Employee Benefits
Medical Program Overview
Overview
RESIG’s broker, Alliant Insurance Services, negotiates with health benefit program carriers on an annual basis. The current plan period is October 1, 2023, to September 30, 2024.
The Health Program includes Kaiser Permanente and Blue Shield plans sponsored through Self-Insured Schools of California (SISC). Kaiser Permanente includes HMO plans and High Deductible Health Plan (HDHP) compatible with a Health Savings Account (HSA).
Blue Shield health plans include PPO plans including an HDHP compatible with an HSA. The HSA plans are administered by RESIG.
Two Kaiser Permanente Senior Advantage (KPSA), two Blue Shield PPO 65+ and an Anthem Blue Cross Medicare supplemental (CompanionCare) plans are available for retirees over age 65 with Medicare Parts A & B or retirees who are Medicare-eligible prior to age 65.
Plan Comparisons
Primary Links
Comparición de Planes en Español
Blue Shield Forms
Forms
- Blue Shield Enrollment Form (PDF)
- Existing Member Change Form (.doc)
- Blue Shield Claim Form (PDF)
- Membership Change Form (PDF)
- Medical, Dental & Vision Address Change Form (PDF)
- SISCConnect Registration Form (PDF)
- SISC Affidavit of Marriage (PDF)
- Transfers – Maintenance Activity Report (PDF)
- Termination of Subscribers – Maintenance Activity Report (PDF)
- Blue Shield Declaration of Disability for Over Age Dependent Child (PDF)
- Blue Shield PPO 100-B (PDF)
- Blue Shield PPO 90-E (PDF)
- Blue Shield PPO 80-G (PDF)
- Blue Shield HSA 3400 (PDF)
- Blue Shield HSA 1700 (PDF)
- Blue Shield HSA 2 Tier MEC 9000 (PDF)
- Blue Shield HSA 2 Tier HSA 5000 (PDF)
Blue Shield Mental Health
Mental Health
Blue Shield Benefit Summaries
These matrixes are intended to be used to help you compare coverage benefits and is a summary only. The plan contract should be consulted for a detailed description of coverage benefits and limitations.
October 2024 to September 2025
- 2024-2025 RX Plans & Information (PDF)
- 80% PPO Pan G Benefit Summary (PDF)
- 90% PPO Plan E (Frozen) Benefit Summary (PDF)
- 100% PPO Plan B Benefit Summary (PDF)
- HSA – Plan A Individual – Benefit Summary (PDF)
- HSA – Plan A Family – Benefit Summary (PDF)
- HSA – Plan B – Benefit Summary (PDF)
- 2-Tier HSA (Formerly Anchor Bronze) Benefit Summary (PDF)
- 2-Tier HSA MEC (PDF)
Resúmenes de Beneficios de Blue Shield en Español: Octubre 2024 a Septiembre 2025
Blue Shield & Navitus Prescription Summary of Benefits & Coverage
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered healthcare services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.
October 2024 to September 2025
- 100-B PPO – $20 Office Visits, $7 to $25 Prescriptions (PDF)
- 90-E PPO (Frozen) – $20 Office Visits, $7 to $25 Prescriptions (PDF)
- 80G PPO – $30 Office Visits, $9 to $35 Prescriptions (PDF)
- HSA – Plan A PPO Family (PDF)
- HSA – Plan B PPO Family (PDF)
- 2-Tier HSA (Formerly Anchor Bronze) (PDF)
- 2-Tier HSA MEC (PDF)
Waiver of Active Benefit Enrollment – WABE
Blue Shield Value-Added Services
- Away From Home Care (PDF)
- Costco Zero Dollar Generics (PDF)
- Find a PPO Provider (PDF)
- Mobile App (PDF)
- PPO Zero Dollar Copay First Three PCP Visits (PDF)
- PPO & HMO Total Wellness (PDF)
- Print ID Card (PDF)
- RX Navitus Customer Care 24-7 (PDF)
- SISC Microsite (PDF)
- Solera 4 Me Diabetes Prevention Program (PDF)
- Value-Based Purchasing – Hospital Limit for Outpatient Procedures (PDF)
- Wellness and Discounts (PDF)
- Wellvolution (PDF)
- Out of State (PDF)
- Carrum Flyer (PDF)
- Eden Virtual Primary Care (PDF)
- Enhanced Cancer Benefit (PDF)
- Hinge with HSA Information (PDF)
- Maven (PDF)
- MDLive Medical $10 Copay (PDF)
Plan Comparisons
Comparación de Planes en Español
- $0 Office Visits, $5 Prescriptions (xlsx Espanol)
- $10 Office Visits, $10 Prescriptions (xlsx Espanol)
- $10 Office Visits, $10 Prescriptions with Optical (xlsx Espanol)
- $20 Office Visits, $10 to $20 Prescriptions (xlsx Espanol)
- $20 Office Visits, $10 to $20 Prescriptions with Optical (xlsx Espanol)
- $30 Office Visits, $10 to $30 Prescriptions (xlsx Espanol)
- $30 Office Visits, $10 to $30 Prescriptions with Optical (xlsx Espanol)
- DHMO $500 (xlsx Espanol)
- DHMO $500 with Optical (xlsx Espanol)
- DHMO $1000 with Optical (xlsx Espanol)
- HDHP $1700 (xlsx Espanol)
Kaiser Forms
Kaiser Benefit Summaries
These are summaries of the most frequently asked-about benefits. These charts do not explain benefits, Cost Share, out-of-pocket maximums, exclusions, or limitations, nor do they list all benefits and Cost Share amounts.
