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Employee Benefit Information and Forms

CUSD provides health, dental, vision and life insurance benefits in addition to salary compensation. Employees may select from variety of plans and options. As a Cabrillo Unified School District full-time employee, you may enroll in a variety health and benefit plans that will meet your personal and family needs. If you have questions please contact Steven Goldberg at [email protected] or call .

Anthem Blue Cross

  • Anthem Blue Cross EPO Plan Summary
  • Anthem Blue Cross EPO (Exclusive Provider Option) Information
  • Anthem Blue Cross Enrollment Form

Kaiser Permanente

  • Benefits for Deductible HMO Plan
  • Benefits Traditional HMO Plan
  • Benefits for Senior Advantage (HMO) with Part D
  • Kaiser Enrollment Form

VSP - Vision Benefits

  • Plan overview of your vision coverage

Delta Dental

  • Delta 25% Coverage PPO Highlights
  • Delta 25% Coverage PPO Plan
  • Delta 50% Coverage PPO Highlights
  • Delta 50% Coverage PPO Plan
  • Delta 75% Coverage PPO Highlights
  • Delta 75% Coverage PPO Plan
  • Delta 100% Coverage PPO Highlights
  • Delta 100% Coverage PPO Plan
  • Delta Active Group Coverage Chart
  • Delta Enrollment Form

OPTUM

  • OPTUM - Your Employee Assistance Program
  • OPTUM - Su Programa de Asistencia al Empleado

American Fidelity

  • American Fidelity Benefits Overview
  • 125 Flexible Benefits Plan - Interest Form New Employees

Life Insurance

  • MetLife - Group Term Life Insurance Beneficiary Designation
  • MetLife - Life insurance Claim Form

 

 

Resources

American Fidelity Web site

OPTUM Health Benefits for all CUSD employees (code: smscig)

Health Benefits

  • Medical, Dental, and Vision Insurance
  • Group Life and Long-Term Disability Insurance
  • Section 125 Flexible Spending Account
  • Sick and Other Paid Leave Benefits
  • Employee Assistance Program

Employee Self Service

Registration Guide English (PDF)

Registration Guide Spanish (PDF)

The initial registration MUST be completed on a District computer.

ONLINE REGISTRATION

The registration process should take ~10 minutes and will allow you access to your paycheck stubs for the last few years as well as W2 forms.