PT Faculty Health Insurance Pilot Program
About the Pilot Program
Effective October 1, 2024 and continuing until September 30, 2026, State Center Community College District (SCCCD) will offer a health insurance pilot program for eligible part-time faculty members. Please review the MOU pertaining to the Part-Time Faculty Health Insurance Pilot Program.
To be eligible for this program, the following criteria has to be met:
- Part-time faculty member will have a 50% of a full-time faculty* assigned load or higher for the Fall semester; AND
- 50% of a full-time faculty assigned load or higher for the Spring semester; OR
- 50% average of a full-time assigned load or higher for the Fall and Spring semesters combined.
*50% of a full-time faculty assigned load is equivalent to the following: Instructional - 7.5 FTEs; Non-Instructional - 17.5 hours
Employees eligible in the Fall 2024
Eligible employees will receive notification via your District email address with information about the eligibility, enrollment process, and important dates.
The enrollment period will take place from August 12, 2024 through 4:30 PM, September 12, 2024.
Eligible employees must take action in BenefitBridge by either enrolling in a medical plan or waiving coverage (must upload proof of other coverage) by the enrollment deadline of 4:30 PM, September 12, 2024.
Eligible employees who fail to make an election or waive coverage in BenefitBridge will be enrolled into the lowest cost medical plan.
Waiving Coverage
If you elect to waive and not enroll in a medical plan, you will be required to elect "Waive Coverage" in BenefitBridge and upload the supporting documentation - proof of your other medical insurance coverage along with the effective dates. Proof of other medical insurance coverage can be one of the following:
- A copy of your medical insurance card verifying you are covered and the duration/effective dates of that coverage, OR,
- A letter from your spouse's/registered domestic partner's employer or covered person's employer or health plan verifying you are covered as a subscriber or dependent under the medical coverage and the duration/effective dates of that coverage.
Please note, if you are on a medical insurance plan offered through another employer, a spouse/registered domestic partner, or Covered California, please contact that agency to determine if there is anything you may need to do now that you are being offered group medical insurance through your employer effective October 1, 2024.
Eligible employees who fail to make an election or waive coverage in BenefitBridge by 4:30 PM. September 12, 2024, will be enrolled into the lowest cost medical plan.
BenefitBridge
BenefitBridge is the District's online benefit administration system. Employees will make all plan changes in BenefitBridge. You can access BenefitBridge through MyPortal.
Should you need technical support, please contact BenefitBridge Customer Care at 800-814-1862 Monday - Friday, 8:00 AM - 5:00 PM, PST or email benefitbridge@keenan.com.
Formal Informational Meeting Presentation
District Human Resources staff and our broker, Keenan, along with Kaiser Permanente will conduct two (2) formal informational meetings. At these meetings, there will be a PowerPoint presentation along with a general Q&A session.
- 8/15/2024 - NEW TIME - 4:00 PM - 6:00 PM - In-Person at the District Office, 1171 Fulton Street, Fresno, CA 93721 (to get parking instructions, please contact Gaby Holguin at (559) 243-7100). To join via Zoom, click here.
- 2nd Meeting Date/Time To Be Determined - Will be the week of August 26, 2024
Health Plan Offerings
SCCCD offers three (3) medical plan options for eligible part-time faculty eligible members - Kaiser Permanente High HMO plan, Kaiser Permanente Low DHMO plan and Kaiser High Deductible Health Plan (HDHP) HSA compatible.
Premium Cost
The District and employees share in the cost of the health insurance coverage. The District contribution toward the medical insurance plans monthly premiums is specified in the Part-Time Faculty Health Insurance Pilot Program MOU and is currently $1,250 per month per eligible employee. The part-time unit member will pay the difference between the district contribution and the cost of any premium in excess of the District contribution for the medical plan selected.
Below you will find the monthly premium amounts:
- Kaiser High HMO Medical Plan - Employee contribution per month is $426.28
- Kaiser Low DHMO Medical Plan - Employee contribution per month is $123.82.
- Kaiser High Deductible Health Plan (HDHP - HSA compatible) - Employee contribution per month is $0
There is no additional cost to enroll eligible dependents and employees may elect to pre-tax their medical plan deductions under Section 125.
Medical Plans
The Kaiser Permanente HMO high plan is considered a traditional plan. There is no annual deductible or co-insurance.
Kaiser has its own network of providers, hospitals and medical facilities. Members must receive care from a Kaiser facility and provider. There are no out of network benefits unless the member has been provided authorization to obtain care outside of the Kaiser HMO network.
Kaiser offers telemedicine services, health and wellness classes, and a weight management program.
This plan will coordinate with other Kaiser HMO plans.
The Kaiser DHMO low plan is considered a deductible plan. There is an annual deductible for benefits and services in relation to the hospital (lab tests, emergency room, urgent care, etc.).
Kaiser has its own network of providers, hospitals and medical facilities. Members must receive care from a Kaiser facility and provider. There are no out of network benefits unless the member has been provided authorization to obtain care outside of the Kaiser HMO network.
Kaiser offers telemedicine services, health and wellness classes, and a weight management program.
The Kaiser High Deductible Health Plan (HDHP) is considered a high deductible plan and is HSA compatible. There is an annual deductible for benefits and services.
Kaiser has its own network of providers, hospitals and medical facilities. Members must receive care from a Kaiser facility and provider. There are no out of network benefits unless the member has been provided authorization to obtain care outside of the Kaiser HMO network.
Kaiser offers telemedicine services, health and wellness classes, and a weight management program.
Dependent Eligibility
Eligible dependents can be enrolled onto the health plans within 31-days from date of initial eligibility, 31-days from qualifying event date (including event date), and/or during the annual open enrollment period.
The following supporting dependent eligibility documents are required at time of enrollment:
- Spouse:
- Copy of Prior Year's Federal Tax Form that shows the couple was married, with financial information redacted.
- Copy of the legal certified marriage certificate.
- Copy of the spouse’s social security card.
- Registered Domestic Partner (RDP):
- Copy of the Certificate or Registered Domestic Partnership issued by State of California.
- RDP’s social security card.
- Biological Child(ren) up to age 26:
- Copy of legal certified birth certificate(s).
- Copy of the child’s social security card.
- Stepchild(ren) up to age 26:
- Copy of legal certified birth certificate(s) naming the current legally, married spouse or RDP as the child’s biological parent.
- Copy of the child’s social security card.
- Adopted Child(ren) up to age 26:
- Copy of the legal birth certificate(s).
- Copy of the legal adoption documentation.
- Copy of the child’s social security card.
- Legal guardianship of a child(ren) up to age 18:
- Copy of legal certified birth certificate(s).
- Copy of legal US Court documentation establishing guardianship.
- Copy of the child’s social security card.
Questions?
Email: benefits@scccd.edu
Call us at (559) 243-7100
