Santa Clara University

Human Resorces

2014 Snapshot Summary

This section is a summary of various benefits offered by Santa Clara University to its benefits eligible faculty and staff for 2014. Each benefits summary is meant only to provide a brief overview of the covered services. Complete information on covered services, exclusions, and plan limitations may be obtained by contacting the Provider directly.

Blue Cross HMO Plus Option Medical Plan

Phone: 1-800-227-3771
Group no: 175028H001
ID no: Member ID (on ID card)
Website: www.anthem.com/ca

Description: Select a Primary Care Physician (PCP) from a group of physicians who are a part of the Blue Cross network (see www.bluecrossca.com for the directory of participating physicians). Your PCP will coordinate all of your care. Therefore, specialty care must be referred by your PCP. A PCP is defined as an internist, general practitioner, family practitioner and pediatrician. All non-emergency treatment must be received by one of these providers. In exchange for higher per pay period premiums, you pay less money out-of-pocket when you receive services.

Benefit Coverage/Copay
Deductible None
Inpatient Hospital 100% coverage after $250 copay
Physician Office Visits $20/$40 copay
Routine Physical Exams No copay
Routine GYN Exams No copay
Maternity Care Office Visits $20 copay
Well-Baby Care No copay
Prescription Drugs

$10 copay generic
$25 copay for non-generic formulary brand
$50 copay for non-generic non-formulary brand

Prescriptions that fall under Specialty Pharmacy will be covered at 80% after a $150 copay for a 30 day supply (currently a 90 day supply is available for specialty pharmacy).

Emergency Room (waived if admitted) $100 copay
Chiropractic $15 copay (maximum 20 visits per year)
Mental Health (Outpatient)* $20 copay
Mental Health (Inpatient) 100% coverage after $250 copay
Outpatient Surgery $125/Admit

*SCU provides additional mental health benefits through its Employee Assistance Program (EAP).

This is a summary of the benefits provided. Once enrolled, members will receive a Combined Evidence of Coverage and Disclosure Form (PDF), which explains the exclusions and limitations, as well as the full range of covered services of the plan, in detail. Under all circumstances, policy form and wording take precedence over information contained in this summary.


See Also

The Blue Cross HMO Plus Option - Summary of Benefits PDF may not display properly in some browsers. If you are experiencing trouble viewing this PDF, please download the PDF and open it in Adobe Reader.

Blue Cross HMO Standard Option Medical Plan

Phone: 1-800-227-3771
Group no: 175028H001
ID no: Member ID (on ID card)
Website: www.anthem.com/ca

Description: Select a Primary Care Physician (PCP) from a group of physicians who are a part of the Blue Cross network (see www.bluecrossca.com for the directory of participating physicians). Your PCP will coordinate all of your care. Therefore, specialty care must be referred by your PCP. A PCP is defined as an internist, general practitioner, family practitioner and pediatrician. All non-emergency treatment must be received by one of these providers. In exchange for lower per pay period premiums, you pay more money out-of-pocket when you receive services.

Benefit Coverage/Copay
Deductible None
Inpatient Hospital $1,000 copay per day (3 day copay maximum)
Physician Office Visits $30/$45 copay
Routine Physical Exams No copay
Routine GYN Exams No copay
Maternity Care Office Visits $30/$45 copay
Well-Baby Care No copay
Prescription Drugs

$10 copay generic
$25 copay for non-generic formulary brand
$50 copay for non-generic non-formulary brand

Prescriptions that fall under Specialty Pharmacy will be covered at 80% after a $150 copay for a 30 day supply (currently a 90 day supply is available for specialty pharmacy).

Emergency Room (waived if admitted)

$100 copay

Advanced imaging (MRI, PET, CAT, etc.) $100/test. All other X-Ray and lab 100%

Chiropractic $15 copay (maximum 20 visits per year)
Mental Health (Outpatient)* $30/$45/visit; No copay for Facility-based care (pre-authorization required)
Mental Health (Inpatient) No copay for visits; $1,000/day, up to 3 day max for Facility-based care (pre-authorization required)
Outpatient Surgery

$500/Admit

(MRI, PET, CAT, etc.) $100/test. All other X-Ray and lab 100%

*SCU provides additional mental health benefits through its Employee Assistance Program (EAP).

This is a summary of the benefits provided. Once enrolled, members will receive a Combined Evidence of Coverage and Disclosure Form (PDF), which explains the exclusions and limitations, as well as the full range of covered services of the plan, in detail. Under all circumstances, policy form and wording take precedence over information contained in this summary.


