Benefits

Welcome to the Health and Welfare Benefits page. This page provides information about the Health and Welfare benefits offered to employees. The benefits plan year is from October 1 - September 30 of each year.

To view the 2020-21 Benefits Presentation click here.

< OPEN ENROLLMENT >

Open enrollment for the 2020-2021 School Year runs from August 14 to September 14, 2020. You may review and update your benefit elections through the Ease portal.

Benefit rates and enrollment guides are included here:

To enroll in a Flex Spending Account (FSA) or DependentCare Spending Account (DCSA) through American Fidelity (AF), go to https://enroll.americanfidelity.com/377E2D79 to schedule a virtual appointment. Select a date and time, and an AF representative will contact you, send a link, and walk you through enrollment and answer any questions.

If you have any questions please contact MBUSD Benefits at benefits@mbusd.org.

Anthem Blue Cross- Group # 280549

Health Maintenance Organizations (HMO) Options:

2020/21 Anthem Blue Cross Custom Premier HMO 15 -

2020/21 Vivity offered by Anthem Blue Cross Custom Premier HMO 10 -

Preferred Provider Organization (PPO) Options:

2020/21 Anthem Blue Cross Custom Classic PPO -

2020/21 Anthem Blue Cross Custom Premier PPO -

2020/21 Anthem Blue Cross Custom Exclusive PPO -

Anthem Blue Cross - Covered Prescription Drug Benefits

Anthem Blue Cross Chiropractic Rider (HMO only)

Anthem Blue Cross Hearing Aid & Footwear Rider

Is your Doctor and Anthem Provider? Anthem Blue Cross- Find a Provider

If you selected any of the Anthem Blue Cross plans, we encourage you to go to Anthem's website, and register. You can register using either the ID number from your insurance card, or your social security number.

Kaiser Permanente- Group # 231396

Health Maintenance Organizations (HMO) Options:

2020/21 Kaiser $0 Co-Pay -

2020/21 Kaiser $15 Co-Pay -

Delta Dental- Group # 7026

Member Website Evidence of Coverage Summary of Benefits- Required Notices How to print ID card

Vision Service Plan (VSP)- Group # 30069055

Member Website Welcome Letter Schedule of Benefits

American Fidelity- Supplemental Insurance

Below is a link to the claims page. Here you can file a claim directly or download a form. There are many claim forms available. The most common are:

Cancer Insurance
Accident Insurance
Disability Insurance
Flexible Spending Account
Dependent Care Spending Account

https://americanfidelity.com/claims/

Tax Sheltered Annuity- (403b/457)

Schools First FCU (Our third-party administrator) Approved Vendors Letter from Schools First FCU

District-provided Benefits: The Hartford

The district pays for long term insurance and life insurance coverage for all employees that work at least fifty percent at no cost to employees. Click the appropriate link below for an overview of these benefits:

Please note that employees must designate a beneficiary through the insurance portal.

Long Term Disability Claim Form

Life and AD&D Insurance Claim Form

Traveling during your summer break? Anthem Blue Cross has provided the following member information for those who may need to seek out-of-area non-emergency and urgent care services:

Blue Card Worldwide (pamphlet)
Anthem Blue Cross Urgent Care Flyer
Anthem Blue Cross - Benefits That Go Where You Go (information sheet)

COBRA

COBRA is the Consolidated Omnibus Budget Reconciliation Act which amended the Employee Retirement Income Security Act, the Internal Revenue Code and the Public Health Service Act to provide continuation of group health coverage that otherwise might be terminated. COBRA provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates. This coverage, however, is only available when coverage is lost due to certain specific events. Rights under COBRA

Could not find any files.

Historic rates: