Medical Plan Options
Anthem Plans
Anthem HMO – No employee contribution
Anthem HMO Plan Summary
Find a doctor (follow prompts below)
>Guest
>Type of care = medical
>State = California
>Type of plan = Medical (Employer Sponsored)
>Plan/Network = Blue Cross HMO (CA Care) Large Group
>Click continue
>Search for facilities/providers/Groups
Anthem PPO 80E – No employee contribution
Anthem PPO 80E Summary & New Maven Maternity Benefit
Find a doctor (follow prompts below)
>Guest
>Type of care = medical
>State = California
>Type of plan = Medical (Employer Sponsored)
>Plan/Network = Blue Cross PPO (Prudent Buyer) Large Group
>Click continue
>Search for facilities/providers/Groups
Anthem PPO 100A – Requires employee contribution
Single = $199.00/12 mo. & $238.80/10 mo.
2 Party = $392.00/12 mo. & $470.40/10 mo.
Family = $550.00/12 mo. & $660.00/10 mo.
Anthem 100A Plan Summary & Maven Maternity Benefit
Find a doctor (follow prompts below)
>Guest
>Type of care = medical
>State = California
>Type of plan = Medical (Employer Sponsored)
>Plan/Network = Blue Cross PPO (Prudent Buyer) Large Group
>Click continue
>Search for facilities/providers/Groups
Kaiser Plans
Kaiser HMO – No employee contribution
Kaiser HMO Plan Summary
Kaiser HDHP with Discovery Benefits HSA – No employee contribution
Kaiser HDHP Plan Summary
Find a doctor
Includes Employer Funded Wex Health Savings Account
Single annual employer contribution = $3,300.06
Family annual employer contribution = $6,600.03
Dental Plan Options
DeltaCare USA HMO – No employee contribution
DeltaCare HMO Plan Summary
Find a HMO Dentist (select the DeltaCare USA option from the drop down list)
Understanding Your Plan
Delta PPO – Requires employee contribution
$44.30/12 mo. & $51.60/10 mo.
Delta PPO Plan Summary
Find a PPO Dentist (select the PPO option from the drop down list)
Delta Premier – Requires employee contribution
$71.00/12 mo. & $85.20/10 mo.
Delta Premier Plan Summary
Find a Premier Dentist (select the Premier option from the drop down list)
EyeMed Vision Plan
Insight Network – No employee contribution
EyeMed FT Plan Summary
Basic Long Term Care – No employee contribution
LTC Policy Information
Term Life, AD&D, LTD – No employee contribution
VOYA Life and AD&D Enrollment Form (Life Policy Information)
Required Evidence of Insurability
Long Term Disability (LTD) – No employee contribution
VOYA LTD Plan Summary – This policy replaces employee state disability benefits