Health Benefits
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.
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Plan Year 10/1/2025 through 9/30/2026
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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 (10/1/2025 through 9/30/2026)
- Certificated - New Hire Health Benefit Enrollment Form 2025-2026
- Classified - New Hire Health Benefit Enrollment Form 2025-2026
- Management - New Hire Health Benefit Enrollment Form 2025-2026
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Terms and Conditions of Benefits Under Each Plan
- 100-G 20 Benefit Booklet 2025-2026
- 80-E 20 Benefit Booklet 2025-2026
- 80-G 20 Benefit Booklet 2025-2026
- 80-G 30 Benefit Booklet 2025-2026
- 80-J 30 Benefit Booklet 2025-2026
- 80-K 30 Benefit Booklet 2025-2026
- 80-L 30 Benefit Booklet 2025-2026
- 80-M 40 Benefit Booklet 2025-2026
- 90-G 20 Benefit Booklet 2025-2026
- HSA 3400 Benefit Booklet 2025-2026
- 2T HSA 5000 Benefit Booklet 2025-2026
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**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 2025-2026
- Added Value Benefits - Non HSA Plans 2025-2026
- Added Value Benefits - WABE 2025-2026
- Added Value Benefits Extras 2025-2026
- Blue Distinction Requirement - Hip, Knee and Spin Surgeries 2025-2026
- Carrum Health 2025-2026
- Centivo Health - Primary Care Doctors 2025-2026
- COBRA Notice 2025-2026
- Declination of Coverage 2025-2026
- Employee Assistance Program (EAP) 2025-2026
- Employee Assistance Program (EAP) Mental Health Support 2025-2026
- Health Insurance Marketplace_Covered California™
- Hinge Health - Back and Knee Pain 2025-2026
- Lantern Cancer Care 2025-2026
- Life Insurance - Basic Life Enrollment Form 2025-2026
- Life Insurance - Beneficiary Change Form 2025-2026
- Life Insurance - Checklist for Beneficiaries 2025-2026
- Life Insurance - Lincoln Financial Overview 2025-2026
- Life Insurance - Lincoln Travel Connect 2025-2026
- Life Insurance - Special Open Enrollment (Expires 6/18/2025)
- Life Insurance - Supplemental Enrollment Form 2025-2026
- Maven - Maternity and Postpartum Care 2025-2026
- MDLive - Virtual Care 2025-2026
- MetLife Dental Plan Summaries 2025-2026
- MetLife Fraud Warning 2025-2026
- MetLife Privacy Notice 2025-2026
- MetLife Take Along Dental Enrollment Instructions 2025-2026
- MetLife Take Along Plan Summary 2025-2026
- Navitus Prescription Benefits 2025-2026
- Navitus Prescription FAQ 2025-2026
- Salary Redirection Agreement 2025-2026
- SISC Benefits Declination Form 2025-2026
- SISC Enrollment Form 2025-2026
- SISC Membership Change Form 2025-2026
- VIDA Digital Health Coach Information 2025-2026
- Vision Services Plan (VSP) - Classified & Management 2025-2026
- WABE Employee Declination Form 2025-2026
- WABE Overview 2025-2026