Employee Benefits

HEALTH INSURANCE
OPEN ENROLLMENT September 1, 2016 through September 30, 2016

Health Insurance is administered by CALIFORNIA’S VALUED TRUST and provided by Anthem Blue Cross.

2016/17 Benefit Plan Matrix 
(Plan:  Wellness-1/7C)


2016/17 Benefit Plan Matrix

(Plan: 8C/9C/10C/Bronze)

2016/17 Benefit Plan Matrix - HDHP-1


2016/17 Employee Premiums
(10 month/11 month/12 month)

CVT MD Live

CVT Enrollment/Change Form

CVT Disabled Dependent Certification

CVT Declaration of Domestic Partnership

Termination of Domestic Partnership

 


PRESCRIPTION MEDICINE COVERAGE

CVS/Caremark Standard Claim Form

CVS/Caremark Secondary Claim Form

CVS/Caremark Mail Order Pharmacy Form


LAB SERVICES

LabCorp is the preferred provider for services in South Lake Tahoe and Nevada.

LabCorp: 1625 SR88 #102, Minden, NV 89423  Tel: (775) 782-4532.

Quest Diagnostics is the preferred provider for services within California and outside South Lake Tahoe.


DENTAL INSURANCE

Dental insurance is administered by CVT and provided by Delta Dental. 

LTUSD’s Group# is 7901-3201

Member Assistance: (866) 499-3001 – Have your Group# and ID# ready

Dentist Referral: (800) 427-3237

Delta Provider Search

VISION INSURANCE

Vision insurance is administered by CVT and provided by Vision Service Plan (VSP)

LTUSD’s Group# is 21000491

Member Assistance: (800) 877-7195 Mon-Fri  5am-7pm PST

VSP Doctor Search

VSP Out of Network Claim Form

 

LIFE INSURANCE

Vision insurance is administered by CVT and provided by MetLife
Forms can be obtained at www.cvtrust.org/resources/forms

Employee Assistance Program (EAP)


AirMedCare (Formerly CalSTAR):
www.airmedcarenetwork.com
CalSTAR has merged with AirMedCare.
LTUSD Group Membership Cost:  $55/yr
Coupon Code:  1123-XX-BUS

RETIREMENT PLANS:

CAL STRS Link to Website

CAL PERS Link to Website

 

For Questions about employee benefits please contact:

Jill Bosma
Tel: (530) 541-2850 ext. 1041
Email: jbosma@ltusd.org

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