Benefits

Employee Benefits Information Guide

Retirement Plans

• 401a SPD
• 403b SPD
• Fee Disclosure Notice 2016

California Voluntary Disability

• SCU - CVP EE Memo
• SCU - CVP Plan Document
• SCU - CVP Statement of Coverage
• 2017 SCU - CVP Employee Memorandum
• 2017 SCU - CVP Plan Document
• 2017 SCU - CVP Statement of Coverage

Delta Dental

• Delta Dental PPO Plan Highlights
• 2017 SCU Dental EOC

CBIZ

• CBIZ FSA Information
• CBIZ Consumer Portal QuickStart Guide
• CBIZ Dependent Care Account Information
• CBIZ SCU Transit Plan Election and Change Form

 Anthem Blue Cross

• Anthem Lumenos FAQs
• BC Web Demo
• Blue Cross Care and Acupuncture Rider Plan
• Anthem HMO Silver Benefit Summary
• Anthem HMO Gold Benefit Summary
• Anthem HMO Rx Benefit Summary
• Anthem PPO HSA Benefit Summary 
• 2017 Anthem Gold HMO EOC
• 2017 Anthem Silver HMO EOC
• 2017 Anthem HSA EOC
• 2017 SCU Life AD&D EOC - Non-Union
• 2017 SCU Life AD&D EOC - Union
• 2017 SCU Option Life EOC
• 2017 SCU Vision EOC

Kaiser

• Evidence of Coverage Update Notice
• Kaiser HMO Silver Benefit Summary
• Kaiser HMO Gold Benefit Summary
• Kaiser HMO Silver SBC
• Kaiser HMO Gold SBC
• 2017 Kaiser HMO Gold EOC
• 2017 Kaiser HMO Silver EOC

Mellon

• Mellon Investment Options
• Mellon Trustee-to-Trustee Transfer Form

HSA

• Your HSA Monthly Status
• Your HSA with Mellon Bank

Other

• Active Sports
• ClickHome
• Donation of Vacation
• EELP form
• Mission Cemetery

 ACA, IRS Form 1095-C

• 1095-C Information
• 1095-C Information (Spanish) 

SCU offers its employees multiple leave options.

The University provides leaves of absence to enable employees to attend to personal and professional obligations, and for periods of disability. All requests for leaves should be submitted to the Department of Human Resources for processing and approval. Managers should direct any employee requests for leave to Benefits in the Department of Human Resources.

For detailed information, employees can consult the Staff Policy Manual for each type of leave below:

• General
• Sick
• Family and Medical
• Personal
• Pregnancy Disability
• Bereavement
• Civic
• Military
• Emergency

Need to File an FMLA/ PFL / STD / LTD Claim?

In an effort to improve the processing time and simplify the claims experience for employees, Santa Clara University has contracted with Matrix Absence Management (Matrix), a division of Reliance Standard Life Insurance Company, to administer the Short Term Disability (STD)/Paid Family Leave, Long Term Disability (LTD) and Family Medical Leave Act (FMLA) programs.

Read the Matrix Leave of Absence Brochure.

See Also

• Family Rights & Responsibilities under the Family and Medical Leave Act - revised 2/2013(PDF 260KB)
• Staff Paternal Leave Timeline
• Staff Maternity Leave Timeline
• Leave of Absence Guides and Forms
  
  • 2017 Staff LOA Guide
  • Kaiser HIPAA Authorization
  • Request of Leave Form 2017
    
    

Refer the employee to Benefits in the Department of Human Resources. Notify the Benefits office of the request. Provide the name of the employee and the nature of the request.

ADA Employee Accommodation Request Form

ADA Healthcare Provider Form

ADA Packet Healthcare Provider Authorization Release

Questions regarding leaves processing for workplace injuries and Illnesses:

If you, or someone who reports to you, suffer a work-related injury or illness, the following steps should be taken immediately:

Is the injury a life threatening emergency?

