Employee Benefits Information

Welcome to the Soquel Union Elementary School District's online employee health benefits information. Here you have access to benefit plan information, provider directory, rates, enrollment and change forms, and other important information. This will also be the place to find Open Enrollment information when the time comes. 

If you have any questions, please contact Sandra Paredes at (831) 464-5633.

Helpful Phone Numbers and Web Sites and "Who Do I Call?"

Cost-sharing: Out-of-pocket and deductible rules

 

Current Benefit Rates

Administrative Rate Sheets 

CVT PPO Plans

CVT Kaiser Plans

CVT PPO Plans - Part Time

CVT Kaiser Plans- Part Time

 

Certificated Rate Sheets

CVT PPO Plans

CVT Kaiser Plans

CVT PPO Plans- Part Time

CVT Kaiser Plans- Part Time

Classified Rate Sheets

CVT PPO Plans

CVT Kaiser Plans

CVT PPO Plans- Part Time

CVT Kaiser Plans- Part Time

 

Anthem Blue Cross PPO Information

CVT PPO Plan Matrix 

CVT Plan Matrix

CVT Member ID Card - Important Information

 

Kaiser Plan Information

CVT Kaiser Plan Matrix

Health Enrollment, Change, and Claim Forms

Quick Start New Member Open Enrollment Guide
Quick Start MyCVT Account Setup
Quick Start Existing Employee Changing Coverage Guide
CVT Enrollment/Change Form
Anthem Member Claim Form

 

Delta Dental Information

Delta Dental Incentive Primier

Delta Dental PPO 70/30 Ortho

Vision Plan Information

VSP

Life Insurance Forms

Basic Life Enrollment/Beneficiary Form

 

Prescription Information

CVS Caremark Prescription Claim Form
CVS Caremark Mail-in Brochure
CVS Caremark Mail-in Prescription Order Form

Additional Health Insurance Programs

CVT Blue Distinction Plus Overview
MDLIVE
Solera
TruHearing
Anthem Wellness
Anthem Condition Care
CVS Standard Control Formulary
EAP (Employee Assistance Program)

 

Other Forms

American Fidelity Health Reimbursement Form
American Fidelity Dependent Care Acknowledgement Form