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, Insurance Benefits Specialist, email: cfreitas@powayusd.com
Christine Gold, Insurance Benefits Technician, email: cgold@powayusd.com

OPEN ENROLLMENT FOR 2021 is October 26th - November 13th

OPEN ENROLLMENT SCHEDULE

2020 INSURANCE INFORMATION


OPEN ENROLLMENT - BENEFITS ONLINE REGISTRATION!
Benefits Bridge Online Registration

2020 Insurance Benefits Guides and Forms


2020 GUIDES
ACTIVE
Employee Benefits Guide
ALL
Employee Benefits Information Guide  - COBRA
RETIRES
Benefits Information Guide - RETIREE
 
2020 SUMMARIES
ACTIVE
AETNA AVN HMO SBC 
AETNA AVN HMO Summary (AETNA value Network)
AETNA EPO Summary (Elect choice)
AETNA Full Network HMO SBC 
AETNA OAMC SBC (Open Access Managed Choice)
KAISER Permanente SBC
Aetna AVN HMO Plan Design and Benefits
AETNA Full Network Plan Design and Benefits
AETNA OAMC Plan Design and Benefits
KAISER Permanente Plan Design and Benefits
KAISER Chiropractic Information 
DENTAL
DELTA DENTAL Benefits Summary
MetLife Dental HMO Benefits Summary
VISION
MES VISION Summary
MES Vision Plan Highlights
SENIORS
KAISER Traditional Plan SBC (Summary of Benefits & Coverage)
KAISER Senior Advantage [KPSA] Plan Design and Benefits
KAISER SENIOR ADVANTAGE [KPSA] DENTAL Summary
LEGAL
MetLife Legal Plan Description - Monthly
MetLife Legal Plan Description - Tenthly
MetLife Legal Enrollment Kit
 
2020 INSURANCE FORMS
ACTIVE
Beneficiary Designation Form
Benefits Enrollment Form - ACTIVE EMPLOYEE
Dependent Day Care Provider Acknowledgement Form
Domestic Partner Affidavit
Flex Enrollment Form
Handicaped Child Attending Physicians Statement Form
Medical History Statement - The Standard Life Supplemental 
MES Claim Form
Optum RX Claim Reimbursement Form
Payroll Deduction Change
Request for Continuation of Medical Coverage
The Standard Life Insurance Enrollment Form
SENIORS/RETIREES
Benefits Enrollment Form - RETIREE
Kaiser Senior Advantage  [KPSA] Enrollment Form
Hyatt Election Form - Retiree
Benefit Bridge Tutorial
- Take 1

Benefit Bridge Tutorial
- Take 2

Benefits

CARRIER CONTACTS

AETNA: (800) 370-4526
GRP# 866283
www.aetna.com

OPTUM RX: (800) 797-9791
GRP# 610494
www.optumrx.com

KAISER: (800) 464-4000
GRP# 104206
www.kp.org

DELTA DENTAL: (866) 499-3001
GRP# 6779-0001 Active
GRP# 6779-0002 Retiree
www.deltadentalins.com

MetLife Dental HMO: (800) 880-1800
GRP# 216420 MET50
www.metlife.com

MES VISION: (800) 877-6372
GRP# 92-005
www.mesvision.com
 

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 race, color, ancestry, national origin, nationality, immigration status, ethnicity, ethnic group identification, age, religion, marital or parental status, physical or mental ability, sex, sexual orientation, gender, gender identity, or gender expression or association with a person or a group with one or more of these actual or perceived characteristics. For more information, please contact: Title IX/Equity Compliance Officer, James Jimenez, Associate Superintendent of Personnel Support Services, Poway Unified School District, 15250 Avenue of Science, San Diego, CA 92128, 1-858-521-2800, extension 2121, jjimenez@powayusd.com. For students, you may contact Title IX Coordinator Jamie Dayhoff, Director of Attendance and Discipline, Poway Unified School District, 1-858-521-2840, jdayhoff@powayusd.com

 View Annual Notification of Parents’/Students’ Rights English  | SpanishProfessional Standards  | Annual Notification of Employees’ Rights

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