Employee Benefits - AD128

Gevork Msryan
Employee Benefits Technician
gmsryan@glendale.edu
818-240-1000, Ext. 5139


Form/Link description
 New! Kaiser Permanente Recording June 2022

March 10, 2022: SISC Town Hall Recording
  March 11, 2022: SISC Town Hall Recording 
  SISC Anthem Benefits for GlendaleCCD 0604_E
  2020-2021 SISC Plan Comparison_PPO & HMO PLANS_GCCD with Anthem
  SISC Kaiser and Anthem vs Current Blue Shield Comparison
  SISC_Drug_Formulary_Disruption_Report_2
  Long Form Notice Final May 2021
  BCBS Settlement Notice

Note: At the time of the town hall 

meetings, we were receiving SISC's

Blue Shield plans.  However, due to a 

Blue Shield policy, we are now considering SISC's Anthem Blue Cross.

SISC Town Hall Meetings - May 13 & May 14, 2021 (powerpoint)
  SISC Town Hall Meeting - May 13, 2021 recording
  SISC Town Hall Meeting - May 14, 2021 recording
  SISC - Book of Business Drug List 
AFLAC   
AFLAC Accident Advantage  
AFLAC Cancer Protection  
AFLAC Critical Care Protection  
AFLAC Hospital Insurance  
AFLAC Open Enrollment Request Form 
 
AFLAC Short Term Disability  
AFLAC Smart Claim Flyer  
AFLAC Whole Life Insurance   
BLUE SHIELD OF CALIFORNIA (BSC)   

BSC (Blue Shield CA) Change Request Form 

To request changes for employee or dependent information.
BSC Covid Information - 2/1/21 Four Things to Know About The COVID-19 Vaccine
  Blue Shield Covid-19:  What You Need to Know
BSC Claim Form To be used when the service provider has not submitted your claim directly to Blue Shield. 

BSC Enrollment Form

Application for enrollment to Blue Shield Medical Plan.
BSC Refusal of Coverage Form  Waiver of coverage.
BSC (Blue Shield CA) 2024 Plans  

 BSC HMO Benefit Summary

 BSC HMO Facility Coinsurance

 BSC HMO Summary - Zero Admit 10

 BSC HMO Coverage - Zero Admit 10

 BSC HMO Basic RX   $10 - 20

 BSC HMO Basic RX   $15 - 30

 BSC PPO Summary  500 90-70

 BSC PPO Coverage   500 90-70
   BSC PPO Enhanced RX Summary 
BSC - Additional Information and Flyers  Access to Care; Accessing Your Mental Health Benefits; Find a Provider; Fitness Your Way Flyer; Heal: PPO On-Demand Visits

 

Life Referrals - Free, 24/7; Life Referrals-2023 Webinar CalendarManaging Stress; Mobile App Flyer; NurseHelp - 24/7 Availability; Preventive Care Flyer
  Preventive Health GuidelinesStress Relief Activities At Your Desk; Stress Relief Activities to Keep Your Cool; Wellvolution-Headspace
 

Teladoc: Access to Doctors and Health Professionals; Telebehavioral Health; Teladoc's National Network; Wellvolution - Ginger

Total Health & Wellness Programs; Wellvolution: Apps and Programs

Wellvolution Oct'24/Nov'24 Newsletter
LifeReferrals Webinar & Monthly Theme Calendar
CIGNA (NEW YORK LIFE)  
Cigna Beneficiary Designation Forms  for Basic Life Insurance, Voluntary Term Life Insurance and Voluntary Accident Insurance For designation of primary and contingent beneficiaries for Cigna insurance.
Cigna Employee Assistance Program Life assistance & Work/Life Support Programs. Available 24/7 at no cost. Legal & financial consultants & referrals, specialists and educational seminars. 
DELTA DENTAL   

Delta Dental Information

General information on coverage and on-line access to your personal information.
Delta Dental Plan Summary Glendale Community College Delta Dental Plan Summary 01 01 2024
Member Perks  
KAISER PERMANENTE  
Kaiser on Covid-19 (2/1/21) What to Expect When You Get Your Covid-19 Vaccine 
Kaiser Full-time Plan Summary Plan summary for fulltime employees
Kaiser Adjunct Faculty Plan Summary  Principal benefits for Traditional HMO Plan for adjunct faculty.

Kaiser Enrollment/Change Form 

For enrollment, changes in name, address and phone number as well as adding, changing or deleting dependents.
Kaiser Health and Wellness   
Kaiser Mental Health Information  Mental Health Ecosystem 
Getting Care While Traveling  
Webinars  
PRIME PAY Flexible Spending Account - pre-paid/pre-tax savings for medical and childcare expense reimbursement.  
Prime Pay/FSA Welcome Guide  
Prime Pay Enrollment Form  
VSP

Vision care

 

VSP Member Benefit Summary
OTHER EMPLOYEE BENEFITS  
TicketsatWork October-2024-Highlight
2024 Notification Letter
403(b) Schools First Providers
List of 403(b) venders provided by Schools First Plan Administration. 
403(b) and 457(b) Salary Reduction Agreement To establish, change or cancel salary reductions withheld from your paycheck and contributed to the 403(b) or 457(b) plan of your choice.
SECURE 2.0 Act  
Covid-19 Vaccinations  California Department of Public Health - My Turn Appointment information.
GCC WELLNESS PROGRAM  

Early Retirement Benefits Contribution from the District

 

CSEA CBA Article XXIV, Sections 1-6

Guild CBA Article XI, Section 3


 
Knight Insurance Open Enrollment and New Hire Guide   
Opt-out of Medical Coverage Form for  January to December

Request to opt-out of District medical coverage and receive a monthly stipend for the period of January - December. Submit form to Employee Benefits.

 

CSEA CBA Article IX, Section 5

Guild CBA Article XI, Section I, Subsection F

Watch Video: Health Insurance Basics Workshop

VIRTUAL HEALTH FAIR 2021
11/15/21: BLUE SHIELD Presentation
11/23/21: BLUE SHIELD Mental Health Resources Presentation
11/17/21: Medicare 101
11/18/21: KAISER Presentation
11/22/21: KAISER Mental Health Tools and Resources