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 firstname.lastname@example.org
|Plan Description||Co-Pay||Prescriptions||Group Number||Telephone||Website|
|BSC 100A||$10||$5-20||SC1264 - P051002|
|BSC 100A||$20||$9-35||SC1265 - P061002|
|BSC 90A||$20||$9-35||SC1366 - P071002|
|BSC 80C||$20||$9-35||SC1367 - P081002|
|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|