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  • 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)foundinSFUSDsEmployeeIntranet.

  • 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.

    RETIREMENTCaliforniaStateTeachersRetirementSystem(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 Employee1.45%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. Theteachersphysicianshalldeterminethelengthoftheleaveofabsence,

    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:clickonIamafirst-timeuserandprovideyourorganizationwebID:SYMETRA.Youcanthencreateausernameandpasswordforfuturelog-ins.

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

    WHATISAFLEXIBLESPENDINGACCOUNT?

    (FSA)

    AHealthcareFSAisapre-taxbenefitaccountusedtopayforeligiblemedical,dentala

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