Enrollment

The open enrollment period is your opportunity to make changes to your medical, dental, or vision plans, as well as to enroll or change the available voluntary plans. Changes are effective July 1, 2024 - June 30, 2025. If you do not wish to make changes to your benefits, no actions are required.

• Virtual Health Fair - We are bringing the fair to you! Airbo is an interactive platform that delivers information on your benefits.  Beginning May 6th you will be able to:
  • Visit the fair on your own schedule; No lines, no crowds, no time limits, no travel time
  • Visit "booths" and learn about the benefits available to you
  • Play games, watch videos, and earn points for raffle prizes

• New for Anthem HSA Members - As a result of updated legislation, the current Health Savings Account (HSA 1500) plan will see an increase in the deductible from $1,500 individual/$3,000 family to $1,600 individual/$3,200 family effective July 1, 2024. Therefore, the HSA 1500 plan will now be referred to as the HSA 1600 plan.
• Classified employees will have an additional Anthem Blue Cross medical plan option, the HMO 20 Select plan. This plan provides the same benefits as the current HMO 20 plan, however the network of providers is a "narrow network" and does not include all providers included on the HMO 20 plan. Additionally, Classified employees will have two new Kaiser plan options, the HMO 30 and DHMO 1000. Summaries and comparisons for these plans can be viewed here.
• Management and Confidential employees will have a new Kaiser medical plan option, the HMO 30 plan.
• Anthem/Express Scripts Prescription Benefit Update: Effective July 1, 2024, if an enrolled HMO member is unable to receive a vaccination at your primary care physician's (PCP) office due to the vaccine being unavailable through the PCP, you will be able to get your vaccination at a pharmacy and have it covered under the ESI prescription benefit. Please refer to the benefit summary for vaccinations included in this benefit.
• Delta Dental PPO/Premier Plan Enhancements - Effective July 1, 2024, the Delta PPO and Premier plans will include an additional $500 orthodontic lifetime maximum benefit on our Delta Dental plans. Orthodontia coverage on our Delta Dental plans will be increased from 80% up to $1,500 for adults and children to 80% up to $2,000 for adults and children. Note: this additional benefit will not be available to those who previously exhausted their lifetime orthodontia maximum.
  • Teeth whitening will also now be included in the Delta PPO and Premier plans, covering one treatment every 24 months. Benefits will be paid under the basic benefit level and will apply towards the annual maximum.
  • Additionally, these plans will now include a mouthguard benefit with a $500 lifetime maximum benefit.
• Anthem Dental Plan Enhancement - Effective July 1, 2024, an additional $500 orthodontic lifetime maximum will be added to the Anthem Dental plan. Orthodontia coverage will be increased from 50% up to $1,500 for adults and children lifetime maximum to 50% up to $2,000 for adults and children lifetime maximum. Note: this additional benefit will not be available to those who previously exhausted their lifetime orthodontia maximum.
• Employee Assistance Program (EAP) - This benefit is administered by Anthem Blue Cross for all employees of the district and immediate family members living in your household, even if you are a Kaiser member or not eligible for benefits. Anthem EAP provides the same benefits as MHN (5 in-person visits per incident per year and unlimited telephonic sessions).
• Omada Health - a wellness platform that replaces both the Anthem HealthFitness and the Kaiser Wellness Rewards programs. Omada will be offered to PUHSD employees enrolled in Anthem Blue Cross or Kaiser Permanente who qualify to participate and will focus on diabetes/hypertension and weight management.
• For additional benefit information and resources, please review the Open Enrollment Announcement.

• Make changes to medical, dental, and vision plans
• Make changes to MetLife Life insurance, MetLife AD&D insurance, MetLife Legal plan, Colonial Hospital Indemnity plan and ID Theft Recovery Plan
• Add/remove dependents
• Make changes to beneficiaries
• Deadline to complete enrollment is Wednesday, May 30, 2024 at 5:00pm

• The Duplicate Medical Coverage form must be submitted during each open enrollment with copies of your current health insurance card.