SISC Benefit Plans

Alpine County Unified School District

Alpine County Office of Education

Classified Employees

Coverage Period: October 1, 2017 to September 30, 2018


$3,000 Individual Deductible
$6,000 Family Deductible
$40 Copay
80/20 Coinsurance Coverage
$2,000 Individual Deductible
$4,00 Family Deductible
$30 Copay
80/20 Coinsurance Coverage
$750 Individual Deductible
$1,500 Family Deductible
$30 Copay
80/20 Coinsurance Coverage
$500 Individual Deductible
$1,000 Family Deductible
$30 Copay
80/20 Coinsurance Coverage
$5,000 Individual Deductible
$10,000 Family Deductible
$60 per visit for first 3 visits
70/30 Coinsurance Coverage after first 3 visits
Vision Services Provider – VSP
Plan C
$10 Copay
Unlimited, No Deductible
Delta Dental pays 70% of the contract allowance for covered basic services and major services during the first year.  Coinsurance percentage will increase by 10% each year to a maximum of 100% for each enroll if that person visits the dentist at least once during the year.
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