Benefits
Mt. San Antonio College offers a competitive and excellent benefits package providing medical, dental, and vision benefits for eligible employees and their dependents. Lifetime medical benefits are also available for eligible employees. Life insurance coverage of $75,000 is also provided for each eligible employee.
The District also offers a variety of voluntary supplemental plans such as:
- Term Life Insurance
- Long Term Care
- Section 125 - Flexible Spending Accounts
- Tax Shelter Annuities - 403(b)
All eligible employees are entitled to receive paid vacation, sick leave, and paid holidays. Supplemental life insurance for employee and/or dependents, income protection plans, tax shelter annuities, and payroll deductions to credit unions are available under Mt. San Antonio College voluntary payroll deductions.
2020 SISC Open Enrollment: September 3 - October 15, 2019
Schedule your appointment with American Fidelity to submit your required dependent verification documentation and sign up for voluntary supplemental plans.
Classified, Auxiliary, Confidential, Managment Employees ONLY
- SISC Blue Shield Enrollment Form (Do not use for Kaiser)
- Kaiser Enrollment Form
- Blue Shield Provider Network
- Delta Dental Plan Comparison
- Vision Service Plan (VSP)
- MetLife Supplemental Life Insurance Rate Sheet
- MetLife Supplemental Life Insurance Enrollment Form
- MetLife Statement of Health for Supplemental Life Insurance
Classified CSEA 262 and Auxiliary Employees
- Plan Election Form (CSEA 262 & Auxiliary)
- Medical Plan Comparison (CSEA 262 & Auxiliary)
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Kaiser Permanente $0; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield Full/Trio 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
Classified CSEA 651 Employees
- Plan Election Form (CSEA 651)
- Medical Plan Comparison (CSEA 651)
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Kaiser Permanente $0; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield Full/Trio 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
Confidential Employees
- Plan Election Form (Confidential)
- Medical Plan Comparison (Confidential)
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield Full/Trio 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
Management Employees
- Plan Election Form (Management)
- Medical Plan Comparison (Management)
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield Full/Trio 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
Retiree Information
Benefits Forum Presentation - October 2, 2019
Medicare Age Eligible
- Open Enrollment Letter - Important Notice (Please read)
- Open Enrollment Instructions/Checklist
- Plan Election Form (Medicare Age Eligible)
- Declination of Coverage for Retirees Form
- Dependent Verification Review Information
- Navitus Medicare Rx Information
- HIPAA Notice of Privacy Practices
PPO Medical Plans and Enrollment Forms
- SISC CompanionCare/PPO EGWP Rx Enrollment Form
- Blue Shield PPO 100A EGWP Benefits Summary
- Blue Shield PPO 100G EGWP Benefits Summary
- Blue Shield Companion Care Benefits Summary
HMO Medical Plans and Enrollment Forms
- SISC III Enrollment Form for Blue Shield HMO Full Network
- Blue Shield HMO Full Network 10-0 Benefits Summary
- Enrollment Request For Blue Shield 65 (HMO) Employer Group/Union Health Plan Form
- Blue Shield Advantage Benefits Summary
- Kaiser Permanente Senior Advantage Enrollment Forms (One person with Medicare)
- Kaiser Permanente Senior Advantage Enrollment Form (Two persons with Medicare)
- Kaiser Permanente Senior Advantage Summary Benefits
Dental and Vision Plans (Optional)
Non Medicare Age Eligible
Classified and Auxiliary Employees
- Open Enrollment Letter - Important Notice (Please read)
- Open Enrollment Instructions/Checklist
- Plan Election Form (Non Medicare Age Eligible)
- Declination of Coverage for Retirees Form
- Dependent Verification Review Information
- HIPAA Notice of Privacy Practices
PPO Medical Plans and Enrollment Forms
- SISC III Enrollment Form for Blue Shield
- 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 (Spouses not eligbile) Benefits Summary
HMO Medical Plans and Enrollment Forms
- Kaiser Permanente Enrollment Form
- Kaiser Permanente $15; Rx $5-20 (30 day) Benefits Summary
- Kaiser Permanente $0; Rx $5-20 (30 day) Benefits Summary
- SISC III Enrollment Form for Blue Shield
- Blue Shield Eenefits Summary
2020 CalPERS Open Enrollment: September 9 - 27, 2019
Full-Time Faculty Employees
- 2020 Instructions for Open Enrollment Plan
- 2020 Open Enrollment Booklet
- 2020 Health Benefits Summary
- 2020 Health, Dental & Vision Insurance Election Form
- CalPERS Medical Enrollment Form
- Delta Dental Comparison Sheet
- Delta Dental Enrollment/Change Form
- MetLife Supplemental Rates
- MetLife Supplemental Enrollment Form
- MetLife Statement of Health
- MetLife Beneficiary Form
- Insurance Carriers Contact Information Sheet
Employee Assistance Program (EASE)
EASE is a specialized program 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
EASE services are not only for you, but also your immediate family members too. For detailed information regard the EASE Program, please see attached link.
/hr/benefits/pdf/EASE Flyer.pdf
Retirement Plans
Retirement is earned through the California Public Employee's Retirement System (CalPERS) that is also integrated with Social Security or California State Teacher's Retirement System (CalSTRS).
For detailed information regarding benefits, please contact Norma Vizcarra (A-K) at (909) 274-5872 or Melissa Aguirre (L-Z) at (909) 274-5419.
