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Retirees

Summary of Benefits and Coverage

Anthem Plans

High A - 100-A $0, Deductible: $0/$0, Rx 200/10-35

High B - 100-G $20, Deductible: $500/$1000, Rx 200/10-35

Medium - 80-C $20, Deductible: $200/$500, Rx 200/10-35

Low - 80-G $30, Deductible: $500/$1000, Rx 200/10-35

Low-2 - 80-M $40, Deductible: $3000/$6000, RX 200/10-35

Kaiser Plan

Kaiser DHMO $1000 Plan Summary 

Do I qualify for Kaiser Plan?  (Click Here to check Zip Code)

Medicare Enrollment 

SISC requires retirees and their spouse/domestic partners age 65 or older to enroll in both Medicare Parts A and B. Failure to do so will result in a non-refundable surcharge that the retiree is responsible for.

  • Enroll in Medicare Parts A & B when first eligible, 3 months prior to your 65th birthday month.
  • Medicare must be effective the first day of your birthday month in which you turn 65. If your birthday falls on the 1st of the the month your Medicare must be effective on the 1st of the month prior to your birthday.  (Example: Birthday February 1st Medicare must be effective January 1st)
  • Provide a copy of your Medicare card to the Risk Management office. The same applies to your spouse/domestic partner.
  • Failure to comply with these guidelines and maintain continuous enrollment in Medicare Parts A & B will make you ineligible for a SISC plan.
  • Do not enroll in Medicare Part D plan outside of SISC. This will automatically disenroll you from your SISC Medicare Part D plan.

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Delta Dental List of Providers & ID Cards

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VSP Access ID Cards & Dashboard

District Paid Retiree Rate Sheets

Self Pay Retiree Rate Sheets

Medicare

 

how-to-complete-screening-SISC2025_1 (PDF)