See Also

The Blue Cross HMO Standard Option - Summary of Benefits PDF may not display properly in some browsers. If you are experiencing trouble viewing this PDF, please download the PDF and open it in Adobe Reader.

Blue Cross Lumenos* HSA (Compatible) High Deductible PPO Medical Plan

Phone: 1-800-888-8288
Group no: 175028
ID no: Member ID (on ID card)
Website: www.anthem.com/ca

Description: The high deductible PPO Medical Plan requires members to meet the deductible before the Plan will reimburse for any treatment, except routine and preventative care. The deductible is waived for routine and preventative care, and the treatment is covered 100%. For all other treatment, members must meet their deductible before the Plan pays for care. Participants may use the money saved in a Health Savings Account (HSA) to meet that deductible. The HSA allows members to designate a pre-tax dollar amount they wish to contribute to their HSA, and they may use that money to pay for medical care, prescriptions and other eligible medical expenses. The High Deductible PPO Plan includes traditional health coverage, similar to a typical health plan that protects members against large medical expenses after participants meet their deductible. See below for more info.

* Lumenos plans are wholly owned by Blue Cross.

General Information PPO Non-PPO
Annual Deductible Individual: $2,500
Family $5,000
Annual Out-of-Pocket Maximum (includes deductible) Individual: $3,500
Family: $7,000
Individual: $7,000
Family: $14,000
Lifetime Maximum Benefit Unlimited

Medical Benefits PPO Non-PPO
Doctor Office Visits No copay Covered at 70%
Routine Physical Exam No copay (Deductible Waived) Covered at 70%
Adult Preventive Services No copay (deductible waived)
After deductible is met: Covered at 70% subject to a copay schedule of $10 Generic, $30 Brand, and $50 Non-Formulary.
Prescription Drugs Copays: Pharmacy (30-day Supply)1

After deductible is met: prescriptions will be covered subject to a copay schedule of $10 Generic, $30 Brand, and $50 Non-Formulary.

Prescriptions that fall under Specialty Pharmacy will be covered at 70% after a $150 copay for a 30 day supply (currently a 90 day supply is available for specialty pharmacy).

After deductible is met: Covered at 70% subject to a copay schedule of $10 Generic, $30 Brand, and $50 Non-Formulary.

Prescriptions that fall under Specialty Pharmacy will be covered at 70% after a $150 copay for a 30 day supply (currently a 90 day supply is available for specialty pharmacy).

Prescription Drugs Copays: Mail Order (90-day Supply)1 After deductible is met: prescriptions will be covered subject to a copay schedule of $10 Generic, $30 Brand, and $50 Non-Formulary. Not applicable
Physical Therapy, Chiropractic Care After deductible is met: No copay; limited to 24 visits per calendar year After deductible is met: Covered at 70%; benefit limited to $25 per visit; per calendar year
Diagnostic X-ray/Lab After deductible is met: No copay After deductible is met: Covered at 70%

Hospital Benefits PPO Non-PPO
Room & Board After deductible is met: No copay After deductible is met: Covered at 70%
Surgeon's Fees After deductible is met: No copay After deductible is met: Covered at 70%
Maternity/Delivery After deductible is met: No copay After deductible is met: Covered at 70%
Emergency Room After deductible is met: No copay After deductible is met: No copay
Out-Patient Services After deductible is met: No copay After deductible is met: Covered at 70%
In-Patient Services After deductible is met: No copay After deductible is met: Covered at 70%

1 Until the calendar year deductible is satisfied, the insured person pays the prescription drug covered expense, and not the copays listed.

Once enrolled, members will receive a Combined Evidence of Coverage and Disclosure Form (PDF) which explains the exclusions and limitations, as well as the full range of covered services of the plan, in detail. Under all circumstances, policy form and wording take precedence over information contained in this summary.


See Also

The Blue Cross Lumenos HSA (Compatible) High Deductible PPO - Summary of Benefits PDF may not display properly in some browsers. If you are experiencing trouble viewing this PDF, please download the PDF and open it in Adobe Reader.

Blue Cross Lumenos* HIA PPO Medical Plan

Phone: 1-800-888-8288
Group no: 175028
ID no: Member ID (on ID card)
Website: www.anthem.com/ca

Description: The Blue Cross Health Incentive Account (HIA) Plan offers all the benefits of a traditional health plan plus a chance to earn health care dollars by taking steps that can achieve better health. The Plan includes an incentive account which gives members health care dollars to help offset out-of-pocket health expenses.

