Lucia Mar Unified School District

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.

Plan Year 10/1/2026 through 9/30/2027

LMUSD Health Benefit Election Guide 2026-2027
- Includes information for all employee groups: Certificated, Classified, and Management
Open Enrollment Forms 2026-2027
Plan Year 10/1/2026 through 9/30/2027

LMUSD Health Benefit Election Guide 2026-2027
- Includes information for all employee groups: Certificated, Classified, and Management
Plan Year 10/1/2025 through 9/30/2026
All new employees must complete a benefits enrollment packet, whether they are enrolling or declining health benefits for the current plan year.

Enrollment Form for the Plan Year (10/1/2026 through 9/30/2027)
Enrollment Form for the Plan Year (10/1/2025 through 9/30/2026)
Important Employee Resources Important Life Events
Plan Year 10/1/2026 through 9/30/2027

In progress – links will be available late June 2026

Certificated Retirees
- Enrollment Form – Under the age of 65
- Enrollment Form – Over the age of 65
Classified Retirees
- Enrollment Form – Under the age of 65
- Enrollment Form – Over the age of 65
Management Retirees
- Enrollment Form – Under the age of 65
- Enrollment Form – Over the age of 65
Terms and Conditions of Benefits Under Each Plan
**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)

Email: Anastacia.Malm@lmusd.org

Phone: (805) 474-3000, ext. 1192

Fax: (805) 473-4308
- ACA Employer Notice_Expires 12-31-26
- Added Value Benefits - HSA Plans
- Added Value Benefits - Non HSA Plans
- Added Value Benefits - WABE
- Added Value Benefits Extras
- Anthem Discounts
- Blue Distinction Requirement - Hip, Knee and Spin Surgeries
- Carrum Health
- Centivo Health - Primary Care Doctors
- COBRA Notice
- Declination of Coverage
- Digital ID Cards (Anthem PPO Plans – not Proactive Plans)
- Digital ID Cards (Anthem Proactive Plans Only)
- Employee Assistance Program (EAP)
- Employee Assistance Program (EAP) Mental Health Support
- Health Insurance Marketplace – Covered California™
- Hinge Health - Back and Knee Pain
- HSA Eligibility Matrix
- Lantern Cancer Care
- Lark – Prediabetic Program
- Life Insurance – Basic Life Enrollment Form
- Life Insurance - Beneficiary Change Form
- Life Insurance - Checklist for Beneficiaries
- Life Insurance - Lincoln Financial Overview
- Life Insurance - Lincoln Travel Connect
- Life Insurance - Supplemental Enrollment Form
- Maven - Maternity and Postpartum Care
- MDLive - Virtual Care
- MetLife Dental Plan Summaries
- MetLife Fraud Warning
- MetLife Privacy Notice
- MetLife Take Along Dental Enrollment Instructions
- Navitus Prescription Benefits
- Navitus Prescription FAQ
- MetLife Retiree Plan Summaries
- Salary Redirection Agreement (Pretaxed Health Benefits)
- Salary Redirection Agreement (FSA – Medical/Dependent Care)
- SISC Benefits Declination Form
- SISC Enrollment Form
- SISC Membership Change Form
- VIDA Digital Health Coach Information
- Vision Services Plan (VSP) – Certificated
- Vision Services Plan (VSP) - Classified & Management
- WABE Employee Declination Form
- WABE Overview
- Well Theory Overview

Health Benefits

Health Benefits

OPEN ENROLLMENT 2026-2027

Benefit Plan & Rate Summaries

Enrollment Forms - New Employees

Enrollment Forms - Retirees

Anthem Benefit Booklets

Miscellaneous Updates and Forms