Yes: If the injury is life threatening, contact SCU Campus Safety (408) 554-4444 or 911 and arrange for an ambulance. Notify the employee's supervisor and the Department of Human Resources (408) 554-4392.

No: If the injury is not life threatening, employees must notify their supervisors and contact the Department of Human Resources (408) 554-4392. The Department of Human Resources will authorize treatment at U.S. Healthworks.

If the injury occurs outside of normal office hours, employees must call the Department of Human Resources and leave a message and then obtain medical care from the O'Connor Hospital Emergency Room

If the Injury Does Not Require Immediate Medical Treatment

If medical or other emergency care is not needed for the injury, employees must notify their supervisors and the Department of Human Resources (408) 554-4392.

The Following Applies to All Injuries

All work-related injuries and illnesses

The Department of Human Resources will provide employees with:

1. Initial Report of Injury(PDF 44KB)
2. Workers Comp Claim form(PDF 231KB)

Employees are required to complete the report and forms as soon as possible.

Following receipt of initial medical treatment

1. Give a copy of the “work status report” to your supervisor.
2. Review “work status report” with your supervisor to evaluate any job limitations and/or modifications directed by the physician.

If you need follow up care, please remember the following:

1. University practice is to pay employees regular time for time missed from work not only for the initial receipt of care, but for follow up care as well.
2. Physical therapy appointments must be pre-arranged with supervisor. Time missed for travel to and from and duration of appointment is paid at regular time.
3. Keep your supervisor apprised of any changes to your work status.

If your injury or illness requires a temporary period of time away from work?

1. Immediately notify your supervisor and the Department of Human Resources (408) 554-4932.
2. Complete the appropriate paperwork for an industrial leave of absence
3. Communicate regularly with the Worker’s Compensation insurance provider regarding your treatment, care, and work status.

*Please contact the Department of Human Resources with any questions at (408) 554-4932.

See Also

• Authorization to Treat (Alliance)(PDF 1.2MB)
• Initial Report of Injury(PDF 44KB)
• O'Connor Hospital - Maps & Driving Directions
• US Healthworks - Santa Clara, CA - Driving Directions
• Instructions for MPN Notification(PDF 110KB)
• Medical Provider Network
• Worker's Compensation Benefits(PDF 52KB)
• Worker's Compensation Benefits (Spanish)(PDF 56KB)

Contact the appropriate office as soon as possible. (Campus Safety, Employee Relations, Title IX, Benefits office.)

If you are not sure who to contact call the Department of Human Resources for assistance.

Santa Clara University offers a program of employee benefits designed to enhance the well-being of its employees. In compliance with Federal and State laws, the University provides the following statutory benefits to all of its eligible employees, as defined by Federal and State law.

Social Security

Most employees participate in the Social Security Program through a mandatory payroll deduction. Social Security provides a retirement benefit for individuals who have worked the number of years required for eligibility. Other benefits may include disability income, survivor, dependent, and medical benefits. The amount contributed, which is matched by the University, is based on rates determined and established by the Social Security Administration.

Worker’s Compensation

The University provides a no-fault Worker’s Compensation insurance program. If an employee is unable to work because of on-the-job injury or illness, Worker’s Compensation covers medical expenses and pays a portion of lost wages based on the nature of the injury.

Unemployment Insurance

Most employees of the University are covered by the State Employment Security Law. Under the provisions of this law, employees of the University who become totally or partially unemployed, and who meet the eligibility requirements as set forth in the law, may be eligible to receive unemployment compensation.

EAP provides professional counseling, information, and referral services to faculty, staff and their families. The program offers confidential consultation on a wide variety of personal, family and/or work-related problems that may contribute to high levels of stress and interfere with health and work performance.

EAP is a great service designed to help with the following:

• Stress
• Family or Parenting issues
• Alcohol or drug dependencies
• Adjusting to change
• Self-improvement
• Child and elder care
• Pre and postnatal concerns
• Grief
• Work/life balance
• Legal and financial consultation services