Important Open Enrollment Information
Welcome to the 2024-25 SISC Open Enrollment starting July 1, 2024, through August 9, 2024!
All Open Enrollment changes will be effective October 1, 2024, and the first payroll deduction will be processed on the September payroll.
To schedule your one-on-one appointment, with an American Fidelity Representative, click the link below to locate a specific date and time that will work for you:
- https://enroll.americanfidelity.com/65A8BCFC or you may call 1-800-365-9180, ext. 0
- Or if you wish to self-enroll, please visit www.afenroll.com/enroll.
Available health plan options may be reviewed under the Medical Coverage drop-down menu below.
KEY ENROLLMENT INFORMATION:
- If you take no action during open enrollment period, your current 2024 health benefits will remain in effect; however, the 2024-25 premium rates will apply.
- As a reminder, Section 125 Flexible Spending Account (FSA) is an employer sponsored plan that allows you to set aside pre-tax funds for qualified medical, dental, and vision Additionally, you are eligible to set aside pre-tax funds for dependent care expenses (DFSA). If you would like to enroll or re-enroll you are required to meet with an American Fidelity benefit counselor.
To view the open enrollment benefit options for the 2024-2025 plan year,
please click the corresponding employee group icon below.
-
- Classified CSEA 262
SISC Benefit Plans
- 2024-25 Plan Premiums & District Contribution (CSEA 262 & Auxiliary)
- Dependent Eligibility Document
- Affidavit of Marriage
- MetLife Life Insurance Benefit Summary & Supplemental Rates
- Self Enrollment Instructions American Fidelity
Medical Benefit Summaries
- Blue Shield Full Network HMO $10-0 RX 5-20
- Blue Shield Trio HMO $10 RX 5-20
- Blue Shield PPO 90-g $20 RX 5-20
- Blue Shield 100A $10 RX $5-20
- Kaiser HMO $0 RX $5
- Kaiser HMO $15 OV, RX5-20
Dental Benefit Summaries
Vision Benefit Summary
Programs and Services
- Additional SISC Programs and Services
- Blue Shield Mobile App
- Blue Shield Plan Features and Member Benefits
- Blue Shield Print ID Card
- Carrum Health
- COVID Testing
- Hinge Health
- Kaiser Permanente Features and Member Benefits
- Kaiser Permanente Ginger App Emotional Support
- Maven Parenthood Journey
- MDLive
- Mental Health
- Vida Health
- Eden Health
Supplemental Benefits
Mt. San Antonio Community College District has partnered with American Fidelity Assurance Company to provide supplemental health insurance benefits and financial services to our employees*.
Services
Section 125 Cafeteria Plan offers: Section 125, a program available, to help employees save money on taxes. An employee is allowed to deduct needed benefits from gross earnings before taxes are computed. This means that current after-tax expenses such as insurance products and benefits, can now be paid for with pre-tax dollars.
- Dependent Day Care Flexible Spending Account (FSA)
- Health FSA (Unreimbursed Medical Expenses)
Retirement/Annuities
- 403(b) Tax-Deferred Annuity
- Roth IRA
- After-Tax Annuity
Supplemental Insurance Benefits
- American Fidelity Benefits Overview
- Accident Insurance
- Cancer Insurance
- Critical Illness Insurance
- Disability Income Insurance
- Texas Life Insurance
How to Enroll
Eligible employees may enroll during annual enrollment** and will be notified by the Benefits office of the dates and times.
Eligible newly hired employees will be eligible to enroll at time of benefits onboarding.
*Employees must be eligible for health benefits to enroll in the services and benefits offered by American Fidelity Assurance Company. Please contact Benefits to determine whether or not you are eligible for health benefits.
**Changes to an election plan during the plan year can only be made if an employee experiences an allowable election change event. - Classified CSEA 651
SISC Benefit Plans
- 2024-25 Plan Premiums & District Contribution (CSEA 651)
- Dependent Eligibility Document
- Affidavit of Marriage
- MetLife Life Insurance Benefit Summary & Supplemental Rates
- Self Enrollment Instructions American Fidelity
Medical Benefit Summaries
- Blue Shield Full Network HMO $10-0 RX 5-20
- Blue Shield Trio HMO $10 RX 5-20
- Blue Shield PPO 90-g $20 RX 5-20
- Blue Shield 100A $10 RX $5-20
- Kaiser HMO $0 RX $5
- Kaiser HMO $15 OV, RX5-20
Dental Benefit Summaries
Vision Benefit Summary
Programs and Services
- Additional SISC Programs and Services
- Blue Shield Mobile App
- Blue Shield Plan Features and Member Benefits
- Blue Shield Print ID Card
- Carrum Health
- COVID Testing
- Hinge Health
- Kaiser Permanente Features and Member Benefits
- Kaiser Permanente Ginger App Emotional Support
- Maven Parenthood Journey
- MDLive
- Mental Health
- Vida Health
- Eden Health
Supplemental Benefits
Mt. San Antonio Community College District has partnered with American Fidelity Assurance Company to provide supplemental health insurance benefits and financial services to our employees*.
Services
Section 125 Cafeteria Plan offers: Section 125, a program available, to help employees save money on taxes. An employee is allowed to deduct needed benefits from gross earnings before taxes are computed. This means that current after-tax expenses such as insurance products and benefits, can now be paid for with pre-tax dollars.
- Dependent Day Care Flexible Spending Account (FSA)
- Health FSA (Unreimbursed Medical Expenses)
Retirement/Annuities
- 403(b) Tax-Deferred Annuity
- Roth IRA
- After-Tax Annuity
Supplemental Insurance Benefits
- American Fidelity Benefits Overview
- Accident Insurance
- Cancer Insurance
- Critical Illness Insurance
- Disability Income Insurance
- Texas Life Insurance
How to Enroll
Eligible employees may enroll during annual enrollment** and will be notified by the Benefits office of the dates and times.
