For the remainder of 2009, the following quality
health benefit plans will be available to eligible temporary and Part-Time Faculty and their
dependents.
Blue Shield PPO
Blue Shield HMO
Kaiser Permanente
Delta Dental
SafeGuard Dental
Beginning January 1, 2010, the following quality health benefit plans will be available to eligible temporary and Part-Time Faculty and their dependents:
Medical (Administered by CalPERS)
Kaiser Permanente
Blue Shield Access+ HMO
Blue Shield EPO
Blue Shield NetValue HMO
PERS Select (PPO)
PERS Choice (PPO)
PERSCare (PPO)
Dental
Delta Dental (PPO)
SafeGuard (HMO)
Vision (VSP)
MetLife Life Insurance
The medical plan you choose may have an annual deductible or office visit copay structure.
If you are enrolling
for the first time or reenrolling in the Part-Time Faculty
Health Benefits Program, your eligibility
must be verified. Please complete and return the current Enrollment/Change Form and the Access Only/POP application, found in the Forms You May Need section, to enroll in the Part-Time Faculty Health Benefits Program.
Important Information: Beginning January 1, 2010, the Access Only health benefit program will no longer exist. Please see this letter for details: Access Only Letter
NOTICE: These copies of the Blue Shield 2006 Combined Evidence of Coverage and Disclosure Form is being provided for your convenience. Blue Shield of California takes no responsibility for the information contained in this document on the Intranet. Please note that the Combined Evidence of Coverage and Disclosure Forms will be or have been provided to you in a printed copy format by Blue Shield of California and such printed copy is the official disclosure form required by the California Health and Safety Code.
