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.
2020-2021 SISC OPEN ENROLLMENT: July 13 - August 14, 2020
Mt. SAC will be going green and transitioning to an online benefits enrollment! Appointments can be scheduled online or by calling American Fidelity at 1-800-365-9180, ext. 0
Classified CSEA 262 and Auxiliary Employees
- Plan Premiums and District Contribution (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 Trio Benefits Summary
- Blue Shield Full Network 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
- Delta Care HMO Benefits Summary
- Delta Dental PPO 1500 Benefits Summary
- Delta Dental PPO Unlimited Benefits Summary
- VSP Signature Plan C
- Blue Shield Provider Network
- Navitus Formulary
- MetLife Supplemental Life Insurance Rate Sheet
Classified CSEA 651 Employees
- Plan Premiums and District Contributions (CSEA 651)
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Kaiser Permanente $0; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield Trio Benefits Summary
- Blue Shield Full Network 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
- Delta Care HMO Benefits Summary
- Delta Dental PPO 1500 Benefits Summary
- Delta Dental PPO Unlimited Benefits Summary
- VSP Signature Plan C
- Blue Shield Provider Network
- Navitus Formulary
- MetLife Supplemental Life Insurance Rate Sheet
Confidential Employees
- Plan Premiums and District Contributions (Confidential)
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield Trio Benefits Summary
- Blue Shield Full Network Benefits Summary
- Blue Shield 80G; $20; 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
- Delta Care HMO Benefits Summary
- Delta Dental PPO 1500 Benefits Summary
- Delta Dental PPO Unlimited Benefits Summary
- VSP Signature Plan C
- Blue Shield Provider Network
- Navitus Formulary
- MetLife Supplemental Life Insurance Rate Sheet
Management Employees
- Plan Premiums and District Contributions (Management)
- Kaiser Permanente $15; Rx $5-20 (30 Day) Benefits Summary
- Blue Shield Trio Benefits Summary
- Blue Shield Full Network Benefits Summary
- Blue Shield 80G; $20; 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
- Delta Care HMO Benefits Summary
- Delta Dental PPO 1500 Benefits Summary
- Delta Dental PPO Unlimited Benefits Summary
- VSP Signature Plan C
- Blue Shield Provider Network
- Navitus Formulary
- MetLife Supplemental Life Insurance Rate Sheet
Retiree Information
Medicare Age Eligible
- Open Enrollment Letter - Important Notice (Please read)
- 2020-21 Plan Election Form (Medicare Age Eligible)
- 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 EGWP 100G Benefits Summary
- Blue Shield PPO EGWP 100A 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 Benefits Summary
Dental and Vision Plans (Optional)
Non Medicare Age Eligible
Classified and Auxiliary Employees
- Open Enrollment Letter - Important Notice (Please read)
- 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 eligible) 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 Benefits Summary
2020 CalPERS Benefits:
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.
