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Services
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This service allows County employees the option to purchase voluntary insurance plans to enhance their benefit package.
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Benefit Overview
The voluntary Accident Insurance plan offered through Aflac provides added protection for expenses related to an accident such as ER visits, hospitalization, physical therapy, or specific injuries are also eligible for benefits under this policy. This plan pays you a lump sum cash benefit when you experience a qualifying event. Coverage is available for you, your spouse and dependent children. Coverage is provided with no health questions and is paid in addition to your medical coverage. For more information about exclusions and other plan details click here.
Other Benefits Included:
- Lump sum cash payments for qualified injuries or accidents
- $50.00 annual wellness benefit for qualified health screenings for employees and covered dependents
- Transportation and lodging benefit
- Emergency room treatment benefit
- Fast claims payment - most claims are processed in about four business days
Submitting a Claim
After you have experienced a qualifying event you may submit a claim online at AlfacGroupInsurance.com or download and submit the claim form directly to Aflac via fax or mail using the related pages below.
Contact Information
Aflac- 1-800-433-3036
aflacgroupinsurance.com
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Benefits Overview
Critical Illness insurance pays you a lump sum benefit upon initial diagnosis of a covered illness such as cancer, heart attack or stroke. Employees may select between either a $15,000 or $30,000 benefit amount in coverage. Spouse and child(ren) coverage is 50% of employee selected amount. Voluntary Critical Illness Insurance through Aflac is a limited benefit policy and is not health insurance. This is an employee paid benefit. Premiums are based on age and tobacco utilization and will change over the duration of your coverage. See the plan document for more details.
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Covered Critical Illnesses and
Additional Benefits
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Percentage of $15,000 or $30,000 Benefit Amount
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Cancer (Internal or Invasive)
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100%
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Heart Attack
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100%
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Limited Benefit Major Organ Transplant
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100%
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Kidney Failure (End-Stage Renal Failure)
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100%
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Stroke
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100%
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Bone Marrow Transplant (Stem Cell Transplant)
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100%
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Sudden Cardiac Arrest
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100%
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Non-Invasive Cancer
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25%
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Coronary Artery Bypass Surgery
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25%
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Skin Cancer
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$250 (once per calendar year/insured)
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Additional Diagnosis – once benefits have been paid for a covered critical illness, Aflac will pay benefits for each different critical illness when the date of diagnosis is separated by at least 6 consecutive months.
Reoccurrence – once benefits have been paid for a covered critical illness, benefits are payable for that same critical illness when the date of diagnosis is separated by at least 6 consecutive months.
Wellness Benefit - this policy also offers a Wellness Benefit, which provides a $50 reimbursement for covered annual health screenings per calendar year. Covered health screenings include chest x-ray, colonoscopy, fasting glucose test, blood test for triglycerides or serum cholesterol test, CA 125 test, CA 15-3 test, CEA, cervical cancer, PSA and other screenings.
Mammography Benefit – this policy includes a Mammography Benefit of $200. Benefit pays as follows: a) a baseline mammogram for women age 35 to 39, b) mammogram for women age 40 to 49, inclusive, every two years or more frequently based on physician’s recommendation, c) a yearly mammogram for age 50 and over.
Submitting a Claim
After you have experienced a qualifying event you may submit a claim online at AlfacGroupInsurance.com or download and submit the claim form directly to Aflac via fax or mail using the related pages below.
Contact Information
Aflac- 1-800-433-3036
aflacgroupinsurance.com
Group Policy Number: C21000
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Aflac Hospital Indemnity Plan
Benefits Overview
This is a voluntary plan that pays you a lump sum cash benefit when you are confined to a hospital, whether for planned or unplanned reasons that can assist you with related out of pocket medical expenses or anything else you may need the cash for, like your mortgage. See the plan document for more details.
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Voluntary Hospital Indemnity
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Benefit Amount
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$2,000
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Issue Ages
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Employee: 18+
Spouse: 18+
Children: Under the age 25
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Guaranteed Issue
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Guaranteed issue coverage is offered to all eligible applications during the initial enrollment and for new hires thereafter. At the group’s first anniversary, late enrollees are eligible to enroll on a guaranteed issue basis.
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Waiting Period
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No waiting period
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Pre-Existing Condition Clause
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None
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Benefit Reduction
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No reduction at any age
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Waiver of Premium
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After 90 days of total disability due to covered sickness or accidental injury for up to 12 months
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Hospital Admission
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$2,000
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Hospital Confinement
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$200 up to 31 days per accident
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Hospital Intensive Care
(This benefit is payable in addition to the Hospital Confinement Benefit.)
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$200 up to 10 days per accident
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Intermediate Intensive Care Step-Down Unit
(This benefit is payable in addition to the Hospital Confinement Benefit.)
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$100 up to 10 days per accident
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Rehab Benefit
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Not covered
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Wellness/Health Screening
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$50, once per calendar year
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Mammography Screening
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$100, once per calendar year
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Pregnancy Coverage
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Covered
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Mental and Emotional Disorder Coverage
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Covered
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Submitting a Claim
After you have experienced a qualifying event you may submit a claim online at AlfacGroupInsurance.com or download and submit the claim form directly to Aflac via fax or mail using the related pages below.
Contact Information
Aflac- 1-800-433-3036
aflacgroupinsurance.com
Group Policy Number: C8000
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Benefits Overview
Amino is the fastest, easiest, and smartest way to find and book healthcare. Amino has an award-winning personalized search engine puts everything from provider quality to cost comparisons right at your fingertips — helping you make confident choices quickly. When you’re ready, Amino’s expert Booking Assistants are standing by to schedule your appointment at the most convenient time for you. Skip the endless online research, skip the phone tag, and get right back to the moments that matter.
With Amino you can:
- Find affordable doctors, hospitals, and urgent care centers that take our insurance.
- Book appointments with providers via text or email through an Amino booking assistant.
- Track how much you’ve spent towards your health plan deductible.
