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Retired UPE/Mgmt/Supv/Conf/TCS and Teamsters Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2023 Rate Sheets
Effective January 1, 2023 – December 31, 2023
2023 Teamsters Early Retiree Rate Sheet
2023 Teamsters Early 50% Retiree Rate Sheet
2023 Teamsters Retiree Over 65 Rate Sheet
2023 Teamsters Retiree Over 65 50% Rate Sheet
2023 UPE/Mgmt/Supv/Conf/TCS Early Retiree Rate Sheet
2023 UPE/Mgmt/Supv/Conf/TCS Over 65 Retiree Rate Sheet
2024 Rate Sheets
Effective January 1, 2024 – December 31, 2024
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet
Retired Classified Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
Add dependents outside of Open Enrollment
Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage. Employee must complete a new enrollment along with required documentation.
2023 Rate Sheets
Effective January 1, 2023 - December 31, 2023
Active Certificated Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2023 Rate Sheet
Effective January 1, 2023 - December 31, 2023
2024 Rate Sheet
Effective January 1, 2024 – December 31, 2024
Dental Plans
Sun Life Financial Life Insurance
Basic Life Insurance - Certificated Employees
Basic Life Insurance - All Classified and Food Service Supervisors
Basic Life Insurance - Active Management, Confidential and Supervisors
Optional Life and Accidental Death and Dismemberment (AD&D) Insurance
Sun Life Classified and Management Employee Beneficiary Form
Employee Benefits Staff
(916) 643-9432
(916) 399-2071FAX
General Email: benefits@scusd.edu
Dual District Benefits Waiver
»ÆÉ«ÊÓƵ does not allow married »ÆÉ«ÊÓƵ employees to be double-covered on benefits.
One spouse must waive their benefits. If you have any questions, please contact the Benefits Office at .