Classified CSEA 262 and Auxiliary Employees
SISC Benefit Plans
- 2022-23 Plan Premiums and District Contributions (CSEA 262 & Auxiliary)
- Dependent Eligibility Documentation Chart
- Blue Shield Trio Benefits Summary
- Blue Shield Full Network
- Kaiser Permanente $0; Rx $5-20 (30 Day) Benefits Summary
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield 90G $20; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield 100A $10; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield 2-Tier Anchor Bronze Benefits Summary
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*.
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)
- 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.
Employee assistance programs are available to employees - paid for by the District that offers confidential help (no charge to you) for matters such as:
- Family troubles with spouse or children
- Emotional distress
- Drug/alcohol problems
- On-the-job anxieties and stress
- Grief, loss, and transitions
Employee assistance program services are not only for you, but also your immediate family members too.
Health Reimbursement Account Benefit Year October 1, 2022 – September 30, 2023
Effective October 1st, unit members working in a less than 50% FTE assignment shall receive the annual benefit amount of $1,200 deposited into a District managed CSEA 262 health reimbursement account each benefit year.
Use It or Lose It
Any remaining unused funds left in your health reimbursement account after September 30th, for the October 1, 2022 through September 30, 2023 benefit year, will no longer be available for reimbursement.
How to Submit for Reimbursement
Please complete the CSEA 262 Mt. SAC Health Reimbursement Submission Form and attached required documentation per the guidelines outlined below.
Health Reimbursement Eligible Expenses
You can use your funds to pay for a wide variety of health care products and services for you, your spouse, and your dependents. The IRS determines which expenses can be reimbursed by a flexible spending account (FSA) which is used under the District sponsored health reimbursement account.
For a list of eligible expenses please visit: American Fidelity
Unit members may submit receipts for reimbursement of health expenses incurred between October 1st and September 30th, or beginning their first date of eligible permanent employment, whichever occurred last.
You must have a receipt or an explanation of benefits from your insurance carrier for each health care claim you submit against your account. Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.
For quick processing, example of receipts would include these five pieces of information:
- Patient's Name – name of the person who received the service or for whom the item was purchased. For retail store purchases, this information may be excluded.
- Provider's Name – provider that delivered the service or the merchant where the item was purchased.
- Date of Service – date when services were provided or the item was purchased.
- Type of Service – a detailed description of the service provided or item purchased. A pharmacy prescription receipt is sufficient for prescriptions.
- Expense Amount – amount paid for the service or product and/or the portion that is not reimbursed through your insurance carrier.
Reminder: Student Health Center Access For Less Than 50% Unit Members
Unit members in paid status in a less than 50% assignment shall be permitted access to the campus Student Health Center for basic medical services, subject to the limitations and capabilities of the facility and staff. The cost of services provided by the Student Health Center shall be charged against the unit member’s medical reimbursement account. Costs in excess of funds available in the unit member’s medical reimbursement account will be the responsibility of the unit member.
Submissions after the 15th of the month will be reviewed and processed the following month.