Watch the Amino Introduction video here!
Contact Information
Amino
https://partners.amino.com/home
1-833-33AMINO, Monday - Friday, 8am to 8pm Eastern Time
[email protected]
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This service provides employee benefit information for prospective candidates applying for permanent work.
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This service allows you to view available jobs in the County and register and apply for County employment using NEOGOV / GovernmentJobs.com, our online application system.
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The Employee Development Department (EDD) of the State of California fully administers the California State Disability Insurance (CA SDI) program which consists of Disability Insurance (DI) and Paid Family Leave (PFL). This State run program is paid for by employees through payroll deductions. Reference Benefits At A Glance or you pay stub to see if your bargaining unit participates in this program. For any questions on this benefit, please refer to EDD.
Disability Insurance (DI)
- DI provides 52 weeks of partially paid disability benefits at 60% - 70% of employee weekly pay for wages earned 5 to 18 months prior to your claim effective date.
- The maximum weekly benefit is $1,300/week for a non-work related illness, injury, or pregnancy.
- DI has a 7 day wait period for benefits.
Paid Family Leave (PFL)
- PFL provides up to 8 weeks of paid benefits to individuals who need to take time off work to care for a seriously ill child, parent, parent-in-law, grandparent, grandchild, sibling, spouse, or registered domestic partner. Benefits are also available to new parents who need time to bond with a new child entering their life either by birth, adoption, or foster care placement.
- PFL provides 60 – 70% of weekly wage replacement up to a maximum of $1,300/week for 8 weeks in a 12 month period. This is no wait period for this benefit.
General Information & Claims Submission
Contact
For the fastest service, access your claim information or file a claim online with SDI Online. You can also contact EDD representatives at 1-800-480-3287 for Disability Insurance or 1-877-238-4373 for Paid Family Leave, from 8 a.m. to 5 p.m., Monday through Friday.
EDD Disability Insurance
EDD Paid Family Leave
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Benefits Overview
Carrum Health is a surgery benefit that delivers an unparalleled experience. Carrum Health provides access to hand-picked surgeons that have lower complications, lower readmissions, and more experience as well as exclusive access to Centers of Excellence for qualified surgeries and a care concierge team that guides you through each step. These facilities and doctors provide for an improved patient experience, high quality of care, and zero or minimal out-of-pocket costs for surgeries and consultations.
Active employees, early retirees, COBRA participants and their dependents on EIA Health Anthem plans are eligible for this program.
For a full list of eligible procedures, visit Carrum Health’s website below.
Contact Information
Call Carrum at 1-888-855-7806
my.carrumhealth.com/eiahealth
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The Catastrophic Leave Program provides a method for employees to assist fellow employees who have exhausted their paid leave time due to a catastrophic illness or injury of the employee or the employee’s family member.
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This service provides all of the Civil Service Commission (CSC) Meeting Agendas, Minutes, and Recordings.
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This service offers a complete listing of County departments and other affiliated agencies.
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This service provides assistance and answers questions about the Online Registration and Employment Application process.
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This service allows you to verify County employment. Verification of employment may be requested via email, mail, facsimile, or by telephone in accordance with Human Resources Department policy.
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This service is a complete listing of all County job titles, including descriptions of duties, minimum qualification requirements, and salary information.
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The San Luis Obispo County Pension Trust is an independent trust that administers the San Luis Obispo County Employees Retirement Plan (a defined benefit pension plan).
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This services allows you to report any observed unsafe, erratic, or hazardous driving by a County vehicle.
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This is an archive of recordings of the Civil Service Commission Meetings
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This service provides benefit information for current and newly hired permanent employees.
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This service is a complete listing of all current County job openings and job descriptions.
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Benefit Overview
The Deferred Compensation Plan also known as a 457(b) is a voluntary retirement savings plan offered by the County to enable employees to save for their future on a tax deferred basis. If you participate in the deferred compensation plan, you contribute biweekly payroll deductions to a retirement account. That money and any earnings you accumulate are not taxed until you withdraw them. The County's Deferred Compensation Plan is established and administered pursuant to Section 457 of the Internal Revenue Code (IRC). Contributions are limited to an annual maximum dollar amount, as established under the IRC. Benefits of participating in a deferred compensation plan include:
- Your contributions and any earnings to a 457(b) plan are tax-deferred
- Easy and automatic payroll deductions
- Change your contribution amount or investment mix at any time
- Low cost fees
- You may be eligible for a loan at competitive rates from your 457(b)
- Roth after tax contributions are also available to allow for a tax-free retirement income
The Deferred Compensation Plan is sponsored by SLO Pension Trust and the recordkeeper and provider of investment options is Nationwide Retirement Solutions.
Contact Information
Call Nationwide at 877-677-3678.
Phone center hours of operation are Mon-Thursday (8:30am-8:00pm EST) and Friday (8:30am-6:30pm EST)
www.sanluisobispo457.com
Nationwide representatives assigned to San Luis Obispo County:
·Loren Farfan: 818-642-8191 [email protected]
Tools:
Nationwide’s Interactive Retirement Planner Tool
Nationwide’s Paycheck Impact Calculator Tool
Nationwide’s Help Choosing Investment Funds Tool
Impact of Increasing Contributions
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Benefits Overview
Did you know that regular dental checkups keep your smile bright and help keep your whole body healthy? Our dental coverage provides cleanings, exams and x-rays. The County offers two dental plans for you to choose from. All employees are required to enroll in a dental plan. A comparison of the two plans is below. See plan documents for more details.
