The following list summarizes the various benefit programs in effect for employees:
MEDICAL (Active) The County pays eighty-five percent (85%) of the total premium for Kaiser or Blue shield HMO or Kaiser High Deductible Health plans (employees pay fifteen (15%) of the total premium) and the County pays seventy-five percent (75%) of the total premium for Blue Shield POS(employees pay twenty-five percent (25%) of the total premium).
MEDICAL (Retiree)
See sections 21.3-21.8
DENTAL
All employees must participate in a plan.
County Plan
County pays 90% of premium
1st year of employment:
$100 cap on deductible
60% UCR paid to dentists
2nd year of employment:
No deductible
85% UCR paid to dentists
Annual maximum of $2500/person
If recommended by dentist and approved by plan, cleanings may be more frequent than every six (6) months; employees may appeal plan rejections – see Plan Description Booklet.
Effective January 1, 2007, Blue Shield will offer the following tooth replacement implant benefit:
- Replacement of any missing single tooth in the esthetic region of the upper teeth
- Annual maximum $1,000/person
- Paid at 85% of the billed amount, subject to the $1,000.00 annual maximum benefit.
Delta Dental PMI:
See brochure.
VISION
VSP: San Mateo County Plan B with $10.00 co-pay each on examination and materials for employees and dependents. Premiums paid by County.
- Domestic partners and young adult dependents are included in the above plans. Children and young adult dependents of domestic partners are included.
- Grandchildren of custodial grandparents will be considered eligible dependents on all health, dental and vision plans provided there is documentation of primary responsibility and approval by the affected benefit plan. This will occur with or without formal adoption.
LIFE INSURANCE
County paid $40,000 for employee / $500 for spouse / up to $500/child.
LONG TERM DISABILITY
County paid premiums. Must be employed by County 3 or more years to be eligible.
Maximum benefit: $2400 monthly
MEDICAL SPENDING ACCOUNT
The County implemented an IRC Section 125 Medical Spending Account on January 1, 2004.
This is a summary of various benefit programs in effect for eligible employees. The descriptions are very general and are not intended to provide complete details about any or all plans. Exact specification for all plans are provided in the official Plan Documents, copies of which are available from Payroll Specialists or the Human Resources Department, Benefits Division. Where there is a difference between the description on these pages and the Plan Documents, the Plan Documents prevail. Please note that benefits are subject to change by the Plans and there is no guarantee that these benefits will be continued indefinitely. However, the County agrees to continue negotiated coverage as it currently exists unless such coverage is no longer offered by the plans.