The following list summarizes the various benefit programs in effect for employees as of April 1, 2011:
MEDICAL (Active): The County pays 85% of the total premium for Kaiser and Blue Shield HMO plans, (employees pay 15% of the total premium) and the County pays 75% of the total premium for the Blue Shield POS Plan (employees pay 25% of the total premium). For full time employees enrolled in the Kaiser or Blue Shield High Deductible Health Plan, the County will annually contribute fifty percent (50%) of the cost of the deductible amount for the plan to a Health Savings Account. For part time employees working half time or more, the County’s contribution to the Health Savings Account shall be prorated based on their part time status.
MEDICAL (Retiree): See Section 18.3 – 18.12.
DENTAL:
All employees must participate in a plan.
County Plan: County pays 90% of premium
1st year: $100 cap on deductible
60% UCR paid to dentists
2nd year: 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 6 months; employees may appeal plan rejections – see Plan Description Booklet.
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 $12,000 for employee; this amount shall increase to $20,000 effective July 1, 2007. $500.00 for spouse. Up to $500/child.
LONG TERM DISABILITY
County paid premiums. Must be employed by County for three or more years to be eligible. Maximum benefit: $2400/mo for new claims received on or after 10/17/99.
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.