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Aetna DMO
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Delta Dental DPPO
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In-Network Only
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In-Network
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Out-Of-Network
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Calendar Year Deductible
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$0
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$25 / per person (combined with in-network)
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$25 / per person (combined with in-network)
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Annual Plan Maximum
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None
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$1,500
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$1,000
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Waiting Period
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None
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None
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None
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Diagnostic and Preventive
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Diagnostic pays: 100% Preventive various copays apply
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Plan pays: 100%
Diagnostic and Preventive to do count toward annual max
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Plan pays: 100%
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Basic Services
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Fillings
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Plan pays: 100%
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Plan pays: 90% after deductible
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Plan pays: 80% after deductible
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Root Canals
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Various copays apply
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Plan pays: 90% after deductible
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Plan pays: 80% after deductible
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Periodontics
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Various copays apply
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Plan pays: 90% after deductible
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Plan pays: 80% after deductible
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Major Services
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Various copays apply
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Plan pays: 50% after deductible
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Plan pays: 50% after deductible
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Orthodontic Services
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Orthodontia
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Patient pays:
Screening $30.00
Diagnostic Records $150.00
Treatment $1,545.00
Retention $275
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Plan pays: 50% up to $1,500 Lifetime Maximum (Calendar deductible does not apply)
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Plan pays: 50% up to $1,500 Lifetime Maximum (Calendar deductible does not apply)
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Lifetime Maximum
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None (limited to one full course of treatment)
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$1,500 Child or Adult
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$1,500 Child or Adult (combined with in-network)
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PREMIUMS
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Aetna Dental DMO Premium
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Delta Dental PPO Premium
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Dependents
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Semi-Monthly
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Monthly
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Semi-Monthly
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Monthly
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Employee
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$15.94
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$31.88
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$23.73
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$47.46
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Employee + 1
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$26.36
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$52.72
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$40.34
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$80.67
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Family
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$38.94
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$77.88
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$61.69
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$123.37
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Aetna Dental
If you select the Aetna plan you will be required to utilize one of their in-network dentists. The Aetna Dental plan has a limited network of providers and it is recommended that you complete a provider search before enrolling in this plan.
Delta Dental
With nearly 80% of practicing dentists in Delta’s networks, there is a good chance you already see a Delta Dental provider. To maximize your savings, it is important to be aware of the Delta network the dentist belongs to. Delta has three different networks of providers: PPO, Premier, and Non-Delta dentists. While you can visit any licensed dentist and still receive a benefit, you will save the most by visiting a Delta PPO or Premier dentist.
Dental ID Cards
You will not receive ID cards from the dental carriers. The group number information is listed below with the contact information and is what you will need to confirm your eligibility with your provider for yourself and your dependents.
Contact Information
1-877-238-6200
www.aetna.com
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Benefit Overview
The confidential Employee Assistance Program (EAP) through Anthem can help you with things like stress, anxiety, depression, chemical dependency, relationship issues, legal issues, parenting questions, financial counseling, and dependent care resources. Best of all, it's free for employees and their family members.
Call your EAP at 1-800-999-7222 or access your EAP through www.anthemeap.com, company code "San Luis Obispo".
Help is available 24/7, 365 days a year:
- Four free counselling sessions with a local therapist
- Free will writing services
- Free 30-minute consultation with an attorney
- Free financial management tools
- Free webinars and resources on a variety of topics like aging parents, career management, parenting, health tools, and self-care.
- Access to Identity Theft Protection & Recovery
- Childcare & Parenting
- Work and Career Support
- Emotional Wellbeing
- AND MORE!
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EAP Course
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Date & Time
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Overcoming Burnout
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September 10 | 3:30-4:30
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Social Security Retirement Planning
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November 10 | 9:30-10:30am
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Single and Co-Parenting: Strategies for Success
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November 18 | 9:30-11:00am
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Stress Management
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December 2 | 3:30-4:30pm
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Making the Most of Your Paycheck
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February 6 | 9:30-10:30am
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Managing Priorities to Maximize Your Day
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February 18 | 2:30-4:00pm
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Reinventing Retirement
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March 9 | 9:30-10:30am
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Nutrition Navigator
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March 25 | 9:30-10:30am
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Investment Basics
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April 6 | 9:30-10:30am
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Parenting Essentials
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April 15 | 2:30-4:00pm
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Getting Your Affairs in Order: 5 Essential Documents
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May 20 | 9:00-10:30am
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To register for these trainings, please visit NeoGov Learn
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The County of San Luis Obispo Sheriff's Employee Health Clinic is located at 1485 Kansas Ave in San Luis Obispo in the gray modular unit in the County’s Surplus Warehouse parking lot, next door to the Emergency Operations Center. All services perfomed onsite are free to employees of the Sheriff's Office and their covered dependents. There are no copays or out of pocket bills for employees.
The Employee Health Clinic also serves as a County Designated Workers' Compensation Provider. Any County employee who is injured while at work or working for the County, not just Sheriff employees, may visit the clinic and mention that they are an employee of the County and wish to be seen under Workers' Comp.
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Benefits Overview
Express Scripts program coordinates with following medical plans:
- Anthem Select PPO
- Anthem Choice PPO
- Anthem Care PPO
- Anthem EPO
You can conveniently fill maintenance medications (drugs you take regularly for ongoing conditions) up to a 90-day supply through home delivery or at a retail pharmacy in the Smart90 network, either CVS or Walgreens! After the third time you purchase up to a 30-day supply of a maintenance medication at a pharmacy, you’ll pay a higher cost under your plan. By choosing a 90-day option—either through home delivery or at a Smart90 pharmacy—you can avoid this higher cost. You will pay the same copayment for your 90-day supply with either option.
Throughout the year, Express Scripts asks an independent panel of doctors and pharmacists to review and compare all of the medications available to patients. When the panel finds there are multiple medicines that work to treat the same condition and are equally as safe, the findings results into formulary changes each year on 7/1 and 1/1. If your prescription is impacted, Express Scripts will contact you directly via phone and mail.
For details on pharmacy costs, please visit the employee benefits brochure
For FREE maintenance medications, please visit the Rx ‘n Go site.
Contact Information
Express Scripts
Customer Service- 1-877-554-3091
Pharmacy Inquiries- 1-877-248-1164
Coverage Review- 1-844-374-7377
https://www.express-scripts.com/
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The Federal Work-Study Program (FWS) provides part-time job opportunities to students who have financial aid eligibility while at a college or university.
