBILITYRULEMandatorymembershipbeginsonthefirstdayofemploymentforallcertificatedstaffwhorequireacredential,certificateorpermitandwhoareemployedtoperformcreditableserviceonafullorpart-timebasis.</p><p>CONTRIBUTION</p><p> Employee</p><p>Contribution(Currently)</p><p>SFUSDContribution(Currently)</p><p>EmployeeContribution(asofJuly1,2016)</p><p>SFUSDContribution(asofJuly1,2016)</p><p>CalSTRSMemberbeforeDecember31,2012</p><p>9.20%ofbasewages10.73%ofbase</p><p>wages</p><p>10.25%12.58%ofbase</p><p>wagesCalSTRSMemberafterDecember31,2012</p><p>8.56%ofbasewages 9.205%</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p>SOCIALSECURITY/MEDICARE/STATEDISABILITY</p><p>CONTRIBUTION</p><p>SocialSecurity: CertificatedemployeesareexemptfromSocialSecuritycoveragedueto</p><p>membershipinaCalSTRS(aqualifiedretirementplan).</p><p>Medicare: MandatorycontributionforallemployeeshiredafterApril1,1986 Employee1.45%ofgrosssalary</p><p>StateDisability:</p><p> Certificatedemployeesdonot contributetoStateDisabilityInsurance(SDI). SICKLEAVE,EXTENDEDSICKANDPARENTALLEAVES</p><p>SICKTIME</p><p>AllTenured,ProbationaryandTemporarycertificatedemployeesareentitledtoten(10)daysofsickleaveallowance,whichwillbecreditedatthebeginningoftheschoolyearorpro-ratedfromthetimeofappointment.ChildDevelopmentProgramTeachersworkinga218daycalendarwillbecreditedwitheleven(11)daysofsickleaveatthebeginningoftheschoolyearorpro-ratedfromthetimeofappointment.</p><p>EXTENDEDSICKAfterallearnedandaccumulatedsickleaveisexhausted,ateacherwillhaveupto100daysofextendedsickleaveforasingleillnessoraccidentandwillbepaidtheirownproratasalary(minustheperdiemrateofasubstituteteacher).</p><p>MATERNITY/PATERNITY</p><p>ThedistrictprovidesMaternity/Paternityleaveforcertificatedemployeeswhoarerequiredtobeabsentfromworkduetopregnancy,miscarriage,childbirthandrecovery.</p><p> AccumulatedsicktimeisusedforMaternity/Paternityleaves. Onceaccumulatedsicktimeisexhausted,extendedsicktimewillbeused. Theteachersphysicianshalldeterminethelengthoftheleaveofabsence,</p><p>includingthedateonwhichtheteacherresumesduties. AteacherreturningfromMaternity/Paternityleaveshallreturntothe</p><p>positionpreviouslyheld.</p><p>CHILDBONDINGLEAVE</p><p>Certificatedemployeesmayusehis/herearnedandaccumulatedunusedsickandextendedsickdaysforthepurposeofbondingwithanewbornchild,anadoptedchildorachildplacedinfostercare.</p><p> Mayuseuptoamaximumofforty-five(45)days. Canonlybeusedinblocksofatleastfive(5)consecutivedays.</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p>TAXSHELTEREDANNUITIES(VOLUNTARY)</p><p>403(B)PLAN</p><p> AdministeredbyTaxDeferredServices:(800)542-5829.</p><p> Californiapublicschoolemployeescanusethehttp://www.403bcompare.comwebsitetoviewthelistofapprovedvendors,availableplans,investmentoptions,performanceinformationandassociatedfees.</p><p> PleaserefertoappropriateIRSregulationsregarding403(b)pre-taxcontributions.</p><p>NOTE:AsofJuly1,2004,all403(b)providersarerequiredtoregisterwithCalSTRS.PleasecontactthePayrollDepartmentat(415)241-6114formoreinformation.</p><p>457SAVINGSPLAN</p><p>The457SavingsplanprovidesawidearrayofinvestmentoptionsandlowcostmutualfundsoptionswithnoIRSpenaltyforwithdrawingfundsuponseparationofservice,regardlessofage.</p><p> AdministeredbyTaxDeferredServices:(800)542-5829.</p><p> Pleasevisitwww.403bcompare.comforaccountoptions.