Annual Notices

​State and federal laws require that employers provide disclosure and annual notices to the plan participants. Click on the following links for details.

COBRA Notice
For Voluntary termination or ineligible dependents

Cal COBRA
California has enacted a law that can extend health care continuation coverage for all individuals to 36 months, rather than the 18 or 29 months that may be provided under COBRA for loss of coverage due to termination of employment or a reduction of hours worked.

CHIP
Medicaid and the Children's Health Insurance Program

HIPP
Health Insurance Premium Payment Program

Creditable Coverage Disclosure Notice
This link gives important information regarding your prescription coverage and Medicare

Premium Only Plan
Employee contributions for medical insurance premiums are deducted from your paycheck on a pre-tax basis as part of the IRS Section 125 cafeteria plan.  This program is referred to by our district as a Premium Only Plan (POP). If you would like to opt out, please click on the above link and download the POP Plan form.

Women's Health and Cancer Rights Act of 1998
Your plan, as required by the Women’s Health and Cancer Rights Act of 1998, provides benefits for mastectomy-related services.