Health Plans - Medical Benefits

MEDICAL BENEFITS - Plan Year 2013

Santa Monica Community College District offers faculty and staff both PPO and HMO options for health care coverage.

PLANS, VENDOR & CONTACT INFORMATION	DOCUMENTS AND FORMS
Medical Benefit Plan Forms	Health Benefits Summary 2013 Health Program Guide CalPERS HBD - 12 Enrollment Form CalPERS HBD - 12 Instructions District Enrollment Change Form (mid-year change only)
PPO Plans PERS Care/Choice/Select http://www.anthem.com/ca/calpers/ 877-737-7776 818-234-5141 (outside the U.S.) 818-234-3547 (TDD)	PERS Care Basic Plan Evidence of Coverage 2013 PERS Choice Basic Plan Evidence of Coverage 2013 PERS Select Basic Plan Evidence of Coverage 2013
HMO Option - Blue Shield Blue Shield Access Plus or Blue Shield Net Value http://www.blueshieldca.com/sites/calpershbo/plans-benefits/active-employee/home.sp 800-334-5847	Blue Shield Access Plus HMO Basic Plan Evidence of Coverage Blue Shield Net Value HMO Basic Plan Evidence of Coverage
HMO Option - Kaiser Permanente http://www.calpers.ca.gov/eip-docs/about/pubs/member/2012-kaiser.pdf 800-464-4000	Kaiser Permanente Evidence of Coverage
Kaiser Permanente (For Adjunct Faculty & Program Managers ONLY) https://www.kaiserpermanente.org/ 800-464-4000	Kaiser Permanente Evidence of Coverage Kaiser Permanente Benefit Highlights Kaiser Permanente Chiropractic Summary Kaiser Permanente Enrollment/Change Form

For additional information or if you have questions, please contact:

Heather Memarian, Employee Benefits Clerk– 310-434-4205 / memarian_heather@smc.edu