If participants complete the following program, they will earn HIA credits to reduce out-of-pocket expenses. Unused HIA dollars roll over year-to year.

Program Credit
Complete Health Assessment Online $50/adult/year
Enroll in Health Coach Program $100/person/year
Graduate for Health Coach Program $200/person/year
Complete Smoking Cessation Program $50/person/lifetime
Complete Weight Management Program $50/person/lifetime

*Lumenos plans are wholly owned by Blue Cross.

General Information PPO Non-PPO
Annual Deductible Individual: $500
Family $1,000
Annual Out-of-Pocket Maximum (includes deductible) Individual: $2,500
Family: $5,000
Individual: $5,000
Family: $10,000
Lifetime Maximum Benefit Unlimited

Medical Benefits PPO Non-PPO
Doctor Office Visits Covered at 90% Covered at 70%
Routine Physical Exam No copay (Deductible Waived) Covered at 70%
Well-Baby Care No copay (Deductible Waived) Covered at 70%
Adult Preventive Services (Deductible Waived) Covered at 100% (Deductible Waived) Covered at 70%
Prescription Drugs Copays: Pharmacy (30-day Supply)1

After deductible is met: Covered at 80% subject to a copay schedule of $10 Generic, $30 Brand, and $50 Non-Formulary.

 

After deductible is met: Covered at 70% subject to a copay schedule of $10 Generic, $30 Brand, and $50 Non-Formulary.

 

Prescription Drugs Copays: Mail Order (90-day Supply)1 After deductible is met: Covered at 80% subject to a copay schedule of $10 Generic, $30 Brand, and $50 Non-Formulary. Not applicable
Physical Therapy, Chiropractic Care After deductible is met: Covered at 90%; limited to 24 visits per calendar year After deductible is met: Covered at 70%; benefit limited to $25 per visit; limited to 24 visits per calendar year
Diagnostic X-ray/Lab After deductible is met: Covered at 90% After deductible is met: Covered at 70%; limited to $25 per visit

Hospital Benefits PPO Non-PPO
Room & Board After deductible is met: Covered at 90% After deductible is met: Covered at 70%
Surgeon's Fees After deductible is met: Covered at 90% After deductible is met: Covered at 70%
Maternity/Delivery After deductible is met: Covered at 90% After deductible is met: Covered at 70%
Emergency Room After deductible is met: Covered at 90% (copay waived if admitted) After deductible is met: Covered at 70% (copay waived if admitted)
Out-Patient Services After deductible is met: Covered at 90% After deductible is met: Covered at 70%
In-Patient Services After deductible is met: Covered at 90% After deductible is met: Covered at 70%

Vision Benefits PPO Non-PPO
Vision Benefit provided through Vision Service Plan See Blue View Vision summary below for covered benefits.

Health Rewards
If you do this:

You can earn this in your HIA:
Complete Health Assessment Online $50
Enroll in the Personal Health Coach Program $100
Graduate from the Personal Health Coach Program $200
Complete Smoking Cessation Program $50
Complete Weight Management Program $50

1 Until the calendar year deductible is satisfied, the insured person pays the prescription drug covered expense, and not the copays listed.

Once enrolled, members will receive a Combined Evidence of Coverage and Disclosure Form (PDF), which explains the exclusions and limitations, as well as the full range of covered services of the plan, in detail. Under all circumstances, policy form and wording take precedence over information contained in this summary.

Note: If you reside outside California, refer to the Blue Cross PPO HIA (non-California resident).

See Also

The Blue Cross Lumenos HIA PPO - Summary of Benefits PDF may not display properly in some browsers. If you are experiencing trouble viewing this PDF, please download the PDF and open it in Adobe Reader.

Kaiser Permanente HMO Plus Option Medical Plan

Phone: 1-800-464-4000 (English)
Phone: 1-800-788-0616 (Spanish)
Group no: 979
ID no: Medical Record # (on ID card)
Website: www.kaiserpermanente.org
Note: This plan is for non-union members.

Description: Members enrolled in the Kaiser Permanente HMO, receive all medical treatment from Kaiser physicians, facilities and pharmacies. The Plan does not cover services rendered by providers outside of Kaiser unless participants require immediate medical care for an urgent medical condition and are outside the Kaiser service area. There are no deductibles or claim forms. Kaiser Permanente covers most services at 100% after participants pay a copayment. In exchange for higher per pay period premiums, you pay less money out-of-pocket when you receive services.

