WELCOME TO SAN FRANCISCO UNIFIED SCHOOL  · WELCOME TO SAN FRANCISCO UNIFIED SCHOOL DISTRICT ... §…

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<ul><li><p>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 1 </p><p> WELCOMETOSANFRANCISCOUNIFIEDSCHOOLDISTRICTThefollowingpacketcontainsasummaryofbenefitsforeligibleemployeesofSFUSD.Employeesandtheireligibledependentsmayenrollintheplansoutlinedwithinthispacket.Ifyouneedfurtherassistance,pleasee-mailyourbenefitsanalystbelow:</p><p> LastnamesbeginningwithAG:JeremyBalliatBalliJ@sfusd.edu LastnamesbeginningwithHR:DonaBaybinatBaybinD@sfusd.edu LastnamesbeginningwithSZ:CheriseGrigsbyatGrigsbyC@sfusd.edu</p><p>UnionInformation:</p><p>UnitedEducatorsofSanFrancisco(UESF)www.uesf.org2310MasonStreet</p><p> SanFrancisco,CA.94133 (415)956-8373 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>SeeSFUSD2017HEALTHBENEFITSGUIDEfordeductibleamounts,premiumratesandcoveragedetails.</p><p>ELIGIBLEDEPENDENTS</p><p>ThefollowingareeligibleforMedical,VisionandDentalbenefits: LegalSpouseorRegisteredDomesticPartner(proofoflegalmarriageor</p><p>domesticpartnershipisrequired). NaturalChildren,StepchildrenandAdoptedChildren(frombirthto26years</p><p>ofage). LegalGuardianshipsandCourt-OrderedChildren(uptotheageof19). AdultDisabledChildren(mustmeetHSScriteria).</p><p>EFFECTIVEDATES(OF</p><p>COVERAGE)Coveragebeginsonthefirstofthemonthfollowingyourstartdate.</p></li><li><p>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 2 </p><p>VISIONANDDENTALBENEFITS(ATAGLANCE)</p><p>VISIONCARE</p><p>ProvidedbyVisionServicePlan(VSP)NorthernCalifornianetworkofproviders(800)877-7195www.vsp.comSeeSFUSD2017HEALTHBENEFITSGUIDEforadetailedlistofcoverageandlimitations.NOTE:Ifyoudonotenrollinanavailablemedicalplan,youwillnotbeeligibleforvisionplancoverage.</p><p>DENTALPLAN</p><p>ProvidedbyDeltaDentalPremierPlanofCaliforniaPOBox7736SanFrancisco,CA.94120(415)972-8300or(888)335-8227www.deltadentalins.comCoveragebeginsonthefirstofthemonthfollowingyourinitialhiredate.</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>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 3 </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>ELIGIBILITYRULE</p><p> Membershipismandatoryforemployeesworking.5FTEorgreaterandbeginsonthefirstdayofemployment.</p><p> Allcertificatedstaffwhorequireacredential,certificateorpermitandwhoareemployedtoperformcreditableserviceonafullorpart-timebasisareeligible.</p><p>CONTRIBUTION</p><p> Employee</p><p>Contribution(Currently)</p><p>SFUSDContribution(Currently)</p><p>SFUSDContribution(asofJuly1,2017)</p><p>CalSTRSMemberbeforeDecember31,2012</p><p>10.25%ofbasewages</p><p>12.58%ofbasewages</p><p>14.43%ofbasewagesCalSTRSMember</p><p>afterDecember31,2012</p><p>9.205%ofbasewages</p></li><li><p>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 4 </p><p>SOCIALSECURITY/MEDICARE/STATEDISABILITY</p><p>CONTRIBUTION</p><p>SocialSecurity: CertificatedemployeesareexemptfromSocialSecuritycoveragedueto</p><p>membershipinCalSTRS.</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&amp;CHILDBONDING</p><p>LEAVE</p><p>ThedistrictprovidesMaternity/Paternityleaveforcertificatedemployeeswhoarerequiredtobeabsentfromworkduetopregnancy,miscarriage,childbirthandrecovery.Pleasee-mailNoraRiosatRiosN@sfusd.eduforadditionalinformation.</p><p> TAXSHELTEREDANNUITIES(VOLUNTARY)</p><p>403(B)PLAN&amp;457SAVINGSPLAN</p><p> AdministeredbyTaxDeferredServices:(800)542-5829.</p><p> Californiapublicschoolemployeescanusethehttp://www.403bcompare.comwebsitetoviewthelistofapprovedvendors,availableplans,investmentoptions,performanceinformationandassociatedfees.</p><p> PleaserefertoappropriateIRSregulationsregarding403(b)/457planpre-taxcontributions.</p><p>NOTE:AsofJuly1,2004,all403(b)providersarerequiredtoregisterwithCalSTRS.PleasecontactthePayrollDepartmentat(415)241-6114formoreinformation.