Palmdale School District

Launching a Lifetime of Learning

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  • WELCOME TO PALMDALE SCHOOL DISTRICT!

     

    As a classified employee working 6 hours or more a day, you quality for benefits.  You MUST sign-up for coverage within 30 days of your hire/qualifying date.  Your benefits are managed by SISC, and include a medical, dental, and vision plan. You also receive life insurance through UNUM.

     

    **Remember, as a Palmdale School District employee you do not pay into State Disability. Please look at the Voluntary deductions for more information on disability options, 125 plans, long-term care, and additional life insurance.***

     

    In the below package you will find forms that need to be completed in order for you to receive benefits. Turn in the necessary forms to the Benefits desk at the District Office. If you are adding dependents to your plan, please include the following:

    • Spouse/Domestic Partner: first page of your taxes with "married filing jointly, or "married filing separate", and a copy of your marriage certificate or SISC notarized domestic partnership certificate.
    • Child: a copy of every child's birth certificate.

    You must fill out the entire packet. (If you are not electing Kaiser, you do not need to fill out the Kaiser form).

    • Once you have completed the packet you may drop off the documents Monday - Friday, between 8:00 a.m. - 4:30 p.m.

    If you have any questions about benefits, you may email benefits@palmdalesd.org

     

Plan Description Co-Pay Prescriptions Group Number Telephone Website
BLUE SHIELD 1-855-256-9404 http://www.blueshieldca.com/sites/sisc
BSC 100A $10 $5-20 SC1264
BSC 100A $20 $9-35 SC1265
BSC 90A $20 $9-35 SC1366
BSC 80C $20 $9-35 SC1367
BSC 80C $20 $200/$15-50 064857P121002
KAISER PERMAMENTE
Kaiser w/Chiro $0 $5 225543-0891 1-800-464-4000 http://www.kp.com
PRESCRIPTION PROVIDER
Navitus $0- Low Cost COSTCO Generics 1-866-333-2757 HTTP://WWW.NAVITUS.COM
DENTAL PROVIDER Call or use website to find a Dentist
Delta Dental PPO w/ $1,500 Annual Max Incentive Plan 7079 1900 1-866-499-3001 http://www.deltadentalins.com
VISION PROVIDER Call or use website to find a VSP Provider
Vision Service Plan (VSP)- Plan C $15 2465603A 1-800-877-7195 HTTP://WWW.VSP.COM
UNUM LIFE INSURANCE CO. OF AMERICA
$135,000 Group Term Life Policy 420663 1-800-421-0344 http://www.unum.com
ADDED BENEFIT
Grand Rounds $0 1-844-252-3056 HTTP://WWW.GRANDROUNDS.COM/SISC
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