</p><p> SUPPLEMENTALACCIDENTAL,LIFEINSURANCEANDSHORT-TERMDISABILITYPleasecontacttheinsurancecompaniesdirectlyforsupplementalplanpremiumsandcoverageoptions.Theplanvendorsarelistedbelow:</p><p> 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</p><p> ColonialLifeandAccidentInsuranceCompanyPhone:(510)220-8031Fax:(415)899-8032CustomerService:(800)325-4368http://www.coloniallife.com</p><p> WashingtonNationalInsuranceCompanyChrisEkstrom(DistrictRepresentative)Phone:(800)458-9094ext.75532Fax:(707)428-6700CustomerService:(800)541-2254</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p>EMPLOYEEASSISTANCEPROGRAM(EAP)</p><p>TheEmployeeAssistanceProgram(EAP)isadministeredbytheSymetraLifeInsuranceCompanyandisprovidedatnocosttotheemployee.Theprogramoffersthefollowingservices:</p><p> MentalHealthandCounselingServices</p><p> FinancialandLegaladviceonParenting/familyissues</p><p> AlcoholandDrugdependencycounseling</p><p> ChildandEldercarereferrals</p><p> Livingwithchronicconditionscounseling</p><p> Workplaceconflictscounseling</p><p>Allactivestaffareeligibleasoftheirdateofhire.</p><p>Talkwithaspecialistat(888)327-9573orvisitwww.guidanceresources.com</p><p>First-timeusers:clickonIamafirst-timeuserandprovideyourorganizationwebID:SYMETRA.Youcanthencreateausernameandpasswordforfuturelog-ins.</p><p> FLEXIBLESPENDINGACCOUNTWageWorks1100ParkPlace,4thFloorSanMateo,CA.94403(877)924-3967www.wageworks.com</p><p>WHATISAFLEXIBLESPENDINGACCOUNT?</p><p>(FSA)</p><p>AHealthcareFSAisapre-taxbenefitaccountusedtopayforeligiblemedical,dentalandvisioncareexpensesthatarentcoveredbyyourinsuranceplan.ADependentCareFSAisapre-taxbenefitaccountusedtopayfordependentcareservicessuchaselderdaycare,preschool,summerdaycamp,beforeorafterschoolprogramsforchildrenuptoage13.</p><p>ELIGIBILITY</p><p>Activestaffworkingatleast20hoursaweekareeligibleasoftheirdateofhireandmustenrollwithin30daysofthatdate.CurrentemployeescanenrollduringOpenEnrollmentforthefollowingplanyear.NOTE:TheplanyearrunsfromJanuary1sttoDecember31stofeachyear.</p><p>CONTRIBUTION Employeeselectsthecontributionamount,subjecttoIRSlimits(seeHealthBenefitsGuideforIRSlimits).</p><p>HOWTOENROLL CompletetheWageWorksSalaryRedirectionAgreementformandsubmitittoyourHRBenefitsAnalyst. </p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p>COMMUTERBENEFITSPROGRAMWageWorks1100ParkPlace,4thFloorSanMateo,CA.94403(877)924-3967www.wageworks.com</p><p>WHATARECOMMUTERPARKING,TRANSITANDVANPOOLACCOUNTS?</p><p>WageWorksoffersthreeCommuterBenefitAccounts.Allaregreatwaystoputextramoneyinyourpocketeachmonthandmakeyourcommutemoreconvenientandaffordable.</p><p> ACommuterParkingAccountisapre-taxbenefitaccountusedtopayforparkingaspartofyourdailycommutetowork.</p><p> ACommuterTransitAccountisapre-taxbenefitaccountusedtopayforpublictransitincludingtrain,subway,bus,andferryaspartofyourdailycommutetoandfromworkandcanincludeyoureligibledependents.</p><p> ACommuterVanpoolAccountisapre-taxbenefitaccountusedtopayforvanpoolsaspartofyourdailycommutetowork.</p><p>ELIGIBILITYANDCONTRIBUTION</p><p> Activestaffworkingatleast50%ofafull-timeemploymentbecomeeligibletoenrollonthedateofhire.</p><p> Currentemployeescanenrollanytimeduringtheplanyear.NOTE:TheplanyearrunsfromJanuary1sttoDecember31stofeachyear.</p><p>SIGNINGUPEnrollingintheCommuterBenefitsProgramisquickandeasy.Justvisitwww.wageworks.comandchoosetheLogin/Registeroptionlocatedatthetop-rightcornerofyourbrowser.</p><p> AUTO/TRAVELMEMBERSHIPS</p><p>AAA@WORK</p><p>AAA@Workprovidesemployeeswithayear-longAAAClassicmembershipwithspecialdiscountpricing.AAAClassicMembershipincludes:</p><p>Visitwww.aaa.com/atworkandenterpromocode:AAASFUSDtoobtainspecialpricing($17enrollmentfeewaivedand$6offannualsubscriptionprice).