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How to register your Flexible Spending Account (FSA) and Health Savings Account (HSA) debit cards so you can begin using your funds. All new enrollees in an FSA or HSA will receive a debit card in the mail a few weeks after enrollment for new hires or prior to the new calendar year if you enrolled during Open Enrollment. The debit card is valid for three years from the date you received it and can be used for multiple years. Do not throw your debit card away at the end of each calendar year. Instructions are below to request a new debit card or to change your address in BenXcel.
Step 1: Receive your debit card in the mail after completing online enrollment.
Step 2: Register your debit card on the MySmartCare Online Portal.
Use your Social Security Number as your Employee ID and your FSA Benefits Debit Card number as your Registration ID when registering.
Employer ID: BCCSLO
Employee ID: Your Social Security Number
By registering your email address, you will receive important push notifications regarding your account balance, year-end reminders, notice of debit card mailed, etc. You can change these notifications to be delivered via text message under your My SmartCare account settings.
Step 3: Configure your account, set up your reimbursement method and payment schedule and request additional debit cards for your tax dependents. You will be able to check your balances, track claims status’ and access the FSA store anytime. Don’t forget to download the mobile app to your cell phone.
Step 4: Registration is complete, you can begin using your debit card!
Contact Information
BCC is the third-party administrator for all FSA accounts and should be contacted for all questions regarding your account or a specific claim.
Phone: 800-685-6100
Email: [email protected]
Website: https://benefitcc.wealthcareportal.com
Customer Service Center hours are Monday - Thursday: 5:00am - 5:00pm PT and Friday: 5:00am - 3:00pm PT
FSA Store
Calculate FSA Tax Savings
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How to get reimbursed by your Flexible Spending Account (FSA) and Health Savings Account (HSA). You can request reimbursement by utilizing your debit card for automatic reimbursement or submitting a paper reimbursement form. Expenses over $700 will all require additional documentation.
You have several options for reimbursement including direct deposit or paper checks. You can also schedule when you would like to receive your reimbursements throughout the year, in biweekly, monthly, or even one annual installment.
Step 1: Ensure you have already registered your debit card and login to your MySmartCare account online or on your mobile phone.
Step 2: Click Submit a Claim and follow the prompts. Be sure to have copies of the services provided and your payment. When utilizing the mobile app you can simply take a picture of your documents and upload them.
You may also submit a paper claim form, attach the receipt and submit:
- E-mail: [email protected]
- Fax: 412-276-7185
- Mail: BCC, Attn: Claims Two Robinson Plaza, Suite 200 Pittsburgh, PA 15205
- Upload via File Transfer Portal: https://secure.benxcel.com
Step 3: Claim submission is complete. BCC will contact you directly if they have any questions about your claim.
Contact Information
BCC is the third-party administrator for all FSA accounts and should be contacted for all questions regarding your account or a specific claim.
Phone: 800-685-6100
Email: [email protected]
Website: https://benefitcc.wealthcareportal.com
Customer Service Center hours are Monday - Thursday: 5:00am - 5:00pm PT and Friday: 5:00am - 3:00pm PT
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Last Updated on 4/10/2020 at 8:15 am
This is a rapidly evolving situation and the risk assessment in our region may change, at which point the County will provide updated direction. We are monitoring any legislative actions that may change leave laws and could impact the answers below. These will be updated to comply with new legislation.
For the most up to date information please visit ReadySLO.org. For Employee information, visit the MySLO page dedicated to COVID-19.
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How Will Employees Be Paid?
As of March 19, 2020, at 5:01 pm, all County Employees are considered Disaster Service Workers. This affects timecard coding. All permanent employees are Disaster Service Workers (DSW) and will likely be required to work during the COVID-19 pandemic which includes working at emergency response facilities in a variety of day, evening, and night shifts, depending on needs and available DSW’s. As a DSW, employees will likely be assigned to locations, duties and work hours outside of their normal job responsibilities. For example: if you normally work 8:00 a.m. to 5:00 p.m. at your office, you may be scheduled to work 11:00 a.m. to 8:00 p.m. at a different work location. You may be scheduled to work a 12-hour shift. Any applicable MOU or overtime provisions will apply while working as a DSW. This requirement for working as a DSW is governed by both State and County law. If employees are at work or available to work, they will be paid salary and benefits as if they are working their regular schedule. Each department has designated personnel that will coordinate the coding of timecards if you are unable to do so yourself from home.
Click here for DSW Frequently Asked Questions.
*This document will be updated as new information becomes available. Last updated: 01/04/2021*
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Benefits Overview
Ingenio Rx is a pharmacy plan for those that are enrolled in the County’s Anthem High Deductible Health Plan.
- You pay 100% of pharmacy costs until you meet the plan’s deductible. This means if your prescription costs $100, you will need to pay the $100 each time you pick it up until you reach your deductible.
- You do NOT have a set co-pay. Once you meet your deductible, you will have co-insurance coverage, meaning you will pay 20% of your prescription’s cost.
- If your prescription costs $100 and you have met your deductible, you will pay 20% ($20) and the plan will cover the remaining 80% ($80).
- Once you reach your annual out-of-pocket maximum, the plan will pay 100%.
Contact Information
IngenioRx
833‐255‐0645
https://www.anthem.com/ca/
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Information on the Bargaining Process and the current status of SLOCEA negotiations
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Information, resources, and procedures for employee Leave of Absence requests.
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Benefit Overview
Current Announcements
Reimbursement forms must be submitted by March 15 of each year for expenses incurred in the prior calendar year. For example: Calendar Year: January 1 – December 31, 2020 expenses must be submitted by March 15, 2021 to be eligible for reimbursement.
The Management/Confidential Wellness Reimbursement Benefit provides up to $200.00 for one of the six health maintenance alternatives during the program year.
The program is by calendar year, from January 1 - December 31.
Who is eligible for this program?
