FUSD Benefits Help and Rate Info

Rates | Tips filling out form | Dependent(s) | Contact | New Employees

BENEFIT RATES 2019-2020 - FREMONT UNIFIED SCHOOL DISTRICT
All Premiums are MONTHLY Rates - Please see *Summer Monthly Premiums below

CALPERS Health Plans Coverage effective 01/01/2020
HMO PLANS SINGLE DUAL FAMILY (3 or More)
Blue Cross Anthem Select $868.98 $1,737.96 $2,259.35
Blue Cross Anthem Traditional $1,184.84 $2,369.68 $3,080.58
Health Net SmartCare $1,000.52 $2,001.04 $2,601.35
Kaiser (CA) $768.49 $1,536.98 $1,998.07
Western Health Advantage $731.96 $1,463.92 $1,903.10
PPO PLANS (Blue Cross) SINGLE DUAL FAMILY (3 or More)
PERS Care $1,133.14 $2,266.28 $2,946.16
PERS Choice $861.18 $1,722.36 $2,239.07
PERS Select** $520.29 $1,040.58 $1,352.75

**PERS Select uses a smaller pool of doctors but coverage is the same as their companion plans. Check to be sure your doctor is in the smaller network. PERS Select is changing to Value-Based Insurance Design (VBID).

CalPERS site: HMO and PPO Summary of Benefits - Click here


CVT - Delta Dental Plans Coverage effective 10/01/2019
Dental PPO PLANS SINGLE DUAL FAMILY (3 or More)
FUDTA Delta Incentive $59.71 $110.62 $171.19
FSMA Delta Incentive $61.91 $115.52 $182.82
CSEA & SEIU/1021 Delta Incentive $61.91 $115.52 $182.82
PPO 70/30 Delta (all unions) $34.59 $62.65 $90.06

EYEMED Vision Plan (all unions) Coverage effective 10/01/2019
EYEMED Vision Plan (all unions) SINGLE DUAL FAMILY (3 or More)
One Plan Available $10.63 $20.12 $29.49


FUSD Details
DISTRICT Health & Vision Plans: Employees pay full premium amounts for the district health and vision insurance.

DISTRICT Dental Plans:
FUDTA Certificated staff – employee pays full premium amount. 1.0 FTE dental enrollment is required.
FSMA Management staff – employee pays full premium amount. 1.0 FTE dental enrollment is required.
CSEA Classified staff – employee pays full premium amount. 1.0 FTE dental enrollment is required.
SEIU/1021 Full-time (7 or 8 hour) employees are required to enroll in the district dental insurance. District pays single coverage. Employee pays for their dependent(s) coverage.


*Summer Monthly Premiums:
Please note: summer monthly premiums are required for all 10 & 11-month employees and are deducted from your non-summer month’s checks.
To calculate your summer monthly premium deduction - take the rate of your coverage, times by 12 and then divide by 10 or 11. The example below is based on an 11-month employee:
Health – Kaiser, single $768.49 x 12 ÷ 11 = $838.35; this will be your premium per month. Effective: 01/01/2020
Dental – Delta Incentive, single $61.91 x 12 ÷ 11 = $67.53; this will be your premium per month. Effective: 10/01/2019
EyeMed – Vision, single $10.63 x 12 ÷ 11 = $11.59; this will be your premium per month. Effective: 10/01/2019

Pdf file of Rates Sheet - Click here

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Rates | Tips filling out form | Dependent(s) | Contact | New Employees

Tips filling out form

Forms take time to load - please be patient - browser spinning and three animated blue boxes indicate the page is loading.




This red icon shows required boxes (form fields) after clicking "Next" or "Submit" buttons - you can hover over the icon to see the box label. A yellow icon may indicate duplicate information.

Keep moving forward with the “Next” button while filling out the form(s) (browser back and reload buttons do not work as expected and return 404 Errors) - you will have a chance to make corrections during the last section “Review, Sign, and Submit” – by clicking on the Edit buttons for Section B and C. To edit Section A (Action) you must Restart the whole form - Use "Start New Form" button at top - information will be discarded.


The "Next" button will become active (dark blue color) after required boxes (form fields) are filled out.

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Rates | Tips filling out form | Dependent(s) | Contact | New Employees

Dependent(s)

PLEASE NOTE: The form system has no previously saved information on your dependents – you MUST enter each dependent’s name, information, and the action - even if dependents are already covered under last year's enrollment.

If adding information about dependents, check one box per each dependent to fill out form then click Next (spouse and two kids = three checkboxes clicked) - OR - if no dependent information is needed click Next.

Note: If you are adding dependent(s), all dependent verification documents must be submitted to HR/Benefits no later than October 15th, 2019. DROP WARNING without these documents your dependent will be dropped. Documents include marriage ­certificates (for spouse), birth certificates/adoption paperwork (for children) or affidavit of domestic partnership, as applicable. 

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Rates | Tips filling out form | Dependent(s) | Contact | New Employees

Contact Info

If your last name starts with A-L contact Marlene Leal mleal@fremont.k12.ca.us Ext. 12282
If your last name starts with M-Z contact LaTonia Silva lsilva1@fremont.k12.ca.us Ext. 12283

Public website fremont.k12.ca.us/benefits with Benefits Info

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Rates | Tips filling out form | Dependent(s) | Contact | New Employees

New Employee Info

Please do not be concerned if you are a new employee for 2019/2020 school year and you enrolled in Health, Dental and/or Vision during your New Hire orientation and you do not see your elections on the “Employee Open Enrollment/Current Plans and Rates” page. This may be due to the timing of the report that was generated for open enrollment. You may contact the Benefits desk if you wish to confirm your enrollment.






















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