New Employee Benefit Information

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25/26 Medical Plans

• Anthem PPOs
• Anthem 80/20 PPO 80-L Rx $9-35
• Anthem 80/20 PPO 80-K
• Anthem 80/20 PPO 80-L Rx $5-20
• Anthem Proactive Care Gold
• Anthem HMOs
• Anthem Select HMO Classic 20
• Anthem Select HMO Premier 20
• Kaiser
• Kaiser Plan

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Full-Time (>30.5hr) Benefit Rates for September

Part-Time (20-30hr) Benefit Rates for September

Medical Plans Offered 9/2025 & 10/2025

The following plans will no longer be offered beginning 10/2026.

• Anthem 80-L $9/35 PPO
• Anthem Proactive Care Gold

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The following plans will be offered beginning October 2026 through September 2027.

• Three HMO plan options
• Three 80/20 PPO plan options

26/27 Medical Plans

• Anthem PPOs
• Anthem 80/20 PPO 80-K
• Anthem 80/20 PPO 80-M
• Anthem 80/20 PPO 80-L
• Anthem HMOs
• Anthem Select Premier 20 HMO
• Anthem Select Classic 20 HMO
• Kaiser
• Kaiser Plan

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Full-Time (>30.5hr) Benefit Rates for Oct 2026-Sep 2027

Part-Time (26-30hr) Benefit Rates for Oct 2026-Sep 2026

Part-Time (20-25hr) Benefit Rates for Oct 2026-Sep 2026

Dental Plan

• Delta Dental PPO will be your carrier.
• Explanation of coverage is included in your packet

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Vision Plan

• VSP
• VSP Kaiser Materials Only
• Explanation of coverage is included in your packet

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Adding a Dependent

• Adding a child(ren) and/or adopted children up to age 26
• Legal birth certificate
• Legal adoption documentation
• Adding a child(ren) under legal guardianship up to age 18
• Legal US court documentation establishing guardianship
• Documentation must be provided to the Benefits Coordinator

Adding a Dependent

• Adding a Spouse
• Prior year’s (2025) Federal 1040 Tax form, OR
• If file separately, will need marriage affidavit (provided by Benefits Coordinator) and marriage certificate, OR
• A marriage certificate will be accepted for newly married couples when the filing has not yet been required for the current tax year, AND
• Spouse Verification Form
• Documentation must be provided to the Benefits Coordinator

Adding a Dependent

• Adding a Domestic Partner
• A Certificate of Registered Domestic Partnership issued by the State of California or a certified copy of the Declaration of Domestic Partnership that includes the dated, signed secretary of State Certification Stamp, AND
• Prior year’s (2025) Federal 1040 Tax form, OR
• Mortgage statement, rental agreement, or utility bill with both members’ names if registered <1 year, AND
• Domestic Partner Verification Form
• Documentation must be provided to the Benefits Coordinator

Spouse/Domestic Partner Eligibility

• Spouse cannot obtain single-party coverage from employer for less than $250 per month (medical plan summary of benefits documenting single-party costs from employer required)
• Spouse will be on employee’s plan for secondary coverage
• Spouse is self-employed
• Spouse is unemployed
• Spouse’s employer does not offer medical insurance (letter from employer stating no coverage offered required)
• Spouse is retired and/or on Medicare

Added Value Benefits

• Centivo Care: Free virtual primary care; all Anthem members
• Vida Health: Free one-on-one health coaching and therapy; all Anthem members
• MDLive: 24/7 virtual urgent care and appointment-based mental health services; all Anthem members
• Costco Pharmacy: Free generic medications and flu shots; all Anthem members
• Midi Health: Virtual perimenopause & menopause support; all Anthem PPO members
• Teladoc Medical Experts: Free virtual second opinion for medical diagnosis and treatment plans; all Anthem & Kaiser members

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Added Value Benefits

• Hinge Health: Free virtual physical therapy for back or joint pain; all Anthem PPO members
• Maven: 24/7 access to virtual maternity & postpartum support; join by second trimester and receive free 6-month diaper subscription; all Anthem PPO members
• Carrum Health: Hip, knee & spine surgical consultation; all Anthem PPO members
• Lantern Cancer Care: Personal oncology nurse to guide through cancer diagnosis & treatment; all Anthem PPO members
• WellTheory: Nutrition and lifestyle coaching for those with autoimmune diseases or chronic symptoms; all Anthem members

Employee Assistance Programs

• Anthem
• Work-life balance resources, legal & financial support, child & elder care resources, dealing with critical events, and emotional well-being; 6 free mental health sessions per issue, per year
• AllOne Health
• Mental health, legal concerns, financial consultation, child & elder care, medical advocacy, life coaching, housing, and work-life balance; 5 telephonic or 3 in-person free mental health sessions per issue, per year
• Optum
• Mental health, financial coaching, ID theft protection, legal counseling & mediation, adult & elder care, chronic illness support, child & family support, educational resources, and clinician visits; 5 free mental health sessions per issue, per year

Supplemental/Voluntary Plans

• American Fidelity
• Disability
• Accident
• Cancer
• Critical Illness
• Hospital Indemnity
• Whole & Term Life Insurance
• Health FSA
• Dependent Care Account

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*District contributes $10 towards any post-tax voluntary policy for non-management classified employees

403(B) & 457(B) Notice

• As an employee of the Simi Valley Unified School District, you are eligible to participate in the District’s 403(b) and 457(b) voluntary retirement plans. Per Universal Availability requirements mandated by the IRS, we are required to inform you of your eligibility to participate in these retirement plans.
• While you may receive a pension from either STRS or PERS upon your retirement, your pension may not be 100% of the income you’re making now. The difference between what you’re making now and what you need during your retirement years is called the income gap. These supplemental retirement plans can help you reduce or eliminate your retirement income gap.
• Unlike other employee benefits, supplemental retirement plans are open for enrollment all year long. You can start, stop or change your elective deferrals at any time throughout the

year. Our third-party plan administrator, SchoolsFirst FCU, assists us in offering our employees an effective opportunity to participate by providing you with free educational resources and information regarding the district’s benefits.

• SchoolsFirst Contact Flyer

Benefits of Pre-Tax Deductions

• What is a pre-tax deduction?
• A pre-tax deduction is a benefit that is deducted from an employee’s paycheck before income & employment taxes
• This lowers the total income amount that is taxed
• This reduces the income taxes that an employee is responsible for paying.
• Your medical benefits that have an employee contribution are eligible to be pre-tax.

Benefit Enrollment Process

• Contact your Benefit Plans Coordinator
• elysse.johnsonmendoz@simivalleyusd.org
• shannon.suggett@simivalleyusd.org
• (805) 306-4500 ext. 4015
• If adding dependents, please provide required documentation
• Benefits will be active beginning first day of the month following hire date
• 30 days from hire date to complete your enrollment

Who do I contact?

• Elysse Johnson-Mendoza – Benefit Plans Coordinator
• (805)-306-4500 ext. 4015
• elysse.johnsonmendoz@simivalleyusd.org
• Stacey Shoff – Director of Safety/Risk Management
• (805) 306-4500 ext. 4081
• staceyshoff@simivalleyusd.org
• Shannon Suggett – Incoming Benefit Plans Coordinator
• shannon.suggett@simivalleyusd.org

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Benefits Website

Questions?