Benefit Coverage/Copay
Deductible None
Inpatient Hospital 100% coverage after $250 copay
Physician Office Visits $20 copay
Routine Physical Exams No copay
Routine GYN Exams No copay
Maternity Care Office Visits Prenatal and 1st postpartum - no copay;
Well-Baby Care No copay
Prescription Drugs $10 copay generic
$25 copay for non-generic formulary brand
Emergency Room (waived if admitted) $50 copay, waived if hospitalized
Chiropractic $15 copay (limited to 30 visits per year)
Mental Health (Outpatient)* $20 copay
Mental Health (Inpatient) 100% coverage after $250 copay
Vision Benefit (Exam) $20 copay; no maximum
Vision Benefit (Lenses, Frames, and Contacts) $175 allowance every 24 months

*SCU provides additional mental health benefits through its Employee Assistance Program (EAP) and Mental Health Benefits Program with United Behavioral Health (UBH).

This is a summary of the benefits provided. Please refer to Kaiser Permanente Traditional Plan Evidence of Coverage, Chiropractic Care and Principal Benefits - for non-union members only (PDF) for plan details, exclusions and limitations.


See Also
Kaiser Permanente HMO Standard Option Medical Plan

Phone: 1-800-464-4000 (English)
Phone: 1-800-788-0616 (Spanish)
Group no: 979
ID no: Medical Record # (on ID card)
Website: www.kaiserpermanente.org
Note: This plan is for non-union members.

Description: Members enrolled in the Kaiser Permanente HMO, receive all medical treatment from Kaiser physicians, facilities and pharmacies. The Plan does not cover services rendered by providers outside of Kaiser unless participants require immediate medical care for an urgent medical condition and are outside the Kaiser service area. There are no deductibles or claim forms. Kaiser Permanente covers most services at 100% after participants pay a copayment. In exchange for lower per pay period premiums, you pay more money out-of-pocket when you receive services.

Benefit Coverage/Copay
Deductible None
Inpatient Hospital $500 copay per day
Physician Office Visits $30 copay
Routine Physical Exams No copay
Routine GYN Exams No copay
Maternity Care Office Visits Prenatal and 1st postpartum - no copay;
Well-Baby Care No copay
Prescription Drugs $10 copay generic
$25 copay for non-generic formulary brand
Emergency Room (waived if admitted) $150 copay, waived if hospitalized
Chiropractic $15 copay (limited to 30 visits per year)
Mental Health (Outpatient)* $30 copay
Mental Health (Inpatient Hospital) $500 copay per day
Vision Benefit (Exam) $30 copay; no maximum
Vision Benefit (Lenses, Frames, and Contacts) $175 allowance every 24 months

*SCU provides additional mental health benefits through its Employee Assisitance Program (EAP) and Mental Health Benefits Program with United Behavioral Health (UBH).

This is a summary of the benefits provided. Once enrolled, members will receive a Combined Evidence of Coverage and Disclosure Form. See also Chiropractic Care and Principal Benefits - for non-union members only (PDF) for plan details, exclusions and limitations.


See Also
Delta Dental of California

Phone: 1-888-335-8227 or 1-888-DELTA-CS
Group no: 4224-0005
COBRA Group no: 4224-0006
Website: www.deltadentalca.org

Who is Eligible?
Your Co-Payments, Deductibles and Maximums
Dental Services DPO Dentist Non-DPO Dentist Calendar Year Maximum Calendar Year Deductible Waiting Periods
Delta's Co-Pay Your Co-Pay Delta's Co-Pay Your Co-Pay
Diagnostic and Preventive Services 100% 0% 100% 0% $2,000 for each Enrollee You must pay the first $25 of Covered Services for each Enrollee in your family in each calendar year except for Diagnostic and Preventive Benefits, up to a limit of $75 per family. None
Basic Services 100% 0% 80% 20% None
Crowns, Jackets, Inlays, Onlays, and Cast Restorations 60% 40% 50% 50% None
Prosthodontic Services 60% 40% 50% 50% None
Orthodontics for dependent children only 50% 50% 50% 50% $2,500 lifetime Maximum for each child None

See Also
Blue View Vision

Phone: 1-866-723-0515
Website: www.anthem.com/ca

Vision Plan Benefits

In-Network Out-Of-Network
Routine Eye Exam

Once every 12 months

$20 copay, then covered in full $45 allowance
Eyeglass frames

Once every 24 months you may select an eyeglass frame and receive an allowance towards the purchase

$120 allowance, then 20% off any remaining balance $47 allowance
Eyeglass Lenses (standard)

Once every 24 months you may receive any one of the following lens options:

Standard plastic single vision lenses (1 pair)

$0 copay, then covered in full $45 allowance

Standard plastic bifocal lenses (1 pair)

$0 copay, then covered in full $65 allowance

Standard plastic trifocal lenses (1 pair)

$0 copay, then covered in full $85 allowance
Eyeglass Lens Enhancements

When obtaining covered eyewear from a Blue View Vision provider, you may add any of the following lens enhancements at no extra cost.

