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District Departments » Benefits » Certificated » New Enrollments

New Enrollments

WELCOME TO PALMDALE SCHOOL DISTRICT

Congratulations on joining the Palmdale School District team!  The District offers their Certificated Full-Time employees district-paid medical, dental, vision and life insurance up to the District Maximum Contribution.  The medical, dental and vision coverage is provided by California Valued Trust (CVT) and the life insurance is through UNUM.  All new hires are required to enroll in their benefits within 30 days of their hire date and there are no opt-out options. Benefits will become effective the first of the month following your hire/eligibility date.

Reminder: As a Palmdale School District employee, you do not pay for State Disability.  Please look at the Voluntary Deductions page for more information on disability options, IRS Section 125 Flexible Spending Accounts, long-term care, and voluntary life insurance.

It is important you make informed benefit decisions at the time of enrollment.  The checklist below will help guide you through the enrollment process.

HEALTH PLAN ELECTION FORM

1. Check the selection box next to the price of the medical plan you are selecting
2. Initial your selection
3. Print your name and a contact number at the bottom
4. Sign and date the form
5. If you have selected a plan with a required monthly premium, complete the Premium Only Plan (POP) Enrollment Form on the next page.

MyCVT REGISTRATION

1. Go to https://mycvt.cvtrust.org
2. Click “REGISTER A NEW ACCOUNT”
3. Enter a valid email address, create a password and enter your social security number
4. Select “Palmdale School District”
5. Select “Certificated”
6. Read and accept the Terms & Conditions
7. Click “Create new account”
8. Once you receive your confirmation email, you will log back in to select your insurance plan and add dependents along with any required documents

UNUM GROUP INSURANCE ENROLLMENT FORM

1. Fill in your information (we can look up date of hire/promotion and salary)
2. Skip the Beneficiary Information section of this form, it will be completed on the next page
3. Sign and date the form

UNUM BENEFICIARY DESIGNATION FORM

1. Enter your name and social security number
2. Enter your beneficiary information (and contingent beneficiary information) making sure the percentages add up to 100% for each section, do not use dollar amounts in the Percentage column. (NOTE: If you are married and you do not elect your spouse as your beneficiary, your spouse MUST write at the bottom: “I understand that I am not the primary beneficiary of this policy,” then he/she must sign and date the statement.
3. Sign and date the form

Your enrollment in benefits will NOT be complete until you have done all of the following:

Return the Health Plan Election form and POP form (if required) to the Benefits desk
Return both pages of the Unum Group Life Insurance forms to the Benefits desk
Complete your MyCVT enrollment (made your plan selection, added your dependent(s) and uploaded any required supporting documents)

Insurance cards should be mailed to you within 21 business days from when CVT processes your enrollment.
You will not receive cards for Delta Dental or Vision Service Plan (VSP). To access these services, inform your care provider of your coverage and they will verify with Delta or VSP. You may also visit www.deltadentalins.com to access your dental insurance information and www.vsp.com to access your vision insurance information; electronic ID cards are available upon registering on the providers online portals.

  • Carefully review all available information and discuss your benefit needs for the coming year with your family (if applicable).

  • Gather the information you will need to complete new enrollments:

    • Dependent Social Security numbers, dates of birth, full legal names, and supporting documents.

  • To enroll, log on to https://mycvt.cvtrust.org and make your election.
    • On the MyCVT site you can compare up to 3 plans at a time.  
    • If adding dependents, please upload proof of relationship or provide the forms to Benefit Services.