Unified School District

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Employee Benefits

Nicole Prieto - Payroll Benefits Clerk

559-646-2731 ext 1043

CVT Enrollment Form

Note:
Must complete within 30 days of hire

Open Enrollment Form

Open Enrollment Window - IS CLOSED

Benefit Rates

Plan Choices 2018-2019

Certificated 150%

Certificated Part Time

Certificated Part Time 150%

Certificated Management

Certificated Management 150%

Classified, Classified Management, and Confidential

Classified, Classified Management, Confidential 150%

Classified Part Time

Classified Part Time 150%

Notes:

Monthly cost includes Health, Dental, Vision.
Composite rates, meaning monthly rates remain the same for individual, employee plus spouse, employee plus family.
150% discount only applies to Employees and spouses or Employees and domestic partners who are both enrolled in MyCvt for double coverage. Double coverage includes: No copayments and no copays for prescription (must always show both cards).

Information

Frequently Asked Questions (FAQ)

CVT Online Portal info

CVT ID Card Example

Out of area/country medical coverage

Employee Assistance Program(EAP)

Qualifying Event

Forms

CVT Fillable Enrollment Form

CVT Enrollment Form

Domestic Partnership

Terminations of domestic partnership

Part Time Election/Decline Waiver Form

Subs/Less than 4 Hours Part Time Wavier Form

Notes:

New domestic partner requirements –

New Domestic Partner Enrollments: Domestic partners enrolling for coverage effective October 1, 2018 or after must provide a copy of their state registration in order to be eligible for coverage. Unregistered domestic partners will no longer be eligible for coverage after October 1, 2018.
Existing Domestic Partners: No action is needed. Unregistered domestic partners may remain enrolled in CVT coverage under a grandfathered status. If coverage terminates and the domestic partner re-enrolls after October 1, 2018 a copy of their state registration will be required in order to be eligible for coverage.

Health Insurance Coverage

Anthem Blue Cross

Dental Coverage

- PPO Standard
- PPO 100

Vision Coverage

Vision Insurance Plan (VSP)

- VSP

District Paid Life Insurance $30,000

Met Life Insurance

Certificated and Classified

- Requirement: 5 years or more Certificated Requirement.

Free for Classified when hired.

Management Only

MetLife Insurance $50,000

Voluntary Insurance

Met Life Insurance

Voluntary Life Rates

-Voluntary Life Insurance Form

-Statement of Health Form

Voluntary Accidental Rates

Voluntary Accidental Life Insurance Information

-Voluntary Accidental Life Insurance Form

- New Hire Or Open Enrollment Only.

403(b) Plans

-Omni 403b’s Form

Certificated Only

The Standard-Disability and Life insurance

-New hires 180 days to apply or Open Enrollment