Benefits Home

Below is a quick reference of the current insurance plans and their costs (before the District's fringe contribution).

SISC Blue Cross rates effective October 1st - September 30th

Blue Shield, Dental & Vision rates effective January 1st - December 31st

Faculty	Composite Rate
		2012-2013	2013-2014
SISC PPO-A, Group #40303A
$300 individual/$600 family Deductible		$983	$1,051
$20 Office Visits / 20% Co-insurance
Medco Rx $7 Generic /$25 Brand


SISC PPO-B, Group #40303B
$500 individual/$1000 family Deductible		$872	$921
$30 Office Visits / 20% Co-insurance
Rx $200/$500 Brand Name Deductible
Medco Rx $10 Generic /$35 Brand

SISC PPO-C, Group #40303C
$2,000 individual/$4000 family Deductible
$30 Office Visits / 20% Co-insurance		$769	$814
Rx $200/$500 Brand Name Deductible
Medco Rx $10 Generic /$35 Brand


SISC PPO-D, Group #40403D
$3,500 individual/$7,000 family Deductible
$40 Office Visits/ 20% Co- insurance		$721	$768
Medco Rx $9 Generic/ $35 Brand



SISC PPO-E, Group #40403E
$500 individual/$1000 family Deductible
$30 Office Visits / 20% Co-insurance		$913	$955
Medco Rx $9 Generic/ $35 Brand


Classified / Management	Single	Double	Family

Blue Shield PPO A Group #943189
$250 individual / $500 family Deductible
$10 Office Visit / 10% Co-insurance	$736.69	$1,370.26	$2,136.42
Rx $15 Generic /$30 Formulary/$45 Brand



Blue Shield PPO B Group #943190
$500 individual / $1000 family Deductible
$35 Office Visits / 20% Co-insurance	$570.75	$1,061.60	$1,655.18
Rx $15 Generic /$30 Formulary/$45 Brand



Blue Shield PPO C Group #944485
$2,600individual/$5,200 family Deductible	$401.69	$747.13	$1,164.88
Office Visits 20% after deductible
Rx subject to deductible, then 20% copay

All Staff	Single	Double	Family

Delta Dental Group #6736-0001
$50 Deductible per person/$150 Family	$61.00	$108.46	$156.70
Maximum annual benefit $1,200 or $1,400
*Two year commitment requirement*

Medical Eye Services - MES Vision	$11.19	$18.18	$28.82
MES Group # 03573 / Policy # F21306