2025-26 Employee Benefit Guide (coming)

We are proud to offer a comprehensive benefits package to eligible employees. The complete benefits package is briefly summarized in this booklet. Documents from the carriers will give you more detailed information about each of these programs. Employees may have a cost share for some benefits and other benefits may be provided at no cost.

• Understanding the Differences Between Medical Plans

Benefitsolver

• Benefitsolver Registration Instructions

Schools Insurance Group

Eligible employees declining coverage will need to complete a waiver form. Elections or declination of coverage remains in effect until the next Open Enrollment unless there is a qualifying event. Specific provider forms can be found in their respective sections below.

2025-26 Medical Rates

The rate sheets below show the monthly deduction per pay period for each employee classification:

• Certificated Employees

• Classified Employees (11-months)

• Classified Employees (12-months)

• Confidential/Admin Employees

Medical coverage is subject to availability depending on residence. See Carriers section below for the service area maps/lists. Dental and vision plans available for employees are as follows:

Participation in dental and/or vision coverage requires participation in medical coverage.

Sutter Health Plus

Sutter HP 1600 HD HMO becomes Sutter HP 1650 HD HMO HD40

• IRS mandate – minimum deductible increases for individuals and families (1650/3300/3300)

• Out-of-Pocket maximum increases to $6600

Sutter HP 2500 HD HMO HD39

• IRS mandate – deductible for individual within a family increases to $3300 (2500/3300/5000)

Kaiser Permanente

Kaiser High-Deductible Plans

• IRS mandate – deductible for individual within a family increases to $3300

  • 2000 HD HMO – 2000/3300/4000

    • OOPM also changing to 3300/6200

  • 3000 HD HMO – 3000/3300/6000

    • OOPM also changing to 5350/10700

Western Health Advantage

WHA High-Deductible Plans

• IRS mandate – deductible for individual within a family increases to $3300

  • 1800 HD HMO – 1800/3300/3600

  • 2800 HD HMO – 2800/3300/5600

• Increased HDHP 2800 Maximum out-of-pocket from $4,000/$8,000 to $6,500/$13,000

• Increased Traditional HMO Family Maximum out-of-pocket from $2,500 to $3,000

• Increased DHMO Maximum out-of-pocket from $3,000/$6,000 to

  $5,000/$10,000

• Mail order Rx copay will now be 2x retail (prev. 2.5x retail) and will now be 100-day supply

• Replaced injectable Rx tier with Specialty Rx copay

• All network pharmacies will allow 90-day maintenance medications

VSP

• Add Walmart In Network

  • Second highest out-of-network provider

  • All Stores are in-network (materials) – includes Sam’s Club

  • Frame allowance would mirror Costco wholesale allowance of $110

  • Approximately 70% of the providers are in-network (provider, exam)

• Add standard progressive lenses at no copay