- Reimbursement is dependent upon bargaining unit. This benefit is available to employees in Bargaining Units 06, 07, 08, 09, 10, 11, 12, 15, 16, and 17.
- Employees in Bargaining Unit 04 only are eligible for reimbursement up to $300 per program year.
Read the Wellness/Fitness Benefit Form for all details related to this program.
Complete the Wellness Claim Form via e-forms in NeoGov e-forms by logging into NeoGov and filling out the Wellness Reimbursement e-Form. You will be required to upload your receipt as proof of payment to the e-Form.
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This service provides information and resources for available County medical plans.
Evidence of Coverage Documents
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This is an informational listing of Memorandum of Understanding (MOU) Contracts and the associated employee association contact information for both represented and unrepresented bargaining units.
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In addition to County departments, Human Resources provides recruitment, hiring, and onboarding services to the San Luis Obispo Air Pollution Control District and the San Luis Obispo Regional Transit Authority.
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This service provides basic information regarding employee compensation and career advancement.
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This service provides information and resources for Pharmacy benefits.
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Benefit Overview
The Post Employment Health Plan (PEHP) is designed to help employees defray the cost of health care after separation from County service. There are two different types of PEHP accounts offered by the County and your account type is determined by your bargaining unit. When you retire or separate from County service, you can submit claims for qualified medical expenses to be reimbursed by the funds in your PEHP account.
Bargaining Units 01 - Public Services, 13 - Clerical, 05 - Supervisory and 02 Trades & Crafts
- County contributions of $50 per month for each eligible employee are placed in the employee's PEHP Universal Reimbursement Account with Nationwide Retirement Solutions
- Contributions are tax-free
- All initial contributions default into the most conservative investment option within a variable annuity
- Employees may choose more aggressive funds by contacting Nationwide Retirement Solutions to complete an Employee Allocation Form
- After separation of service, the PEHP account can be used to pay qualified medical expenses which are not covered by health insurance including expenditures such as glasses, prescription drugs, deductibles and co-pays.
Bargaining Units 04 - SLOGAU, 06 - DA Investigators, 07 - Management, 08 - General Management, 09 - Appointed Department Heads, 10 - Elected Officials, 11 - Confidential, 12 - DCCA, 15 and 16, - Sheriff's Managers and 17 – Supervisors, 27 and 28 – Sworn Deputy Sheriff’s Association
- Upon termination, the first portion of any sick leave payoff as currently provided for in MOU or by County Ordinance Code §2.44.060(i)(l) - will be contributed directly to the individual’s PEHP Insurance Premium Reimbursement Account
- The Insurance Premium Reimbursement Account works just like its name suggests -- it reimburses qualified health insurance premiums paid by you. This includes any qualified health insurance premiums, dental and vision insurance premiums, Medicare Part B and Medicare supplements and qualified Long-Term Care premiums
Contact Information
Nationwide
877-677-3678
http://www.sanluisobispo457.com
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The following information provides guidance and requirements for departments and employees to follow as we transition from the Shelter at Home Order back to full County operations. It includes training resources related to the COVID19 pandemic and telecommuting, recommended best practices for communicating with and leading employees who are working remotely, and FAQs for supervisors and employees related to pay, leave and disaster service work during the Shelter at Home order.
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Information on your 2021 Retiree Benefits. Questions? Please call Pension Trust at (805)781-5465 or Human Resources at (805)781-5959.
CLICK HERE TO BE DIRECTED TO THE 2021 OPEN ENROLLMENT PAGE
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Benefits Overview
Rx ‘n Go is a voluntary mail order pharmacy benefit that provides you access to over 1,200 generic medications at no cost to you. All employees and covered dependents on an Anthem medical plan* have the option to receive up to a 90-day supply of generic prescription maintenance medications by mail for free. In addition, you may also receive up to a 90- day supply of Prodigy® diabetic test strips and lancets delivered to your home at no cost.
STEP 1- What do I have to do?
Go to rxngo.com and confirm your medication(s) is on the Rx ‘n Go drug list.
STEP 2- Complete the Pharmacy Profile form online or by calling Rx ‘n Go.
STEP 3- Mail the Pharmacy Profile form and original prescription(s) to Rx ‘n Go. Your physician my also fax, phone or E-Scribe your prescription.
STEP 4- Receive your medication(s) by mail at your home.
Contact Information
Rx ‘ n Go
888.697.9646
www.rxngo.com
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Current Annoucements
For 2021, the following benefit changes will occur:
- You can carry over $550 in your Healthcare and Limited Purpose FSA
- Healthcare and Limited Purpose FSA maximum contributions increases to $2,750
- HSA increases to $3,600 for single, and $7,200 for family
Benefits Overview
All employee contributions to a Flexible Spending Accounts (FSA) or Health Savings Account (HSA) are made from pre-tax earnings, lowering your taxable income, and increasing your disposable income. The County offers several different tax savings accounts. Each tax savings account has unique qualified expenses, rules and eligibility to participate. All FSAs & the HSA are administered by Benefits Coordinator Corporation (BCC). Participants will have access to their funds via a debit card, an online platform and mobile app.
Contact Information
BCC is the third-party administrator for all FSA accounts.
Phone: 800-685-6100
Website: https://benefitcc.wealthcareportal.com or FSA Store at: https://fsastore.com/
Customer Service Center hours are Monday - Thursday: 5:00am - 5:00pm PT and Friday: 5:00am - 3:00pm PT
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Account
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Who can participate?
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Maximum Annual Contribution
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Plan Overview
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Healthcare FSA
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All Employees
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$2,750/calendar year with a $550 carryover
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You can set aside money from your pay, pre-tax, and use it for medical, dental, and vision expenses any time during the plan year. Eligible expenses include medical, dental, or vision costs such as plan deductibles, copays, coinsurance amounts, and other non-covered healthcare costs for you and your tax dependents. You don’t have to enroll in one of our medical plans to participate in the healthcare FSA. See the table on the next page for more information on how to access your FSA account. Beginning 1/1/2021 you can rollover up to $550 of your previous year’s FSA unused balance from one calendar year to another. All other unused funds are use it or lose it.