</p></li><li><p>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 5 </p><p>SUPPLEMENTALACCIDENTAL,LIFEINSURANCE,SHORT-TERMDISABILITY&amp;PRE-PAIDLEGALPleasecontacttheinsurancecompaniesdirectlyforsupplementalplanpremiumsandcoverageoptions.Theplanvendorsarelistedbelow:</p><p> AmericanFamilyLifeAssuranceCompany(AFLAC)RickYoung(DistrictSalesCoordinator)Phone:(858)204-2612Fax:(510)764-9854Email:R4_young@us.aflac.comCustomerService:(800)992-3522Website:http://www.aflacatwork.comNote:Foronlineenrollment,sign-intoAFLAC.YourusernameisyourfullSSNandyourPasswordisthelastfourdigitsofyourSSN+thelasttwodigitsofbirthyear(e.g.,Last4digitsofSSN:6930,DOB:01/01/1970=Password:693070).</p><p> ColonialLifeandAccidentInsuranceCompanyPhone:(510)220-8031Fax:(415)899-8032CustomerService:(800)325-4368Website:http://www.coloniallife.com</p><p> WashingtonNationalInsuranceCompanyLeonardE.McKinesII(DistrictManager)Phone:(510)778-3521E-Mail:len.mckines@pmagent.net</p><p> LegalShield</p><p>LindaMasoli(Districtssalescoordinator)Business:(650)755-3331E-mail:masoli@legalshieldassociate.comWebsite:http://www.masoli.net</p><p> EMPLOYEEASSISTANCEPROGRAM(EAP)</p><p>TheEmployeeAssistanceProgram(EAP)isadministeredbytheSymetraLifeInsuranceCompanyandisprovidedatnocost.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></li><li><p>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 6 </p><p>FLEXIBLESPENDINGACCOUNT(MEDICAL,DEPENDENTCAREANDCOMMUTERTRANSIT)WageWorks1100ParkPlace,4thFloorSanMateo,CA.94403(877)924-3967www.wageworks.com</p><p>WHATISAFLEXIBLESPENDINGACCOUNT?</p><p>(FSA)</p><p>AHealthcareFSAisapre-taxbenefitaccountusedtopayforeligiblemedical,dentalandvisioncareexpensesthatarentcoveredbyyourinsuranceplan.ADependentCareFSAisapre-taxbenefitaccountusedtopayfordependentcareservicessuchaselderdaycare,preschool,summerdaycamp,beforeorafterschoolprogramsforchildrenuptoage13.Toenroll,completetheWageWorksSalaryRedirectionAgreementformandsubmitittoyourHRBenefitsAnalyst.</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>EnrollingintheCommuterBenefitsProgramisquickandeasy.Justvisitwww.wageworks.comandchoosetheLogin/Registeroptionlocatedatthetop-rightcornerofyourbrowser.</p></li><li><p>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 7 </p><p>AUTO/TRAVEL/RIDESHAREDISCOUNTS</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><p>BAYAREABIKESHARE</p><p>TheBayAreaBikeShareistheregionsbikesharingsystemwith700bikesand70stationsacrosstheregion,withlocationsinSanFrancisco,RedwoodCity,MountainView,PaloAlto,andSanJose.</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.Yourmembershipcomeswith24/7remoteaccesstoadiverseandfuel-efficientfleetofvehicles.</p><p> DistrictEmployeesget$30infreedrivingcredits</p><p> Registeronlineat:https://citycarshare.org</p><p> Whenprompted,usepromocode:LOCAL30</p><p>ZIPCAR</p><p>Zipcarisacarsharingservicethatallowscarrentalsbythehourordaywithgasandinsuranceincludedintherentalcost.</p><p> Districtemployeesreceive50%offthemembershipfee,waivedapplicationfeeand10%-25%offofrentalratesfromMonFri.</p><p> Registeronlineat:www.zipcar.com/sfusd</p><p>SCOOT</p><p>Scootsaresharedelectric,smartphoneactivatedmotor-scootersyoucanrideinthecity.</p><p> BayArearesidentsreceivefreesign-upwith$2offfirst10rides.</p><p> Registeronlineat:www.scootnetworks.com</p><p> Usepromocode:SFUSD16</p></li><li><p>2017 SUMMARY OF BENEFITS CERTIFICATED EMPLOYEES </p><p>(TENURED, PROBATIONARY, EMERGENCY AND INTERN) </p><p>Rev 01/09/2017 BENEFITS@SFUSD.EDU WWW.SFUSD.EDU 8 </p><p>EMPLOYMENTVERIFICATION(FORCREDITLOANS,MORTGAGE,APARTMENTLEASE,ETC.)ForVerificationofemployment(salaryandemploymenthiredates)pleasevisitwww.uconfirm.com</p><p>Ifadditionalemploymentverificationinformationisneeded,pleasecontact:</p><p>SFUSDHumanResourcesDept.555FranklinStreet,2ndFloorSanFrancisco,CA94102(415)241-6101</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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