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
Shannon Wolff, Insurance Benefits Technician, email: swolff@powayusd.com

2020 INSURANCE INFORMATION


OPEN ENROLLMENT - BENEFITS ONLINE REGISTRATION!
Benefits Bridge Online Registration

Open Enrollment will be held from Monday, October 21, 2019 – Monday, November 4, 2019.

What is Open Enrollment?

Open Enrollment is the only opportunity for current benefits eligible employees to make changes to benefits elections for plan year 2020 without having a qualifying life event.
During the Open Enrollment period, you may…

  • Make changes to your current coverage, including adding or dropping dependents
  • Elect new coverage or cancel existing coverage
  • Continue participation in the opt out program
  • Participate or continue participation in Medical or Dependent Care Flexible Spending Accounts
  • Enroll in Hyatt MetLaw Legal Plan
  • Elect or increase voluntary life insurance

 
Opt Out Members receiving Cash In Lieu are REQUIRED to select the Opt Out/Cash In Lieu plan on an annual basis. Opt Out members will NOT be required to upload additional forms or complete an attestation if re-enrolling in the Opt Out program via BenefitBridge. Simply elect the Cash In Lieu plan, except the waiver agreement, make any other changes or enrollments you wish, and hit submit.
 
Medical and Dependent Care FSA elections are REQUIRED annually with an annual contribution selected through the BenefitBridge portal.
 
Adding Dependents requires an upload of their proof of dependency such as marriage certificate, birth certificate, IRS 1040 tax form. Please reference page 6 of the Employee Benefits Guide in the link below.

This is a “changes only” open enrollment, if you do not have any changes to make on medical, dental, and vision, no action is required on your behalf ALTHOUGH, we highly encourage you to verify your information listed by visiting www.benefitbridge.com/powayusd. Your current medical, dental, vision selections will continue unchanged for the 2020 plan year.

Experienced a midyear qualifying event such as loss or gain in other coverage, birth or adoption of a child, marriage, divorce, etc. and need to make a benefit change? Complete the 2020 Benefits Enrollment Form  in the link below, attach proof of the midyear qualifying event and submit to the Insurance Benefits Department.


2020 Insurance Benefits Guides and Forms


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 2761, jjimenez@powayusd.com

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

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