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Dependent Care FSA
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All Employees
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$5,000/calendar year per Household
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Pay for eligible out-of-pocket dependent care expenses with pre-tax dollars. Eligible expenses may include daycare centers, in-home childcare, and before or after school care for your dependent children under age 13. All caregivers must have a tax ID or Social Security number. This information must be included on your federal tax return. If you use the Dependent Care Flexible Spending Account, the IRS will not allow you to claim a dependent care credit for reimbursed expenses. Funds in this account are use it or lose it.
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Limited Purpose FSA
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HDHP Enrollees Only
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$2,750/calendar year
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If you or your spouse participate in an HDHP HSA plan, you are eligible for the Limited Purpose FSA which you can use for qualified dental and vision expenses only (not medical).
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Health Savings Account (HSA)
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HDHP Enrollees Only
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$3,600/calendar year for individual
$7,200/calendar year for a family
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An HSA is what makes high deductible health plans (HDHP) so popular. It helps with your current healthcare expenses and helps you build a safety net the future. Unused money rolls at the end of the year, earns interest, and can even be invested like a 401(k). After 65, you can even use the money for non-healthcare expenses (subject to your regular tax rate). You own the account, even if you change jobs. You may change the deduction amounts at any time. The contributions are subject to CA state taxes.
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Student Internships at the County of San Luis Obispo provide current students with:
- Valuable work experience to further their careers
- Opportunities to expand their professional network
- Personal and professional growth and development
- Opportunity to serve the San Luis Obispo community in a meaningful way
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Current Announcements
Talkspace is now available to all medically enrolled employees and their dependents age 13+.
Any given year, 1 in 5 adults experience a mental health issue. It is likely you or someone close to you has struggled with a condition like anxiety or depression. During this unprecedented time of heightened stress and anxiety, it is important to support your mental health and overall well-being. The good news is professional support can change lives, and innovation is making access to mental health treatment more convenient than ever.
Talkspace is a global leader in online therapy. With a network of thousands of licensed clinicians, Talkspace is an online therapy service that connects users to a dedicated, licensed therapist from a secure, HIPAA-compliant mobile app and web platform. Users can send their therapist text, voice or video messages - anytime, anywhere.
County employees and their dependent age 13 or older enrolled in a County Medical Plan now have the ability to receive online messaging therapy at no cost by registering at talkspace.com/slo. Enter “San Luis Obispo” as the organization name when prompted. Talkspace communication is confidential and secure. The platform is designed to connect you with a therapist the same day you create your account. The County of San Luis Obispo will never know who uses the service or for what purpose.
View the flyers under "Related Pages" to find out more.
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Current Announcements
In response to the COVID-19 pandemic, legislation has provided significant flexibility regarding reimbursements & election changes for those enrolled in an FSA, including Healthcare FSA and Dependent Care FSA (DCFSA). More information on these temporary changes is below.
- Healthcare FSA Changes - Temporary Unlimited Rollover - Previously you could only rollover up to $550 of any unused balance. The new provisions allow you to carryover your entire unused balance for the 2020 plan year into 2021 and any unused benefits or contributions remaining from the 2021 plan year into 2022.
- Dependent Care FSA Changes
- Extended Grace Period - You will now have up to 12 months to submit any eligible expenses that you had incurred in 2020 or any new expenses you incur in 2021. This extended grace period ends 12/31/21.
- Specialty rule for Dependents who age out - Eligible expenses for dependents will now allow up to 14 years of age.
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Special Enrollment Period – Two Special Enrollment Periods will be held in 2021, in April and August, to allow you to make changes to your FSA election without a qualifying event. All changes must be prospective, the IRS does not permit any retroactive changes to contributions.
Benefits Overview
All employee contributions to a Flexible Spending Accounts (FSA) are made from pre-tax earnings, lowering your taxable income, and increasing your disposable income. The County offers several different tax savings accounts. Each tax savings account has unique qualified expenses, rules and eligibility to participate. All FSAs & the HSA are administered by Benefits Coordinator Corporation (BCC). Participants will have access to their funds via a debit card, an online platform and mobile app.
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Account
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Who can participate?
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Maximum Annual Contribution
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Plan Overview
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Healthcare FSA
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All Employees
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$2,750/calendar year with a maximum $550 carryover and minimum $10 rollover
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You can set aside money from your pay, pre-tax, and use it for medical, dental, and vision expenses any time during the plan year. Eligible expenses include medical, dental, or vision costs such as plan deductibles, copays, coinsurance amounts, and other non-covered healthcare costs for you and your tax dependents. You don’t have to enroll in one of our medical plans to participate in the healthcare FSA. See the table on the next page for more information on how to access your FSA account. Beginning 1/1/2021 you can rollover up to $550 of your previous year’s FSA unused balance from one calendar year to another. All other unused funds are use it or lose it.
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Dependent Care FSA
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All Employees
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$5,000/calendar year per Household
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Pay for eligible out-of-pocket dependent care expenses with pre-tax dollars. Eligible expenses may include daycare centers, in-home childcare, and before or after school care for your dependent children under age 13. All caregivers must have a tax ID or Social Security number. This information must be included on your federal tax return. If you use the Dependent Care Flexible Spending Account, the IRS will not allow you to claim a dependent care credit for reimbursed expenses. Funds in this account are use it or lose it.
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Limited Purpose FSA
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HDHP Enrollees Only
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$2,750/calendar year
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If you or your spouse participate in an HDHP HSA plan, you are eligible for the Limited Purpose FSA which you can use for qualified dental and vision expenses only (not medical).
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Important Information About Your FSA:
- Utilize the FSA Tax Savings Calculator to estimate your tax savings.
- Select an annual contribution amount up to the annual limit. The amount you choose will be divided evenly by the remaining pay periods in the calendar year and deducted each pay period in the calendar year.