</p><p>Foradditionalquestions,pleasecontactthebelowAAAreps:</p><p> ErickVargas:(415)553-7214</p><p> IngridLozada:(415)553-7205</p><p> LeonCastillo:(415)553-7218</p><p> RichardMikles:(415)553-7201</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p> RIDESHAREPROGRAMS</p><p>BAYAREABIKESHARE</p><p>TheBayAreaBikeShareistheregionsbikesharingsystemwith700bikesand70stationsacrosstheregion,withlocationsinSanFrancisco,RedwoodCity,MountainView,PaloAlto,andSanJose.IntendedtoprovideBayArearesidentsandvisitorswithanadditionaltransportationoptionforgettingaroundtheregion,theBayAreaBikeShareisfun,easy,andaffordable.</p><p> DistrictEmployeesign-uprateis$75(Regularprice:$88)</p><p> Registeronlineat:https://www.bayareabikeshare.com/signup/sfcourt(besuretoregisterusingyour@sfusd.edue-mailaddress.</p><p> Whenasked,usepassword:RideSF2015</p><p>CITYCARSHARE/CARMA</p><p>CityCarShareisaservicethatallowsacommunitytosharevehiclesratherthaneachhouseholdowningitsowncar.Mostprivatelyownedcardsspendagreatdealoftimesittingidle.Withcarsharing,fewercarscanservemorepeople,resultinginlesstrafficandparkingcongestion.</p><p>AsaCityCarSharemember,youllgettoskipcarpayments,maintenancecostsandinsurancepremiums.Yourmembershipcomeswith24/7remoteaccesstoadiverseandfuel-efficientfleetofvehicles.</p><p> DistrictEmployeesget$30infreedrivingcredits</p><p> Registeronlineat:https://citycarshare.org</p><p> Whenprompted,usepromocode:LOCAL30</p><p>ZIPCAR</p><p>ZIpcarisacarsharingservicethatallowscarrentlsbythehourordaywithgasandinsuranceincludedintherentalcost.</p><p> Districtemployeesreceive50%offthemembershipfee,waivedapplicationfeeand10%-25%offofrentalratesfromMonFri.</p><p> Registeronlineat:www.zipcar.com/sfusd</p><p>SCOOT</p><p>Scootsaresharedelectric,smartphoneactivatedmotorscootersyoucanrideinthecity.Theyarecustomizedelectricmopedsandminicars,cangoupto30MPHandhaveapproximately20-25milesrange.</p><p> BayArearesidentsreceivea$25sign-upspecial(3monthsofpromembershipextra)</p><p> Registeronlineat:www.scootnetworks.com</p><p> Usepromocode:SFisNumber1</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p> WORKERSCOMPENSATIONAsanSFUSDemployee,youarecoveredbyWorkersCompensation.Itisyourresponsibilitytoreportanyinjuryorillnessimmediatelytoyoursupervisor.Ifyouhaveanyquestionsorconcernsregardingaclaim,pleasecontacttheSFUSDWorkersCompensationUnit:</p><p>SFUSDWorkersCompensationUnit555FranklinStreet,2ndFloorSanFrancisco,CA94102(415)241-6308</p><p> UNIONINFORMATION</p><p>UnitedEducatorsofSanFrancisco(UESF)2310MasonSt.SanFrancisco,CA.94133(415)956-8373www.uesf.org</p><p>UndertheorganizationalsecurityprovisionsoftheCollectiveBargainingAgreementwithSFUSD,unitmembersarerequiredtodooneofthefollowing:</p><p> Becomeamemberor Payanagencyfeeinlieuofmembership.</p><p> PRE-PAIDLEGALSERVICESLegalShieldRhonaS.Unsell(Districtssalescoordinator)Business:(800)530-3151E-mail:rhona@unsellinc.comwww.prepaidlegal.com/info/sanfranciscousdCustomerService:(800)654-7757</p><p> EMPLOYMENTVERIFICATION(FORCREDITLOANS,MORTGAGE,APARTMENTLEASE,ETC.)</p><p> SFUSDHumanResourcesDept.555FranklinStreet,2ndFloorSanFrancisco,CA94102(415)241-6101</p></li><li><p>2016 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY AND TEMPORARY) </p><p>Rev. 04/15/2016 </p><p> CREDITUNIONSFUSDemployeesmayapplyforaccountswiththefollowingCreditUnions:</p><p> SanFranciscoFederalCreditUnion770GoldenGateAveSanFrancisco,CA.94102(415)775-5377</p><p> SanFranciscoBayAreaEducatorsCreditUnion258BLagunaHondaBlvd.SanFrancisco,CA.94116(415)664-4313</p><p> ProvidentCentralCreditUnion303TwinDolphinDr.SanMateo,CA.94065(650)508-0300</p><p>NOTE:Youmustfirstcontacttheagencytoset-uptheaccount.ThensendacompletedPayrollDeductionAuthorizationFormto:SFUSDPayrollOperationsDepartment135VanNessAveSanFrancisco,CA.94102(415)241-6114</p></li></ul>

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