Health Benefits - Summary of Coverage and Benefits

• TCOE Active Employees
  
• Early Childhood Education Active Employees
• All Hourly, Temporary, Seasonal, Substitute Employees
• TCOE & ECE Retirees

Health coverage is provided by Anthem Blue Cross
1-855-333-5730, www.anthem.com/ca/welcome.

MDLive provides 24/7/365 access to doctors and pediatricians anytime, anywhere through the following: Online video (See a doctor using your computer over the Internet). Phone call (No webcam? No problem! Talk to a doctor over the phone). Secure e-mail advice (Ask questions and get advice privately using secure e-mail). View more information about MDLive.

 

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Health Insurance Marketplace Coverage Options and Your Health Coverage

To assist you as you evaluate options for you and your family, this notice provides some basic information about the new Marketplace and employment-based health coverage offered by the Tulare County Office of Education. Please note that this notice is informational only.

• Marketplace Coverage Options for TCOE Employees
• Marketplace Coverage Options for Part-time, Substitute and Temporary Employees
• Marketplace FAQ

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Prescription Benefits

TCOE employees and their eligible dependents who are enrolled in the employer-sponsored health plan are provided with prescription coverage which is administered by Navitus Health Solutions. Their telephone number is (866) 333-2757. Ninety-day and free generics are now available at Costco Walk-in Pharmacies, as well as through mail order. No Costco membership is required to utilize the pharmacy.

• Navi-Gate for Members
• Navitus Pharmacy Benefit
• Costco Mail-in Brochure
• Costco Mail Registration Form

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Dental Benefits

Dental coverage is provided by Delta Dental Premier. To receive the greatest value of benefits, services should be obtained from a participating network provider. To contact customer service for claim and benefit inquiries, call toll-free 1-866-499-3001 (Monday through Friday from 5 a.m. to 6:00 p.m. PST), or visit their website at www.deltadentalins.com.

Read more about Delta Dental.

• Active Employees Group Number 7072 2496
• Retired Employees Group Number 7072 2596

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Vision Benefits

Vision coverage is provided by VSP, 1-800-877-7195, www.vsp.com. To receive the greatest value of benefits, services should be obtained from a participating network provider.

Read more about the VSP Vision Plan.

• Active Employees Group Number 2575703A
• Retired Employees Group Number 2575704A

Basic Life/Accidental Death & Dismemberment Insurance

All TCOE employees, regardless of working part-time or full-time, are eligible for term life insurance. This coverage is terminated on the last day of the month in which the employee resigns, retires, or is terminated; however, it may be continued at the individual's expense if converted to an individual policy. For additional information, contact Human Resources at 559-733-6306.

• Summary of Coverage - TCOE
• Summary of Coverage - Early Childhood Education Program

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Long Term Disability

This plan is employer-provided for all classified, confidential, and classified management employees. The disability benefits are coordinated with sick leave paid by TCOE. Benefits begin on the 31st day of Total Disability due to a covered accident or illness. The plan pays a monthly disability benefit of 60% of your Monthly Compensation not to exceed: (1) a maximum monthly disability benefit of $3,600; (2) a maximum covered monthly compensation of $6,000; and (3) the amount for which premium is being paid.

The plan is administered by American Fidelity Assurance Company, 1-866-504-0010.

• Summary of Coverage - TCOE
• Disability Policy Booklet - TCOE
• Summary of Coverage - Early Childhood Education Program

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Employee Assistance Program

This free, confidential, professional service is available for you and eligible family members during those times when your personal problems seem to be taking control of your life and job performance. EAP provides problem evaluation, referral, and short-term intervention services for help in dealing with issues such as: stress, anxiety, and depression; divorce and separation; conflict in the workplace; care of elderly parents; alcohol or drug concerns; parent-child issues; family/relationship concerns; grief and loss; financial problems; life change; illness and disability; and domestic abuse.

• TCOE employees who receive health benefits
  Anthem EAP
  www.AnthemEAP.com
  1-800-999-7222
  Learn more about EAP.
  
  
• All full-time and part-time employees
  Avante Behavioral Health Plan
  www.avantebehavioral.com
  559-261-9053 or 1-800-498-9055
  Learn more about EAP.

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IRS Section 125 Benefit Summary

The Section 125 Plan is administered by American Fidelity Insurance, www.afadvantage.com.

General Information 1-800-654-8489
Flex Account Administration 1-800-325-0654
Benefits 1-800-662-1113

This plan allows you, as a benefit-eligible employee, to improve your overall benefit plan and to help reduce the amount of taxes you pay.

• Pre-Tax Medical Insurance Premiums
  If you pay for all or a portion of your medical, dental or vision insurance premiums through the office, you may pre-tax that amount, saving you approximately 25% on that money in taxes.
• Unreimbursed Medical Expense Account and Dependent Day Care Account(s)
  If you pay for dependent care or medical/dental/vision or other qualified medical expenses that are not covered by insurance, you may be able to establish a tax-free account to pay for those expenses.
• Improve Your Total Benefit Package
  You may enroll in certain other benefits to improve your overall benefit package. Some premiums may be pre-taxed, saving even more money while improving your protection. These additional benefits include: Accident Only Insurance, Annuities, Cancer Insurance, Disability Income Insurance, Flexible Spending Accounts, Life Insurance, Long Term Care Insurance and Variable Annuities.