- You cannot change the contribution amount you select during Open Enrollment unless you have a qualified change in family status.
- FSA funds can be used for you, your spouse, and your tax dependents only.
- All eligible expenses must occur in the calendar year.
- Grace Period - After the plan year ends on December 31, you have until March 15 to incur eligible expenses and use the DCFSA funds remaining in your account. Claims for expenses incurred during the grace period must be submitted by March 30, the deadline for submitting claims from the previous plan year.
- Each Open Enrollment you must take action to elect your annual contribution amount for your FSA for the next year. Your previous year election will NOT roll-over.
Contact Information
BCC is the third-party administrator for all FSA accounts.
Phone: 800-685-6100
Email: [email protected]
Website: https://benefitcc.wealthcareportal.com
Customer Service Center hours are Monday - Thursday: 5:00am - 5:00pm PT and Friday: 5:00am - 3:00pm PT
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Benefits Overview
On LiveHealth Online, you can:
- See a board-certified doctor, 24/7. Doctors are always available to assess your condition and send a prescription to the pharmacy you choose. It's a great option when you have a pink eye, a cold, the flu, a fever, allergies, a sinus infection, or another common health issue.
- Visit a licensed therapist in four days or less. Have a video visit with a therapist to get help with anxiety, depression, grief, panic attacks, and more. Schedule your appointment online or call 1-888-548-3432 from 8 a.m. to 8 p.m., seven days a week.
- Consult a board-certified psychiatrist within two weeks. If you're over 18 years old, you can get medication support to help you manage a mental health condition. To schedule your appointment, call 1-888-548-3432 from 8 a.m. to 8 p.m. seven days a week.
You've got access to affordable and convenient care. You just pay the doctor's office visit copay.
Contact Information
1-888-548-3432
[email protected]
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Current Announcements
Tuition reimbursement forms must be submitted no later than June 30, 2021 for the 2020-2021 FY.
The County provides Tuition Reimbursement for work related and Department Head approved expenses. This benefit varies by Bargaining Unit and is subject to funds availability each fiscal year.
Who is eligible for this program?
- County employees represented by Bargaining Units 01, 02, 05, 07, 08, 09, 10, 11, 13, 17, 31, and 32 are eligible for reimbursement.
After reviewing the instructions and determining your course or training is eligible for reimbursement, please sign up, attend, and pay for the course or training.
Please keep proof of payment and course completion as they will be required for reimbursement. Follow the directions below to submit a tuition reimbursement form:
- Proof of payment must be attached to your employee tuition reimbursement form, and is required to receive your reimbursement. (Proof of payment can be a: cancelled check, bank statement with copy of check, credit card bill, invoice showing payment, or receipt for cash payment)
- Proof of completion, attached to your employee tuition reimbursement form, is required to receive your reimbursement.
- After successful completing of the course or training, complete the Employee Tuition Reimbursement Form through NeoGov e-Forms. You will be required to provide proof of payment and gain you department head’s approval.
- Upload a copy of the course description or training agenda, proof of payment, and certification of course completion to the e-Form and have your department head sign.
Please allow four (4) weeks for your claim to be processed.
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Benefits Overview
The County offers one vision plan through VSP. All employees are required to enroll. Vision coverage helps with the cost of eyeglasses or contacts. But even if you do not need vision correction, an annual eye exam checks the health of your eyes and can even detect more serious health issues such as diabetes, high blood pressure, high cholesterol, and thyroid disease. Yet many people may put off or skip visiting the eye doctor, not understanding that comprehensive eye exams are an important part of maintaining good overall health and wellness.
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VSP VISION
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In-network
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Out-of-network
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Frequency
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Examination
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12 months
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12 months
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Frames
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24 months
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24 months
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Eyeglass lenses
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12 months
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12 months
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Contacts (elective)
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12 months
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12 months
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Benefit
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Examination
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$10 copay then Plan pays 100%
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Up to $50, in-network limitations apply
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Materials
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$10 copay then Plan pays 100%
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Up to $105, in-network limitations apply
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Frames
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Up to $175
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Up to $70
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Single vision lenses
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$25 copay then plan pays 100%
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Up to $50
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Bifocal lenses
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$25 copay then plan pays 100%
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Up to $75
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Trifocal lenses
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$25 copay then plan pays 100%
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Up to $100
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Contacts (elective)
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Up to $150
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Up to $105
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Vision ID Cards
VSP does not send ID cards to employees. Utilize the below information when you visit a VSP provider to access your benefits.
- Member ID: Employee’s Social Security Number
- Note: The Member ID for dependents is the Subscriber’s Social Security Number
- Group Name: County of San Luis Obispo
- Group Number: 00105558-01
Contact Information
www.vsp.com
1-800-877-7195
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This service allows County employees the option to purchase voluntary insurance plans to enhance their benefit package.
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Voya Life and AD&D Insurance
Benefits Overview
Life Insurance pays your beneficiary a lump sum if you die. AD&D provides another layer of benefits to either you or your beneficiary if you suffer from loss of a limb, speech, sight, or hearing, or if you die in an accident. Coverage is provided by Voya. Remeber to review your beneficiaries annually during Open Enrollment and update as needed. There are various life insurance policies dependent on your bargaining unit.
Voluntary Supplemental Life and AD&D Insurance
Voluntary Supplemental Life Insurance allows you to purchase additional life insurance to protect your family's financial security. This is an employee paid benefit. Coverage is available for your spouse and/or child(ren) if you purchase coverage for yourself. The employee must be approved for coverage to add dependents. Employees can apply for supplemental coverage in increments of $10,000, the minimum coverage amount is $20,000 with a maximum of $500,000. The benefit amount reduces to 65% at age 65, to 50% at age 70 and to 30% at age 75.
