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Tehachapi Unified School District

Tehachapi Unified School District

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Open Enrollment 2025-2026

Open Enrollment 2025-2026

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Healthcare plan recommendation tools v1

Healthcare plan recommendation tools v1

Retiree

Medicare Information

Active Employee Turning 65

New Retiree Letter

CERTIFICATED RETIREE

2025-2026 (10+) CERTIFICATED RETIREE ENROLLMENT WORKSHEET
2025-2026 (SELF PAY) CERTIFICATED RETIREE ENROLLMENT WORKSHEET
2025-2026 (SISC) CERTIFICATED RETIREE PLAN COMPARISON TOOL

Anthem Summary of Benefits

40070M
40070P
40094P
40094V

Kaiser Summary of Benefits

Kaiser 0006RCN Summary of Benefits
Kaiser 0010RCN Summary of Benefits

CLASSIFIED RETIREE

2025-2026 (15+) CLASSIFIED RETIREE ENROLLMENT WORKSHEET
2025-2026 (SELF-PAY) CLASSIFIED RETIREE ENROLLMENT WORKSHEET
2025-2026 (SISC) CLASSIFIED RETIREE COMPARISON TOOL

Anthem Summary of Benefits

40070N
40070Q
40094N
40094X

Kaiser Summary of Benefits

Kaiser 234480-0007RLN
Kaiser 234480-0010RLN

CONFIDENTIAL MANAGEMENT RETIREE

2025 - 2026 (+15) CONFIDENTIAL MANAGEMENT RETIREE ENROLLMENT WORKSHEET

2025 - 2026 (SELF-PAY) CONFIDENTIAL MANAGEMENT RETIREE ENROLLMENT WORKSHEET

2025 - 2026 (SISC) CONFIDENTIAL MANAGEMENT RETIREE COMPARISON TOOL

Anthem Summary of Benefits

40070K
40070L
40070Q
40094X

Kaiser Summary of Benefits

Kaiser 0007RMN
Kaiser 0010RMN

OVER 65 RETIREES

2025-2026 OVER 65 WORKSHEET CERT & CLASSIFIED

2025-2026 Companion Care Medicare Supplement Plan

2025-2026 Kaiser HMO KPSA $10

Current Employees

Current Employees

Classified

2025-2026 CLASSIFIED 11 MONTH ENROLLMENT WORSHEET
2025-2026 CLASSIFIED 12 MONTH ENROLLMENT WORKSHEET

2025-2026 CLASSIFIED UNDER 7-HOUR HEALTH PLAN OPTIONS
2025-2026 CLASSIFIED SISC PLAN COMPARISON TOOL

MPC Flier TUSD Classified 2025

Anthem Summary of Benefits

40070B
40070D
40094J
40094K

Kaiser Summary of Benefits

Kaiser #234480-0007ALN
Kaiser #234480-0010ALN

SISC Summary of Benefits

M171 SISC Proactive Care Plan Gold Rx 9-35 PC

Certificated

2025-2026 CERTFICATED ENROLLMENT WORKSHEET
2025-2026 CERTIFICATED SISC PLAN COMPARISON TOOL

MPC Flier TUSD Certificated 2025

Anthem Summary of Benefits

40070A
40094D
40094G
40094H

Kaiser Summary of Benefits

Kaiser #234480-0006ACN
Kaiser #234480-0010ACN

SISC Summary of Benefits

M170 SISC Proactive Care Plan Platinum

Confidential Management

2025-2026 CONFIDENTIAL MANAGEMENT ENROLLMENT WORKSHEET
2025-2026 CONFIDENTIAL MANAGEMENT SISC PLAN COMPARISON TOOL

MPC Flier TUSD Management 2025

Anthem Summary of Benefits

40070C
40070E
40094L
40094M

Kaiser Summary of Benefits

Kaiser #234480-0007AMN
Kaiser #234480-0010AMN

SISC Summary of Benefits

M172 SISC Proactive Care Plan Platinum Rx 9-35 PC

Over 65 Supplemental Plans

2025-2026 OVER 65 WORKSHEET CERT & CLASSIFIED

2025-2026 Companion Care Medicare Supplement Plan

2025-2026 Kaiser HMO KPSA $10

Resources

Health and Welfare Links

Aflac
American Fidelity
Anthem Blue Cross
Costco Mail Order Pharmacy
Covered California - California Insurance Exchange
Delta Dental
Kaiser Permanente
Premium Only Plan (POP) Form
VSP (Vision Services Plan)

Vision and Dental

Anthem SISC Dental Plan
PPO Policy Information
Premier Policy Information
VSP 5-C For Certificated
VSP 10-C For Classified, Management Confidential, Board of Trustees, and Retirees

2024-2025 American Fidelity Enrollment

Benefits Enrollment Information
American Fidelity Website

Schools First Annuity Enrollment

403(b)-457(b) Universal Notification Letter

Retirement Plan Limits 2024

SchoolsFirst Plan Administration Participant Contacts Sheet

TPA Contact Flyer

403(b) Plan

403(b) Plan Summary Flyer 2024

403(b) Tehachapi USD Summary Plan Description

457(b) Plan

457(b) Plan Summary Flyer 2024

457(b) Tehachapi USD RKA Fidelity Small Market

457(b) Tehachapi USD Summary Plan Description

Change of Address

Personnel Name & Address Change Form
SISC Name & Address Change Form

SISC Flex

For Certificated and Confidential/Management Employees only

SISC Flex Flier
SISC Flex FAQ
NAVIA Enrollment Guide

SISC Enrollment Form
SISC (NAVIA) Day Care & Health Care Claim Form
SISC Flex (NAVIA) Recurring Day Care Claim Form
SISC Flex (NAVIA) Direct Deposit Request Form
SISC Flex Letter of Medical Necessity

SISC Added Value
Premium Only Plan (POP)

Less than 4 hour employees and substitutes

2-Tier hSA $5,000 PPO

District Resources

Staff Directory

Aeries Portal: Student/Parents

Online Enrollment

Employment

Bus Transportation

Board Agenda