Home Benefits 2019 Employee Benefits Select from the list below to get more information about specific benefit plans, access forms, find answers to frequently asked questions (FAQs), and link to provider websites. All documents are formatted as PDFs. Benefit Plan Contact Numbers Benefit Plan Group Numbers Plan Comparisons | ASCOE Plan Comparisons | Management, Confidential, ROPTA and SEIU Blue Shield Blue Shield website Enrollment Form Membership Change Form Urgent Care Information Summary of Benefits | Plan B | 100% Summary of Benefits | Plan E | 90% Summary of Benefits | Plan G | 80% Rates | ASCOE Hired Before 7/1/2011 Rates | ASCOE Hired After 7/1/2011 Rates | Management & Confidential Rates | CTETA Rates | SEIU Working 6+ hours/day Rates | SEIU Working 5 hours/day Deferred Compensation Deferred Compensation FAQ 403(b) Plan Annual Notice - 2017-18 403(b) Comply brochure 403(b) Compare website 403(b) Comply website 403(b) Plans FAQ403(b) Website enrollment guide - 2016-17 457 Plan website 457 Plans FAQ Dental Delta Dental website Dental Plan FAQ Evidence of Coverage | Certificated Evidence of Coverage | Classified & Management Employee Assistance Program (EAP) EAP Overview Anthem EAP Website Flex Plan Flex Plan website Claim Forms Flex Plan FAQ Kaiser Permanente Kaiser Permanente website Enrollment Form Change Form Summary of Benefits | Kaiser High | Package 1 | ASCOE Summary of Benefits | Kaiser Mid Deductible | ASCOE Summary of Benefits | Kaiser High | Package 1 Summary of Benefits | Kaiser High | Package 2 Kaiser Mid Deductible Summary of Benefits | Kaiser HDHP with HSA Rates | ASCOE Hired Before 7/1/2011 Rates | ASCOE Hired After 7/1/2011 Rates | Management & Confidential Rates | CTETA Rates | SEIU Working 6+ hours/day Rates | SEIU Working 5 hours/day Life Insurance Enrollment Form Plan Description Vision Vision Service Plan (VSP) website Vision Plan FAQ Other Information Abbreviations Benefit Eligibility Dependent Coverage FAQ Health Plan FAQ What is RESIG? What is SISC? Accessibility Notice Individuals needing assistance with any of the documents on this page may contact webmaster@scoe.org and include a copy of the document as an attachment. If you are unable to attach a copy of the document, please indicate the document name and website location. SCOE staff will respond to your request within two business days.
