REQUIRED HEALTHCARE NOTICES

• Palomar Exchange Notice
• COBRA General Notice
• Benefit Forms

MEDICAL INSURANCE

  (800) 464-4000

Kaiser HMO Group Numbers: Active 225543-1028, Retired 225543-3028, Part Time Faculty 225543-1038

• Full Time Employee Plan Summary
• Part Time Faculty Plan Summary
• Kaiser link: https://healthy.kaiserpermanente.org/html/kaiser/index.shtml
• American Specialty Health Chiropractic (800)678-9133

Kaiser HDHP Group Number: Active 225543-1057

• High Deductible Plan Summary
• Kaiser Service Fee Schedule
• Kaiser HDHP Tips

  (800) 825-5541

• Anthem PPO Group Numbers: Active 40795A, Retiree/Dependent Under 65 is 40795L, Retiree and Dependents Over 65 is 40795R
• Anthem HMO Group Numbers: FT Active 57APGA, Retiree 57APGB
• Anthem HDHP Group Numbers: FT Active Single 40795D, FT Active Family 40795E
• Anthem Enrollment Guide
• Anthem HMO Plan Summary
  • Palomar provides a Health Flexible Spending Account
• Anthem PPO Plan Summary
• Anthem HDHP Plan Summary: SINGLE / FAMILY
  • Palomar provides a Health Savings Account
• Anthem HMO Provider Search: click here
• Anthem PPO & HDHP Provider Search: click here
  • Website Link: Anthem
• Health condition Transition Assistance
• American Specialty Health: Chiropractic & Physical Therapy (800)972-4226
• Navitus Pharmacy Benefit: (866)333-2757
• Costco Mail Order (maintenance medication/Brochure)
• MD Live (24/7/365): (888)632-2738
• Forms available in Benefit Forms

Dental Insurance

  (866) 499-3001

Delta Preferred Option

Hired on or after 1/1/96

• • 2019 DPO Group Numbers: Active 7046-03905, Retiree 7046-03908, COBRA 7046-03906
  • PPO Plan Summary

Delta Premier

Hired before 1/1/96

• • 2019 Premier Group Numbers: Active 7046-03902, Retiree 7046-03903, COBRA 7046-03904
  • Premier Incentive Plan Summary
  • Digital Member Card
  • Dental Claim Form (for out of network claims in either plan)
  • HIPAA Privacy Notice – Delta Dental
  • Find a dentist when traveling outside the United States
  • Forms available in Benefit Forms 

DeltaCare USA (HMO) Group Numbers

FT Active 71691-03001, PT Faculty 71691-03004

• • Plan Summary (FT Employees & PT Faculty)
  • Provider Search (use DeltaCare USA Network)
  • Phone number: (800)422-4234

VISION INSURANCE

EyeMed (866) 804-0982

• 2019 Group Number: FT Active 1018355-1001, PT Faculty 1018357-1001
• EyeMed Website
• FT Employee EyeMed Plan Summary
• PT Faculty EyeMed Plan Summary
• Claim form available on the EyeMed website

EMPLOYEE ASSISTANCE

EASE – Employee Assistance Service for Educators: (800) 722-EASE (3273)

• Free counseling services to ALL employees and their family members (limited sessions)
• Professional, confidential service to help you resolve your personal or job-related problems
• Licensed, trained therapists
• If ongoing assistance is necessary, referral options will be discussed
• Any referral may involve charges which will be your responsibility
• For more information, visit the EASE website.

(800)999-7222

• Free counseling to full time benefit eligible employees and their covered dependents
• Tobacco cessation, child and elder care resources, addiction/recovery, identity theft
• Additional Details Here

For more information about benefits, please contact the Benefits Specialist at ext. 2889.