Transition lenses (for a child under age 19)

$0 after eyeglass lens copay No allowance when obtained out-of-network

Standard polycarbonate (for a child under age 19)

$0 after eyeglass lens copay No allowance when obtained out-of-network

Factory scratch coating

$0 after eyeglass lens copay No allowance when obtained out-of-network

Progressive lenses (standard and premium)

$0 after eyeglass lens copay No allowance when obtained out-of-network
Contact lenses

Prefer contact lenses over glasses? You may choose contact lenses instead of eyeglass lenses and receive an allowance toward the cost of a supply of contact lenses.

Elective Conventional Lenses

$120 allowance, then 15% off any remaining balance $105 allowance

Elective Disposable Lenses

$120 allowance (no additional discount) $105 allowance

Non-Elective Contact Lenses

Covered in full $210 allowance
Employee Assistance Program (EAP)

Offered by: MHN
Phone: 1-800-535-4985
Website: www.members.mhn.com

Services

Clinical Support
Work & life services
Health & Wellness tools

Just log in, and you can:

Plan Design

Benefit In-Network/Pre-Certified Non-Network
Employee Assistance Program 100% coverage, up to 8 visits, per instance None
Note

Program Highlights

Frequently Asked Questions

Why Should I use these benefits?

Your Employee Assistance Program (EAP) benefit is available to assist you with many work related and personal issues, from advice about a financial question to dealing with a stressful work situation to overcoming a serious emotional problem.

How do I access my MHN benefits?

MHN is open 7 days a week, 24 hours a day. Just call 1-800-535-4985 when you are ready. You will speak with a Masters level EAP Specialist who will assess the situation and give you the name and number of a network provider near you who specializes in your particular issue.

Is the program confidential?

Yes. Without your written consent, records cannot be released. Confidentiality is maintained according to all Federal and State guidelines.

What services does my EAP offer?

Your EAP provides free, face-to-face counseling for personal issues and work-related concerns that can be resolved in a brief time period. In addition, your EAP can refer you to a wide range of services, including legal, financial, family mediation and community resources.

What happens when I use up my eight EAP visits?

If you still need ongoing care after you have used your eight free sessions, you will need to contact your medical provider. You will be authorized another eight EAP visits in the next calendar year.


See Also
Retirement Plans

Plan Structure

10% Employer Contribution to a 401(a) Account

2-Year Vesting for Employer Contribution

Optional Voluntary Contributions to a 403(b) Account

All Employer/Employee Contributions Tax Deferred

Retirement Provider Options

TIAA-CREF

Through TIAA-CREF, you have nine investment options:

Browse the TIAA-CREF On-Line Prospectuses »

Fidelity Investment Company

Over sixty Investment Options within six categories:

Browse the Fidelity Funds »


See Also
Tuition Remission Program

Scope

Courses taught by SCU Faculty, exclusive of ancillary or continuing education courses, the Executive MBA and Accelerated MBA programs, laboratory, application, service and other incidental fees.

Note: Either the FACHEX or Tuition Exchange Program may be used in place of SCU Tuition Remission Program for dependent children of eligible faculty and staff. See the FACHEX Information or Tuition Exchange pages for additional information and links to participating institutions.

Eligibility

Note: Employees and their dependents are considered students for all issues related to admissions, registration, add/drop refund policy, fee assessment, financial holds, program minimum requirements, or related matters. Spouses or children must be enrolled as matriculating students.

Benefit

Faculty/Staff
Family Members

Payment Process

Note: Graduate level tuition remission is considered taxable income to the faculty/staff member. The tuition will be added to gross pay, as taxable income, in the quarter that tuition is received. More information may be obtained by contacting the Human Resources Service Desk at (408)554-4392 or by viewing Policy 609 - Education Benefits in the Staff Policy Manual.
Flexible Spending Accounts

Section 125 Pretax Programs
Provider: CBIZ
Phone: 1-800-815-3023
Email: cbizflex@cbiz.com
Website: www.myflexonline.com

Premium

All medical and dental premium will be withheld from your paycheck on a pre-tax basis.

