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Health Benefits and Resources

Health Benefits and Resources

State Center Community College District (SCCCD) strives to provide you and your family with a comprehensive and valuable benefits package.

Eligible employees have four (4) medical plan options to choose from, including a dental plan, vision plan, life insurance and AD&D insurance plan, an employee assistance program, and voluntary long-term disability insurance.

As allowed under IRS Section 125 Flexible Spending Account regulations, employees can elect either at time of hire or during the annual open enrollment period to have the employee medical plan payroll deduction taken out pre-tax. To find out more information about Section 125 Flexible Spending Accounts, please visit the Voluntary Benefit Deduction page.

SCCCD is part of a Joint Powers Authority known as the EdCare (FASBO). SCCCD along with two other school districts pool resources and money together in order to self-fund two medical insurance plans (Modern Care and Bronze PPO), a dental insurance plan, and a vision insurance plan. Our health insurance broker is, Barthuli & Associates and their office can be used as a resource to enrolled employees. 

Medical Insurance Plans

SCCCD offers four (4) medical plan options for eligible employees - Modern Care PPO plan, Bronze PPO plan, Kaiser Permanente High HMO plan, Kaiser Permanente Low DHMO plan.

Health benefits eligibility is administered in accordance with the bargaining unit agreements, Board Policies, Administrative Regulations, and the Affordable Care Act (ACA) regulations. The following employees are eligible for health benefits: 

  • Full-time management and confidential employees
  • CSEA classified employees working 30-hours or more per week
  • SCFT full-time faculty employees
  • POA classified employees working 40-hours or more per week
  • ACA eligible employees

Eligible dependents can be enrolled onto the health plans within 31-days from date of hire (including date of hire), 31-days from qualifying event date (including event date), and/or during the annual open enrollment period. 

Dependent eligibility is administered in accordance with the individual health insurance plan guidelines.

A dependent eligibility verification review is completed every three-years. A dependent eligibility verification review is the process of verifying the eligibility of dependents enrolled on the health insurance plans. Employees will receive more information regarding the dependent eligibility review, along with requirements, in the year the review is set to occur. 

With a PPO plan, each time you need care, you choose whether to receive your care from a PPO (in-network) or non-PPO provider (out-of-network).

The Modern Care PPO health plan uses the following vendors and provider networks:

  • Anthem Blue Cross provider network nationwide for medical benefits and services.
  • Halcyon EAP for mental health and substance abuse providers, services and benefits.
  • PhysMetrics for chiropractic, physical therapy, occupational therapy, and speech-language therapy providers, services, and benefits.
  • Prescription drug benefits are managed by Integrated Prescription Management (IPM).

The Modern Care PPO plan offers telemedicine services, a weight management program and professional pregnancy support.

For plan year October 1, 2020 to September 30, 2021, the employee monthly payroll deduction toward the premium is $381.

With the Bronze PPO plan, each time you need care you can choose a participating provider within the provider network (in-network). The Bronze PPO plan has no out-of-network benefits.

The Bronze PPO health plan uses the following vendors and provider networks:

  • Anthem Blue Cross provider network nationwide for medical benefits and services.
  • Halcyon EAP for mental health and substance abuse providers, services and benefits.
  • PhysMetrics for chiropractic, physical therapy, occupational therapy, and speech-language therapy providers, services, and benefits.
  • Prescription drug benefits are managed by Integrated Prescription Management (IPM).

The Bronze PPO medical plan offers telemedicine services, a weight management program and professional pregnancy support are also available under this plan.

For plan year 2020-2021, the employee monthly payroll deduction toward the premium is $194.

The Kaiser Permanente HMO high plan is considered a traditional plan. There is no annual deductible, no co-insurance.

With a Kaiser HMO plan, Kaiser has its own network of providers, hospitals and medical facilities. Members must receive care from a Kaiser facility and provider. There are no out of network benefits unless the member has been provided authorization to obtain care outside of the Kaiser HMO network.

Kaiser offers telemedicine services, health and wellness classes, and a weight management program.

For plan year 2020-2021, the employee monthly payroll deduction toward the premium is $619.54.

The Kaiser DHMO low plan is considered a deductible plan. There is an annual deductible for benefits and services in relation to the hospital (lab tests, emergency room, urgent care, etc.).

With a Kaiser HMO plan, Kaiser has its own network of providers, hospitals and medical facilities. Members must receive care from a Kaiser facility and provider. There are no out of network benefits unless the member has been provided authorization to obtain care outside of the Kaiser HMO network.

Kaiser offers telemedicine services, health and wellness classes, and a weight management program.

For plan year 2020-2021, the employee monthly payroll deduction toward the premium is $0.


Dental Insurance Plan

SCCCD offers one dental plan option to eligible employees. This is a self-funded dental plan managed through the EdCare Group. The dental plan provider is Ameritas PPO. SCCCD pays 100% of the dental insurance plan premium.

The Ameritas PPO dental plan has both in-network and out-of-network benefits. Ameritas does have its own provider network and use of an in-network provider is encouraged in order to maximize your dental plan benefits.

Should an eligible member use an out-of-network provider, Ameritas pays the provider the Ameritas PPO discounted fee. Should the out-of-network provider charge you more for the services, you may have to pay out of pocket for what the plan does not cover.

Upon initial enrollment, all new employees and their eligible dependents start at the 70% incentive level for benefits. In order for the annual incentive level to increase, members and their eligible enrolled dependents must use the benefits at least once per year to maximize benefits.

Vision Insurance Plan

SCCCD offers one vision plan option to eligible employees. This is a self-funded vision plan managed through the Edcare Group. The dental plan provider is Vision Service Plan (VSP). The District pays 100% of the premium.

The VSP vision plan provides in-network benefits which include eye exams once every 12 months, frames every 24 months, lenses every 12 months, and contacts (in lieu of glasses) every 12 months, including other extra benefits.

Life Insurance and Accidental Death and Dismemberment (AD&D)

SCCCD offers eligible employees a $50,000 Life Insurance and Accidental Death and Dismemberment (AD&D) plan including a $5,000 life insurance policy for eligible dependents enrolled on the Medical plan. Management and Confidential Employees also receive an additional employer-paid, age-based benefit under the life insurance plan. The District pays 100% of the premium.

Eligible members can take advantage of additional services such as funeral planning, estate planning and travel assistance.

Employee Assistance Program (EAP)

The Employee Assistance Program (EAP) is offered through Halcyon Behavioral. EAP is a confidential counseling service available to eligible district employees and anyone within the eligible employee’s household. Eligible employees and members of their households are allowed 6 free sessions per year, per issue.  The EAP plan can be used 24 hours a day, 7 days a week. The District pays 100% of the premium.

Voluntary Long-Term Disability (LTD) Insurance

SCCCD provides all benefit eligible employees hired on or after September 1, 2013, the opportunity to purchase at cost voluntary long-term disability (LTD) insurance coverage offered through VOYA.  Long-term disability insurance can provide a monetary benefit should an employee be deemed disabled and unable to work, causing a loss of income. The employee pays 100% of the premium.

Additional Information

Questions regarding employee benefits?

Email Benefits at benefits@scccd.edu or call 559-243-7100

Be Happy and Healthy!