Eligible newly hired employees will be eligible to enroll at time of benefits onboarding.
*Employees must be eligible for health benefits to enroll in the services and benefits offered by American Fidelity Assurance Company. Please contact Benefits to determine whether or not you are eligible for health benefits.
**Changes to an election plan during the plan year can only be made if an employee experiences an allowable election change event. - Confidential
SISC Benefit Plans
- 2024-25 Plan Premiums & District Contribution (Confidential)
- Dependent Eligibility Document
- Affidavit of Marriage
- MetLife Life Insurance Benefit Summary & Supplemental Rates
- Self Enrollment Instructions American Fidelity
Medical Benefit Summaries
- Blue Shield Full Network HMO $10-0 RX 5-20
- Blue Shield Trio HMO $10 RX 5-20
- Blue Shield PPO 80-G $20 RX 5-20
- Blue Shield PPO 90-g $20 RX 5-20
- Blue Shield 100A $10 RX $5-20
- Kaiser HMO $15 OV, RX5-20
Dental Benefit Summaries
Vision Benefit Summary
Programs and Services
- Additional SISC Programs and Services
- Blue Shield Mobile App
- Blue Shield Plan Features and Member Benefits
- Blue Shield Print ID Card
- Carrum Health
- COVID Testing
- Hinge Health
- Kaiser Permanente Features and Member Benefits
- Kaiser Permanente Ginger App Emotional Support
- Maven Parenthood Journey
- MDLive
- Mental Health
- Vida Health
- Eden Health
Supplemental Benefits
Mt. San Antonio Community College District has partnered with American Fidelity Assurance Company to provide supplemental health insurance benefits and financial services to our employees*.
Services
Section 125 Cafeteria Plan offers: Section 125, a program available, to help employees save money on taxes. An employee is allowed to deduct needed benefits from gross earnings before taxes are computed. This means that current after-tax expenses such as insurance products and benefits, can now be paid for with pre-tax dollars.
- Dependent Day Care Flexible Spending Account (FSA)
- Health FSA (Unreimbursed Medical Expenses)
Retirement/Annuities
- 403(b) Tax-Deferred Annuity
- Roth IRA
- After-Tax Annuity
Supplemental Insurance Benefits
- American Fidelity Benefits Overview
- Accident Insurance
- Cancer Insurance
- Critical Illness Insurance
- Disability Income Insurance
- Texas Life Insurance
How to Enroll
Eligible employees may enroll during annual enrollment** and will be notified by the Benefits office of the dates and times.
Eligible newly hired employees will be eligible to enroll at time of benefits onboarding.
*Employees must be eligible for health benefits to enroll in the services and benefits offered by American Fidelity Assurance Company. Please contact Benefits to determine whether or not you are eligible for health benefits.
**Changes to an election plan during the plan year can only be made if an employee experiences an allowable election change event. - Management
SISC Benefit Plans
- 2024-25 Plan Premiums & District Contributions (Management)
- 2024-25 Plan Premiums & District Contributions (Executive Management)
- Dependent Eligibility Document
- Affidavit of Marriage
- MetLife Life Insurance Benefit Summary & Supplemental Rates
- Self Enrollment Instructions American Fidelity
Medical Benefit Summaries
- Blue Shield Full Network HMO $10-0 RX 5-20
- Blue Shield Trio HMO $10 RX 5-20
- Blue Shield PPO 80-G $20 RX 5-20
- Blue Shield PPO 90-g $20 RX 5-20
- Blue Shield 100A $10 RX $5-20
- Kaiser HMO $15 OV, RX5-20
Dental Benefit Summaries
Vision Benefit Summary
Programs and Services
- Additional SISC Programs and Services
- Blue Shield Mobile App
- Blue Shield Plan Features and Member Benefits
- Blue Shield Print ID Card
- Carrum Health
- COVID Testing
- Hinge Health
- Kaiser Permanente Features and Member Benefits
- Kaiser Permanente Ginger App Emotional Support
- Maven Parenthood Journey
- MDLive
- Mental Health
- Vida Health
- Eden Health
Supplemental Benefits
Mt. San Antonio Community College District has partnered with American Fidelity Assurance Company to provide supplemental health insurance benefits and financial services to our employees*.
Services
Section 125 Cafeteria Plan offers: Section 125, a program available, to help employees save money on taxes. An employee is allowed to deduct needed benefits from gross earnings before taxes are computed. This means that current after-tax expenses such as insurance products and benefits, can now be paid for with pre-tax dollars.
- Dependent Day Care Flexible Spending Account (FSA)
- Health FSA (Unreimbursed Medical Expenses)
Retirement/Annuities
- 403(b) Tax-Deferred Annuity
- Roth IRA
- After-Tax Annuity
Supplemental Insurance Benefits
- American Fidelity Benefits Overview
- Accident Insurance
- Cancer Insurance
- Critical Illness Insurance
- Disability Income Insurance
- Texas Life Insurance
How to Enroll
Eligible employees may enroll during annual enrollment** and will be notified by the Benefits office of the dates and times.
Eligible newly hired employees will be eligible to enroll at time of benefits onboarding.
*Employees must be eligible for health benefits to enroll in the services and benefits offered by American Fidelity Assurance Company. Please contact Benefits to determine whether or not you are eligible for health benefits.
**Changes to an election plan during the plan year can only be made if an employee experiences an allowable election change event.
- Classified CSEA 262
To view the the current plan year (2023-2024) information, please visit www.mtsac.edu/hr/benefits