Medical Expense Reimbursement Account

This allows you to set aside from, through payroll deduction, funds to cover medical, dental and vision expenses not covered under your SCU health plan.

Dependent Care Reimbursement Account

This allows you to set aside, through payroll deduction, funds to cover dependent care expenses.


See Also
Life/AD&D Insurance

Provider: Anthem
Phone: 1-888-231-5032
Group no: 175028

Basic Term Life Coverage AD&D Term Life
Faculty $70,000 $70,000
Staff $70,000 $70,000
Union Members $50,000 $50,000

Living Benefit: A 80% benefit to maximum of $56,000; based on diagnosed terminal illness with expected duration of twelve months or less. More information on Living Benefit (PDF 144KB)

Travel Accident AD&D (Cigna Life Insurance)

Faculty, Staff and Union: $100,000

In the event of your accidental death due to traveling on SCU business, your beneficiary will receive a benefits amount equal to $100,000. Partial benefits are payable to you if you lose your eyesight or a limb as the result of an accident. More information on Cigna Business Travel Insurance (PDF 660KB)

More information regarding the Santa Clara University Employee Term Life, Accidental Death and Dismemberment and Dependents Term Life coverage:

Cancer Protection Plans

American Fidelity offers several products that can help with the expenses that may not be covered by other insurance, including cancer screenings. Benefits and rates vary depending on the plan chosen.

Cancer Expense Insurance Policy

American Fidelity will pay the actual charges incurred by a Covered Person for treatment of Cancer, Leukemia or Hodgkin's Disease, subject to certain maximum amounts.

Highlights

Cancer Indemnity Insurance Policy

American Fidelity will pay a one time Initial Diagnosis (first time in the person's lifetime) benefit amount of $10,000, $25,000 or $50,000, depending on the amount selected at the time of application, if a covered person is pathologically or clinically diagnosed as having any internal cancer.

Highlights

Note: Both policies have limitations and are inappropriate for people who are eligible for Medicaid.

For more information, visit the American Fidelity - Cancer Protection Plans website.

Long-Term Care

Provider: CNA Insurance Companies
Phone: 1-800-528-4582

This is a post-tax, insurance program designed to provide benefits to assist with the cost of Nursing Home and/or Community Based Care required because an insured has a Qualified Impairment.

Long-Term Care Benefits Option A Option B Option C
Daily benefit for nursing home care $100 $140 $180
Daily benefit for community based care $50 $70 $90
Corresponding lifetime maximum benefit $200,000 $280,000 $360,000
Waiting Period Before Benefits Begin
Respite Benefit

Your plan will pay the daily respite benefit for nursing home care or the daily respite benefit for community based care up to 14 days per year. The respite benefit for community based care includes companion care and is payable in addition to the community based care benefit.

Short-Term Disability
Benefit 60% of gross predisability earnings
Maximum Weekly Benefit $1,103
Minimum Weekly Benefit $50
Benefit Waiting Period 7 days
Integration Integrated with sick leave

See Also
Long-Term Disability

Provider: Hartford

Benefit 66 2/3% of the first $15,000 of your gross Predisability Earnings, reduced by Other Income Benefits
Maximum Monthly Benefit $10,000
Benefit Waiting Period 1 year
Maximum Benefit Period To age 65; graded
Minimum Monthly Benefit $50
Pension Supplement 10% to $1,000 per Benefit month
Worker's Compensation

Worker's compensation provides benefits to or on behalf of a worker who becomes injured or ill on the job. Eligibility is determined by:

Travelers Property Casualty Company of America
215 Lennon Lane
P.O. Box 8112
Walnut Creek, CA 94596-9933
Policy/Contract no. 4239B899TC2JUB

Medical Benefit

Medical treatment is provided through Occupational Health Clinic-US Healthworks or Alliance Occupational Medicine. All pre-authorized treatment is covered at 100%.

Temporary Disability

Benefits are payable at 66 2/3% of the gross earnings to a maximum weekly benefit determined by the State. This is a non-taxable benefit.

Permanent Disability

Benefits are payable to employees who have sustained a permanent disability.

Rehabilitation

Benefits are payable when it has been determined that an injured worker is permanently disabled and unable to return to his/her regular duties.

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