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Coordination of Benefits

Coordination of Benefits
Coordination of benefits is available to benefit-eligible married employees of the Santa Ana Unified School District.
 
Below we have provided information of the perks of coordinating your health insurance coverage with your SAUSD employed spouse.  Coordination of benefits options apply to medical plans only.  Dental plan costs are not waived.
Certificated and Management Employees
 
Option One
Coordination of Medical Benefits
Available to married Certificated and Management benefits-eligible employees and retirees only.
 
How it Works
One of the married couple waives their benefits and their spouse elects coverage for them and their dependents.
 
What is the Incentive?
No medical premium is paid by either employee.  Your medical premium will be waived and the District will cover the cost of your medical plan.
 
Option Two
Dual Coverage of Medical Benefits
Available to married Certificated and Management benefits-eligible employees and retirees only.
 
How it Works
Both of the married couple elect coverage.  One pays the higher rate, such as family or two-party.  the other spouse pays the single rate.
 
What is the Incentive?
Co-payments and medical services are covered at 100%. 
 
If you have the Blue Shield Spectrum PPO, you have to meet both your medical and prescription deductibles before any services are covered at 100%.
 
Want to Sign Up?
If you qualify and would like to take advantage of one of these coordination of benefits options, you must enroll within 30-days of your employment during Open Enrollment (usually held in April or May).  You have a 30-day enrollment period if you get married during the school year.
Classified Employees
 
Employer Paid Flex Spending Account
Available to married Classified benefits-eligible active employees only.
 
How it Works
When a Classified employee is married to another SAUSD employee, regardless of their classification and both are benefit-eligible, only one of the married employees may enroll into coverage for them and their family.
 
What is the Incentive?
SAUSD will provide a $500 Flexible Spending Account, free of charge, each school year. 
 
You must enroll through American Fidelity.
 
Want to Sign Up?
If you qualify and would like to take advantage of this SAUSD-paid benefit, contact American Fidelity at 1-800-365-9180 extension 0, to setup the Classified Employer Paid Flexible Spending Account within 30-days of your employment or during American Fidelity's open enrollment (usually held in May and June each year).