New employees can enroll within the first 31 days of employment with a guaranteed issue of up to $150,000 without submitting an Evidence of Insurability (EOI) form. An EOI form will be required for all other enrollees including during Open Enrollment. It is the employees responsibility to complete an EOI form which requires additional information about your health and the health of your dependents you want to cover. You must submit the EOI form to Voya for them to determine your eligibility. The coverage will not begin and no deductions will be taken from your paycheck until the EOI has been approved by Voya.
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SUPPLEMENTAL LIFE & AD&D
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Election Amounts
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New Hire Guaranteed Issue
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Employee amount
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$20,000 up to a maximum of $500,000 in $10,000 increments
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Up to $150,000
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Spouse amount
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$20,000 OR 50% of employee amount
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Up to $50,000
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Child(ren) amount
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$10,000, not to exceed 100% of employee amount
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Up to $10,000
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Employer Paid Basic Life Insurance
The County provides Basic Term Life Insurance to employees in certain bargaining units at no cost. No action is needed to maintain these benefits. Employees also have option to purchase additional supplemental life insurance.On the policy anniversary after you attain age 65, the benefit amount is reduced by 35% of the original face amount. On the policy anniversary after you attain age 70, the benefit amount is reduced by 50% of the original face amount. This benefit is provided as follows:
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Bargaining Unit
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Amount of Life Insurance
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08, 09, 10, 16, 17
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$50,000
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04, 06, 07, 11, 12
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$30,000
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Taxes: Due to IRS regulations, a life insurance benefit of $50,000 or more is considered a taxable benefit.
Contact Information
1-800-955-7736
www.voya.com
Group Name: PRISM Health
Group Number:316407
Account: 37 – County of San Luis Obispo
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Voya Long Term Disability Insurance
Benefits Overview
Long term disability (LTD) coverage pays you a percentage of your income if you cannot work due to an injury or illness preventing you from performing your job functions over a long time. The County offers voluntary long term disability insurance to any employee that does not receive employer paid long term disability insurance.
- Long term disability benefits typically begin after short term disability benefits end
- Vocational rehabilitation services are available to assist you in returning to work when possible
- While you are receiving benefits from Voya, they may waive some insurance premiums
- It is important to know that benefits are reduced by income from other sources like workers' compensation and Social Security.
- If you leave your job, you may be eligible to convert your long-term disability coverage and take the policy with you
Voluntary LTD
All County employees are eligible to participate except for employees that are covered by another long term disability policy. Eligibility varies by bargaining unit. This is an employee paid benefit. Disability premiums are calculated based on your age and salary and will change throughout your coverage.
This benefit will only be displayed for enrollment if you are eligible. Employees can enroll without providing an evidence of insurability (EOI) form if they apply within 31 days of first becoming eligible. An EOI form will be required for all other enrollees.
When you become disabled, you must complete a waiting period meaning that you are absent from work due to the same disability for 360 consecutive days before benefits are payable. Any days that you are able to work after the start of your disability will not count towards your elimination period. See the plan document for all details.
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LONG TERM DISABILITY (LTD)
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Monthly Benefit Amount
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Plan pays 60% covered monthly earnings
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Maximum Monthly Benefit
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$10,000
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Minimum Monthly Benefit
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$100 / 10%
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Waiting Period: Accident or Sickness
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360 days of disability
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Maximum Payment Period
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Social Security Normal Retirement Age
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Survivor Benefit
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3 months gross monthly benefit
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Employer Paid LTD
The County provides employees in select Bargaining Units with employer paid Long Term Disability insurance. When you become disabled, you must complete a waiting period meaning that you are absent from work due to the same disability for 90 consecutive days before benefits are payable. Any days that you are able to work after the start of your disability will not count towards your elimination period. You may be eligible for Short Term Disability payments during this time if you enroll in Voya’s Voluntary Short Term Disability plan, which is employee paid. See the plan document for all details.
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EMPLOYER PAID LONG TERM DISABILITY (LTD)
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Monthly Benefit Amount
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Plan pays 66 2/3% of monthly earnings
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Maximum Monthly Income Benefit
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$10,000
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Minimum Monthly Income Benefit
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$50
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Waiting Period
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90 days of disability
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Contact Information
1-800-955-7736
www.voya.com
Group Name: PRISM Health
Group Number:316407
Account: 37 – County of San Luis Obispo
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Voya Short Term Disability Insurance
Benefits Overview
Voya Short Term Disability insurance provides you with benefits to replace part of your paycheck when you cannot work because of a sickness or injury. Short-Term Disability benefits are paid for up to 12 weeks. There is a 7-day waiting period before you are paid. See the plan document for more details.
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Short Term Disability (STD)
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Weekly Benefit Amount
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Plan pays 60% covered weekly earnings
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Maximum Weekly Benefit
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$1,325
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Minimum Weekly Benefit
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$50
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Waiting Period
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7 days
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Maximum Payment Period
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12 weeks
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Coverage Type
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Non-occupational coverage (off the job)
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Cost of Coverage: Rates will change with salary and age throughout the life of your plan. See plan brochure or BenXcel.net for your personalized premium.
Eligibility & Enrollment
Employees in select bargaining units that do not participate in CA SDI or PORAC are eligible to enroll in this plan. This benefit will only be displayed for enrollment in BenXcel if you are eligible to enroll.
- New Hires are offered a guaranteed issue for this plan and will not need to provide an Evidence of Insurability (EOI) form if they apply within 31 days of employment.
- An EOI form will be required for all other enrollees.
Submitting a Claim
It is recommended to start the paperwork process 2 – 4 weeks in advance of your disability date. County internal processing takes about 1 - 2 weeks to complete the employer form and cannot be completed until date of disability. All claims are submitted directly to Voya. View the How to Sumit a Claim to Voya webpage below for instructions.
Contact Information
1-800-955-7736
www.voya.com
Group Name: PRISM Health
Group Number: 31640-7
Account: 37 – County of San Luis Obispo
Voya does not keep individual records of employee enrollment, to discuss questions related to an individual situation, you must submit a claim to Voya.
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The County cares about the Wellness of our employees. Please view the related pages below to learn more about how the County supports your physical and mental health.
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