PLEASE NOTE: The links on this page open in a new window & the majority are PDFs.
Eligibility Information
To be eligible to enroll in your employer’s benefit plans, you must be a full time W-2 employee working 30 or more hours a week for the company and satisfy the new hire probation period.
Please refer to the Probation Calendar below and contact the person responsible at your employer for your company benefits. Also refer to the enrollment guidelines in the next section.
Benefit Waiting Period 1st of the month after 60 days
2 Month Calendar for reference
(Anthem uses 1st of month after 2 months)
Enrollment Guidelines
Please read the Enrollment Guidelines to learn when you can come on the plan, add dependents and make other changes.
Health Plan Enrollment Guidelines
Premium Charts
Page 1 – Monthly Premiums
Page 2 – Employer Monthly Allowance
Page 3 – Payroll Deductions – 26 pay periods
Page 4 – Tips
For Fed-COBRA add 2% to Monthly Premium Table
COBRA Center
Your Group is Subject to Federal COBRA
The Initial Notice should be provided to the employee AND spouse (if covered) within 90 days of becoming covered. One notice to the home is allowed if both live at the same address but it must be addressed to both parties.
Please contact your HR department for more information.
Federal COBRA Qualifying Event Notice
Help & Support
| PLAN DEPARTMENTS | PHONE/MEMBER SERVICES | PLAN/POLICY # |
|---|---|---|
| Anthem California HMO Members | 1-800-627-8797 | 218775 |
| Anthem California PPO Members | 1-800-627-8797 | 218775 |
| 24/7 Registered Nurse Line | 1-800-249-3617 | 218775 |
| Anthem Rx Mail Program | 1-866-297-1013 | 218775 |
| Kaiser Member Services | 1-800-464-4000 | 356920 |
| John Hancock 401K Members | 1-800-395-1113 | 93776 |
| Wayco Insurance Services, Inc. (Broker) | 1-951-699-6000 x10 | john@wayco.com |
Cafeteria Plan
Your Cafeteria “Section 125” Pre-Tax Premium plan allows payroll deductions to be taken “off the top line” before taxes are calculated ~ saving from 25% to 40% depending on your personal tax bracket.
Example of Cafeteria Plan Savings
Medical Plan
Life Insurance
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| Life Insurance Plan Highlights (Coverage for Employee & Eligible Dependents) |
Use same forms as in the Medical Plan section | Anthem Website |
| Anthem Resource Advisor Program (24×7 Support for emotional, legal and financial guidance during life’s challenging times.) |
Life Beneficiary Form |
Retirement Plan
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| About the Match Flyer | 401k Enrollment Form | John Hancock 401k Website You will need to register and use your PIN. |
| 401k Plan Highlights | 401k Beneficiary Form | |
| JH Online Tools and Info | 401k Change Form | |
| For enrollment (still need to print out the form and give to the employer) | 401k Withdrawal Form | |
| 401k Hardship Withdrawal Form | ||
| Hancock Risk Quiz | ||
| Summary Plan Description SPD | 401k Plan SPD Please see your employer for enrollment kit |
|
| Roll Overs into this plan | 401K “Boot Camp” Overview |
Dental & Vision
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| (If you cover kids under your medical plan) | Pediatric Dental/Vision is part of the Medical plans (see forms in Medical Plan Section above) | |
| Pediatric Anthem Dental Info | ||
| Pediatric Anthem Vision Info | ||
| Pediatric Kaiser Dental Info | ||
| Pediatric Kaiser Vision (see summary in Medical Section above KP Gold HMO | ||
| Dental – Adults Info (Employer plan) | ||
| Vision – Adults enrolled in our Anthem Medical Plan have an annual eye exam covered in-network for $20 co-pay and $0 Co-pay with Kaiser. |
