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Benefit services

 

The Benefit Services Division serves as a valuable resource for a variety of services:
  • employee benefit orientations
  • insurance enrollment, changes, and questions
  • flexible spending accounts
  • deferred compensation
  • retiree health benefits

Employee benefits are administered according to the City's IRS section 125 Cafeteria Plan and the Labor Agreements.

2020 Employee Benefits Handbook

2019 Employee Benefits Handbook

Guide to Qualifying Life Events and Mid Year Election Changes

Acceptable Documents for Qualifying Life Events and Benefit Changes

Benefits Provider and Carrier Directory

1095 FAQ and eCaps Self-Services Instructions


2020 Employee benefits information

2020 Health, Dental, and Vision Premiums

Active Employee Premium Rates
Annual Premium Cost Overview
All Rep Units / Labor Groups except SPOA and L522
All Rep Units / Labor Groups except SPOA and L522 for FTE .79 to .50
Rep Units 02 and 05 - SPOA and L522
Comparison of $25 Co-pays vs $40 Co-pays
COBRA Premium Rates

2020 Summary of Coverage 

KAISER

$25 Copay
$40 Copay
Account-Based Health Plan (ABHP)
Overview of Kaiser Plan Options
Chiropractic Benefits for $25 & $40 HMO Plans
Chiropractic Benefits for ABHP Plan
Kaiser Mental Health Services in greater Sacramento region

SUTTER HEALTH PLUS

$25 Copay
$40 Copay
Account-Based Health Plan (ABHP)
Pharmacy Benefits
Wellness
Chiropractic and Acupuncture for $25 & $40 HMO Plans
Infertility for $25 & $40 HMO Plans
Service Area Map

WESTERN HEALTH ADVANTAGE

$25 Copay
$40 Copay
Account-Based Health Plan (ABHP)
WHA switches to OptumRx pharmacy benefits manager effective 1/1/2020
Prescription Copayment Summary
Wellness
Active & Fit Direct Program
Chiropractic and Acupuncture for $25 & $40 HMO Plans
Infertility for $25 & $40 HMO Plans
Service Area Map

DELTA DENTAL

DeltaCare USA
Delta Dental PPO
Delta Dental Quick Plan Comparison
Delta Dental Added-Value Benefits - Hearing Aid and LASIK Discounts

VISION SERVICE PLAN

Base Plan and Premium Plan

2020 Open Enrollment Communication

Important Note: The  Medicare & Social Security Workshop scheduled for 10/10/19 has been moved to New City Hall Council Chambers
Open Enrollment Announcement (sent via Citywide email)
2020 Open Enrollment Important Information - Detailed Memo and Instructions (sent via Citywide email)
2020 Open Enrollment Starts Today, September 30, 2019 (sent via email to PAR contacts)
Correct Date for Medicare and Social Security Workshop - October 10, 2019 (sent via  email to PAR contacts)


2019 EMPLOYEE BENEFITS INFORMATION

2019 Health, Dental and Vision Premiums (Rate Sheets)

Active Employee Premium Rates

Annual Premium Cost Overview

All Rep Units / Labor Groups except SPOA and L522

All Rep Units / Labor Groups except SPOA and L522 for FTE .79 to .50

Rep Units 02 and 05 - SPOA and L522

Comparison of $25 Co-pays vs $40 Co-pays

2019 Summary of Coverage
Want to know what a specific plan will cover as well as the associated costs? Review the summary of benefits and coverage documents below for our health, dental and vision plans. Please visit our Account Based Health Plan (ABHP) page for general plan overview and frequently asked questions. Privacy Practices Notice 2018.