October 2024 to September 2025
- $0 Office Visits, $5 Prescriptions (PDF)
- $0 Office Visits, $5 Prescriptions with optical (PDF)
- $10 Office Visits, $10 Prescriptions (PDF)
- $10 Office Visits, $10 Prescriptions with Optical (PDF)
- $20 Office Visits, $10 to $20 Prescriptions (PDF)
- $20 Office Visits, $10 to $20 Prescriptions with Optical (PDF)
- $30 Office Visits, $10 to $30 Prescriptions (PDF)
- $30 Office Visits, $10 to $30 Prescriptions with Optical (PDF)
- DHMO $500 (PDF)
- DHMO $500 with Optical (PDF)
- DHMO $1000 (PDF)
- DHMO $1000 with Optical (PDF)
- HSA $1700 (PDF)
- HSA $3400 (PDF)
- Chiropractic & Acupuncture Rider (PDF)
Resúmenes de Beneficios de Kaiser Permanente en Español: Octubre 2024 a Septiembre 2025
- $0 Office Visits, $5 Prescriptions (PDF Espanol)
- $10 Office Visits, $10 Prescriptions (PDF Espanol)
- $10 Office Visits, $10 Prescriptions with Optical (PDF Espanol)
- $20 Office Visits, $10 to $20 Prescriptions (PDF Espanol)
- $20 Office Visits, $10 to $20 Prescriptions with Optical (PDF Espanol)
- $30 Office Visits, $10 to $30 Prescriptions (PDF Espanol)
- DHMO $500 (PDF Espanol)
- DHMO $500 with Optical (PDF Espanol)
- DHMO $1000 (PDF Espanol)
- DHMO $1000 with Optical (PDF Espanol)
- HSA $1700 (PDF Espanol)
- HSA $3400 (PDF Espanol)
- $0 Senior Advantage Plan (PDF Espanol)
- $25 Senior Advantage Plan (PDF Espanol)
Kaiser Summary of Benefits & Coverage
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary.
October 2024 to September 2025
- $0 Office Visits, $5 Prescriptions (PDF)
- $10 Office Visits, $10 Prescriptions (PDF)
- $10 Office Visits, $10 Prescriptions with Optical (PDF)
- $20 Office Visits, $10 to $20 Prescriptions (PDF)
- $20 Visits, $10 to $20 Prescriptions with Optical (PDF)
- $30 Office Visits, $10 to $30 Prescriptions (PDF)
- DHMO $500 (PDF)
- DHMO $500 with Optical (PDF)
- DHMO $1000 with Optical (PDF)
- HSA $1700 (PDF)
- HSA $3400 (PDF)
Kaiser Value-Added Services
- The Kaiser Difference (PDF)
- One Pass (PDF)
- Calm App (PDF)
- Care Away From Home (PDF)
- Center for Healthy Living Core Program (PDF)
- Choose Healthy (PDF)
- Explore Healthy Resources (PDF)
- Getting Started with Video Appointment (PDF)
- Healthy Balance Weight Management (PDF)
- Hearing Aid (PDF)
- HSA High Deductible Paying For Care (PDF)
- Kaiser Mobile App (PDF)
- TeleHealth – Skip the Trip (PDF)
- Total Health Assessment (PDF)
Kaiser Mental Health
COBRA Forms
2024-2025 Plan Comparisons
Benefit Summaries & Summary of Benefits and Coverage
Benefit Summaries & Summary of Benefits and Coverage can be found under the listing for each specific program: Medical, Dental, and Vision.
Notices & Rights