All of our member districts and charters offer a benefits package to eligible employees. Benefits may differ by the number of hours worked, classification, and/or bargaining unit. Health benefit selections are made for new hires during the hiring process and for active employees during open enrollment or due to a qualifying event.
Open Enrollment is the time during the year when you have the opportunity to change the medical, dental, and vision plans you are currently enrolled in. If you anticipate having changes in your family in the upcoming plan year, open enrollment is the time to determine if your plan still meets your needs.
SISC Health Plans
Please see below for Open Enrollment information for all Districts/ Charters enrolled on a SISC health plan
Open Enrollment forms are due to your district/charter school office no later than
August 13, 2021, for the 2021-22 plan year.
Enrollment Forms, Annual Notices, and Information
Anthem Enrollment Form
Kaiser Enrollment Form
HIPAA Notice of Privacy
Dependent Eligibility Requirements
Declination of Coverage-Less than FT
Declination of Coverage-Full Time 2021-22
Health Benefit Guidelines & Ack
If you are an employee that would like to keep your current plan and make no changes, please complete the health plan election- (Site Specific).
If you are an employee that would like to enroll in a new plan, please complete the health plan election for your site and either the Anthem or Kaiser enrollment form.
If you are an employee that needs to change your dependents please complete the enrollment health plan election form and the membership change form.
If you are an employee that would like to decline coverage please complete either Declination of Coverage- less than full time or Declination of Coverage full-time (WABE)
Below are the 2021-22 health benefit plan descriptions (SBC's)
When you enroll in one of the above medical plans (excluding the Anthem PPO 2-Tier Anchor Bronze Plan), you are automatically enrolled in the following Vision and Dental plans.
Use the Benefit Provider Contact List and contact the carrier if you have questions about a plan’s coverage and /or benefits.
Below are the 2020-2021 health benefit plan descriptions (SBC's)