Glossary of Health Coverage and Medical Terms

KAISER
$25 Copay
$40 Copay
Account-Based Health Plan (ABHP)
Overview of Kaiser Plan Options
Overview of Kaiser Health Savings Account (HSA)
Chiropractic Benefits for $25 & $40 HMO Plans
Chiropractic Benefits for ABHP Plan
Kaiser Mental Health Services in greater Sacramento region

SUTTER HEALTH PLUS
$25 Copay
$40 Copay
Account-Based Health Plan (ABHP)
Member Notice–SHP Pharmacy Benefits Manager transitions to Express Scripts Jan 1, 2019
Pharmacy Benefits
Wellness
Chiropractic and Acupuncture for $25 & $40 HMO Plans
Infertility for $25 & $40 HMO Plans
Service Area Map

WESTERN HEALTH ADVANTAGE
$25 Copay
$40 Copay
Account-Based Health Plan (ABHP) Employee Only
Account-Based Health Plan (ABHP) Family
Health Savings Account (HSA) Account-Based Health Plan (ABHP)
Prescription Copayment Summary
Wellness
Active & Fit Direct Program
Chiropractic and Acupuncture for $25 & $40 HMO Plans
Infertility for $25 & $40 HMO Plans
Service Area Map

DELTA DENTAL
DeltaCare USA
Delta Dental PPO
Delta Dental Quick Plan Comparison
Delta Dental Added-Value Benefits - Hearing Aid and LASIK Discounts

VISION SERVICE PLAN
Base Plan and Premium Plan


Employee Benefit Summaries by Labor Group and Rep Unit

SCXEA, Units 01, 10, 14

SPOA, Unit 02

Local 39, Units 03, 16, 17, 04, 15

Local 522, Unit 05

BT, Unit 06

Local 447, Unit 07

Local 1176, Unit 08

WCE, Unit 11

IAMAW, Unit 12

Unrep, Units 20, 21, 22

Charter Officers, Unit 20

Who is eligible for benefits?

Benefit-eligible employees can enroll the following family members in our medical, dental and vision plans:

  • Spouse (the person they are legally married to under state law, including a same-sex spouse) or State of California registered domestic partner.
  • Natural-born, adopted (or placement for adoption), current step, or current registered domestic partner children up to age 26:                
    • Over age 26 ONLY if they are incapacitated due to a disability and primarily dependent on you for support.
    • Named in a Qualified Medical Child Support Order (QMCSO) as defined by federal law.
Who is not eligible?

Family members who are not eligible for coverage include, but are not limited to:

  • Parents, grandparents, and siblings.
  • Any individual who is covered as an employee of City of Sacramento cannot also be covered as a dependent (except for dental and vision).
When can employees enroll in coverage?

Coverage for new benefit-eligible employees begins on the first day of the month, following or coinciding with date of hire. New employees who do not make an election within 30 days of becoming eligible will automatically be enrolled in the lowest cost core medical plan.

Open Enrollment for current benefit-eligible employees is held in the fall. Open enrollment is the one time each year when employees can make changes to their benefit elections without a qualifying life event.

Once Open Enrollment ends, only qualifying life events will allow employees to make certain changes to their coverage elections during the plan year. Employees have 30 days from the date of the life event, with the exception of birth or adoption which allows 60 days, to request and complete the necessary paperwork to finalize the mid-year change. Documentation, such as the copy of a birth certificate, is required when making a benefit change due to a life event. Qualifying life events include, but are not limited to:

  • Birth or adoption of a baby or child (60 days)
  • Loss of other healthcare coverage (30 days)
  • Eligibility for new healthcare coverage (30 days)
  • Marriage (30 days)
  • Divorce (30 days)
Health Carrier Privacy Notices
Kaiser
Sutter Health Plus
Western Health Advantage
Delta Dental
VSP

Our Customer Service Commitments

All Benefit Services team members commit to:

  • Acknowledging all inquiries within two business days. 
  • Providing responses that are compliant, informative, and offer alternative solutions when available. 
  • Fostering positive working relationships with all customers, co-workers, and vendors.
  • Collaborating with our customers and co-workers to improve and streamline our processes.
  • Communicating with City retirees about benefit information and providing City retirees with semi-annual educational workshops.

 

 

 
 
 
 
 
 

Contact Information

Historic City Hall
915 I Street, Plaza Level
Sacramento, CA 95814

(916) 808-5665
Fax: (916) 808-7326
benefitservices@cityofsacramento.org