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2020-2021 Employee Benefits Guide
Benefits and plan descriptions, rates, and enrollment information. Use https://online.flipbuilder.
com/wuay/cjwk/ to "flip" through the guide or download the PDF.
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Benefits and Resources Available in Response to COVID-19
Learn about virtual tele-health services, testing, and insurance account information
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Cigna Dental Virtual Care During Shelter In Place
If you need dental care and are unable to reach your regular provider, you may consult with a dentist through a video call. Cigna Dental Virtual Care is available 24 hours a day, seven days a week at no additional cost to Cigna Dental customers, through May 31, 2020.
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2019-2020 Benefit Selection Link for Current SUSD Employees
Use the HelloSign link to select your benefits during Open Enrollment: https://app.hellosign.com/s/b22e056e
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Anthem Enrollment Form (updated for 2019-2020)
If you are choosing BOTH Vision and Medical, complete sections 1, 2, 3, 6, 7, 8, 9, 10, 11. If you are choosing Medical only, complete sections 1, 2, 3, 6, 7, 8, 9, 10, 11. If you are opting for Vision ONLY (no Anthem medical), see Vision section below on this page.
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Example: Anthem Enrollment Form for Staff
Sample form showing what needs to be filled out or skipped.
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Example: Cigna Dental Enrollment Form
Sample form showing what needs to be filled out.
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Blue Vision Enrollment Form
If you are choosing BOTH Anthem Vision and Medical, complete sections 1, 2, 3, 6, 7, 8, 9, 10, 11. If you are opting for Vision ONLY (no Anthem medical), select Vision on page 1 and complete sections 2, 3, 10, and 11.
