2018 Benefits and Insurance

Personnel Support Services - Benefits

For general inquiries and assistance email: benefits@powayusd.com
Phone: (858) 521-2800 ext. 2897, FAX: 858-485-1355

Carin Freitas, Benefits Specialist, email: cfreitas@powayusd.com
Christine Gold, Insurance Benefits Technician, email: cgold@powayusd.com
Lauren Brookshire, Insurance Benefits Technician, email: lbrookshire@powayusd.com

2018 INSURANCE INFORMATION

Open Enrollment is from October 30, 2017 - November 15, 2017. You will need to take action if you want to:

  • Participate or continue participation in the Opt-Out/Waive Option

  • Change your plan elections, including changing your medical carrier

  • Add/Drop dependents

  • Participate in a Medical or Dependent Care Flexible Spending Account (FSA)

  • Enroll in Hyatt Metlaw Legal Plan

  • Elect or increase voluntary life insurance


.
 

2018 Insurance Benefits Guides and Forms

INSURANCE GUIDES/FORMS GROUP TYPE
EMPLOYEE BENEFITS INFORMATION GUIDE ACTIVE MEDICAL
EMPLOYEE BENEFITS INFORMATION GUIDE - COBRA ALL MEDICAL
EMPLOYEE BENEFITS INFORMATION GUIDE - RETIREE RETIREE MEDICAL
2018 BENEFITS ENROLLMENT FORM - ACTIVE EMPLOYEE ACTIVE MEDICAL
2018 BENEFITS ENROLLMENT FORM - RETIREE RETIREE MEDICAL
2018 FLEX ENROLLMENT FORM ACTIVE FLEX
2018 PUSD DELTA DENTAL BENEFIT SUMMARY ALL DENTAL
2018 PUSD MES VISION SUMMARY ACTIVE VISION
THE STANDARD LIFE INSURANCE ENROLLMENT FORM ACTIVE LIFE
2018 PUSD AETNA AVN HMO SBC (Summary of Basic Coverage) ACTIVE MEDICAL
2018 PUSD AENTA AVN HMO SUPPLEMENTAL INFO ACTIVE MEDICAL
2018 PUSD AETNA AVN HMO SUMMARY (AETNA VALUE NETWORK) ACTIVE MEDICAL
2018 PUSD AETNA EPO SUMMARY (ELECT CHOICE) ACTIVE MEDICAL
2018 PUSD AETNA FULL NETWORK SBC ACTIVE MEDICAL
2018 PUSD AETNA FULL NETWORK SUPPLEMENTAL INFO ACTIVE MEDICAL
2018 PUSD AETNA FULL NETWORK HMO SUMMARY ACTIVE MEDICAL
2018 PUSD AETNA OAMC SBC ACTIVE MEDICAL
2018 PUSD AETNA OAMC SBC SUPPLEMENTAL INFO ACTIVE MEDICAL
2018 PUSD AETNA OAMC SUMMARY (OPEN ACCESS MANAGED CHOICE) ACTIVE MEDICAL
2018 PUSD KAISER PRINCIPAL BENEFITS SUMMARY ACTIVE MEDICAL
2018 PUSD KAISER CHIRO RIDER ACTIVE MEDICAL
2018 PUSD KAISER TRANDITIONAL PLAN SBC (Summary of Benefits & Coverage) ACTIVE MEDICAL
2018 PUSD KAISER SENIOR ADVANTAGE [KPSA] ENROLLMENT FORM SENIORS MEDICAL
2018 PUSD KAISER SENIOR ADVANTAGE [KPSA] BENEFIT SUMMARY SENIORS MEDICAL
2018 PUSD KAISER SENIOR ADVANTAGE [KPSA] DENTAL SUMMARY SENIORS DENTAL
DOMESTIC PARTNER AFFIDAVIT ACTIVE  
PAYROLL DEDUCTION CHANGE ACTIVE  
MES Claim Form ACTIVE EYE
Handicaped Child Attending Physicians Statement Form ACTIVE  
REQUEST FOR CONTINUATION OF MEDICAL COVERAGE ACTIVE  
MEDICAL HISTORY STATEMENT - THE STANDARD LIFE SUPPLEMENTAL  ACTIVE  
Dependent Day Care Provider Acknowledgement Form ACTIVE  
Optum RX Claim Reimbursement Form ACTIVE RX
Beneficiary Designation Form ACTIVE  
     
     
     

 

The Poway Unified School District (PUSD) is an equal opportunity employer/program and is committed to an active Nondiscrimination Program. PUSD prohibits discrimination, harassment, intimidation, and bullying based on actual or perceived ancestry, age, color, disability, gender, gender identity, gender expression, nationality, race or ethnicity, religion, sex, sexual orientation, or association with a person or a group with one or more of these actual or perceived characteristics. For more information, please contact the Title IX/Equity Compliance Officer, Associate Superintendent of Personnel Support Services, Poway Unified School District, 15250 Avenue of Science, San Diego, CA 92128-3406, 858-521-2800, extension 2761. View Annual Notification of Parents’/Students’ Rights | Annual Notification of Employees’ Rights

POWAY UNIFIED SCHOOL DISTRICT | 15250 Avenue of Science, San Diego, CA 92128 | (858) 521-2800