Health Benefits

All Lucia Mar employees must complete health benefit forms  including full-time, part-time, and variable hour employees to either enroll or decline insurance coverage while employed for the Lucia Mar Unified School District.  To decline insurance, you must be less than full time or meet other SISC eligibility requirements.  Benefit options are available below for your review which include the rates, plan options, and benefit summaries.

If you wish to have your premiums pre-taxed you must complete a Salary Redirection Agreement and forward to Human Resources.  If you have a Salary Redirection Agreement on file to have your premiums pre-taxed, it will continue to roll into the following plan year

OPEN ENROLLMENT - Current Employees
Plan Year 10/1/2024 through 9/30/2025
 
Current employees interested in enrolling in a benefits package for the 2024-2025 plan year, must complete their open enrollment selections no later than June 21, 2024.  If employees do not submit a response for open enrollment, the medical plan for 2024-2025 will automatically roll to the same plan letter or number correspondent to the benefits plan outline with the same dependent/spouse information on file with the District (e.g. Plan 1 will transfer to Plan 1).  
 
IMPORTANT - Effective October 1, 2024, MetLife is the new dental insurance carrier.  Employees are responsible for reviewing the open enrollment handouts when making a selection.  Please be advised that these MetLife plans are not the same basic MetLife plans on the open market.  These plans have been personalized for the District based upon the feedback, review, and agreement between each insurance committee representing all employees (CSEA Insurance Committee, LMUTA Insurance Committee, and Management Insurance Committee).  Each plan option has an expanded in-network coverage and out-of-network coverage.  If an employee does not submit your open enrollment response, the District will map the dental plan from your current Delta Dental/Anthem Dental plan to the NEW MetLife plans offered.  It is the responsibility of the employee to ensure that they make an appropriate selection for the benefits. 
 
MetLife Plan Summaries for REVIEW:  We encourage employees to watch the MetLife presentation video alongside the plan summary handouts located below.
 
 
Benefit Plan & Rate Summaries
Plan Year 10/1/2024 through 9/30/2025
 
 
Enrollment Forms - New Employees
 
All new employees must complete a benefits enrollment packet, whether they are enrolling or declining health benefits for the current plan year. 
 
Enrollment Forms for the Plan Year (10/1/2024 through 9/30/2025)
 
Enrollment Forms for the Plan Year (10/1/2023 through 9/30/2024)
 
Anthem Benefit Booklets
Miscellaneous Updates and Forms

**Affordable Care Act (ACA) Notice & FAQ’s are attached below**

Lucia Mar Unified School District offers a generous and comprehensive benefits package to eligible employees and their eligible dependents. For each classification there is a choice of six Medical and two Dental plan options, Vision coverage, Mestmaker Cancer coverage, Employee Assistance Program (EAP), district-paid employee basic life insurance, and additional voluntary dependent life insurance and voluntary accidental death and dismemberment coverage. The amount that an employee may be required to pay for coverage may change annually. These amounts are announced during the Open Enrollment period held in September. Any required employee contribution is made through automatic payroll deduction on a ten-month basis, September through June. Eligible employees may also choose to participate in an AFLAC/ Flexible Spending Account (FSA).

Eligible Employees All active employees (Certificated, Classified & Management), in paid status, are eligible for medical, dental, vision, Mestmaker Cancer coverage, Employee Assistance Program (EAP) and life insurance coverage. Classified and Management must work 4 or more hours and Certificated employees must work 50% or more, to be eligible. The effective date for all new employee’s eligible for health benefits, is the first day of the month following their date of hire.

For Assistance With Your Health Benefits - Please Contact:
Anastacia Malm, Human Resources Technician (Health Benefits)
Phone: (805) 474-3000, ext. 1192
Fax: (805) 473-4308