Skip to Content  |   A to Z Index  |   Kentfield Campus  |   Indian Valley Campus

College of Marin

Fiscal Services

Home New Students - Prospective Students Current Students of College of Marin Colletge of Marin Faculty and Staff About the College of Marin College of Marin Search Engine

Open Enrollment November 17, 2014 - December 12, 2014
Deadline: Friday, December 12, 2014

Announcements

A special Open Enrollment period limited to Kaiser Health plan benefits is now through December 12, 2014. During this open enrollment, you may transfer into one of our two Kaiser options without pre-existing condition limitations.  Blue Shield members may enroll in one of the two Kaiser plans offered.  No Blue Shield additions or changes will be allowed until the next open enrollment in October 2015.

If you are satisfied with your current coverage, there will be no action needed.

Open Enrollment Instructions

Plan Election Form

Kaiser Enrollment Form

Open Enrollment Sessions for Health Benefits

Wednesday, December 3, 2014 @ 11:00 a.m. KTD & IVC Teleconferencing Rooms

Wednesday, December 3, 2014 @ 2:00 p.m. KTD & IVC Teleconference Room

Wednesday, December 3, 2014 @ 3:00 p.m. KTD & IVC Teleconferencing Rooms

Thursday, December 4, 2014 @ 12:30 p.m. KTD & IVC Teleconferencing Rooms

Open Enrollment for Pre-Tax Benefit Enrollment - AFLAC and WageWorks

Flexible Spending Account (FSA)

Medical/Dental: for out-of-pocket medical or dental expenses.  Claim up to $2,550 per year of your pre-tax income.

Dependent Day Care Plan: Claim up to $5,000 per year for dependent care expenses. 

FSA Enrollment Form

FSA Enrollment Form Example

For additional information on the the FSA/Dependent Care Programs, please visit the Wage Works website. If you have additional questions, please call Wage Works Customer Service at 1.800.950.0105; please request to speak with an agent even if you are not a current participant.

Please submit completed forms to Fiscal Services by Friday, December 12, 2014

Commuter Benefits Program

Bay Area Commuter Benefits Program:  Claim up to $130 per month of transit or van pooling expenses

Commuter Benefits Enrollment Form

For additional information on the Commuter Benefits Program, please visit the Wage Works website.  If you have additional questions, please call Wage Works Customer Service at 1.800.950.0105; please request to speak with an agent even if you are not a current participant.

Please submit completed forms to Fiscal Services by Friday, December 12, 2014

Aflac Accident and Cancer Plans

If you are a current policyholder you with Accident, Cancer, or Disability Plans, there is no action required.  Your plan(s) will automatically rollover.

If you are not currently enrolled in Aflac Plans, review the information below.

Accident Indemnity Coverage: A cash benefit for injury on or off the job.

Cancer Indemnity Coverage:  Cash benefits in the event of cancer diagnosis and annual cancer screening benefits.

For additional information on Aflac's Accident and Cancer In de mi ties please follow the links above.  If you have additional questions, please contact the District's Aflac representative, Donna Reeve 415.250.0540.

College of Marin Enrollment Form

Please submit completed forms to Fiscal Services by Friday, December 12, 2014

Continuing Plans

Kaiser

2/1/2014 to 1/31/2015 – Traditional Plan
7/1/2014 to 1/30/2015 – Deductible HMO Plan

Kaiser's List of Covered Zip Codes for the Northern California Service Area

Blue Shield PPO

SISC Blue Shield of California 100% Plan A / $20.00 Copayment
Summary of Benefits (100% Plan)

SISC Blue Shield of California 80% Plan K / $30.00 Copayment
Summary of Benefits (80% Plan)
Open Enrollment Guide for Blue Shield PPO plans

Delta Dental

Active Employees
Retired Employees

VSP

VSP Vision Benefit Summary

Open Enrollment Forms

Step 1: Complete Plan Election Form

Step 2: Complete Enrollment Forms

Step 3: Provide Required Dependent Eligibility Information

Other: Complete Agreement to Save Taxes on Premiums (complete Option 3 on this form)

Resources and Contact Information

KAISER – Group #554
Get immediate assistance to your routine questions by calling KP Member Services at 800-464-4000.            

Blue Shield
Contact your Member Services Team at 1-800-642-6155.

Delta Dental
Visit web site: www.deltadentalins.com/enrollees

VSP
Call 1-800-877-7195 for details on your vision plan or go to www.vsp.com

Self-Insured Schools of California
Visit web site:  http://sisc.kern.org/hw/


Fiscal Services Website
Content Responsible: Peggy Isozaki, Director of Fiscal Services, 415.883.2211 ext. 8160
Technical Contact: Melinda Molloy, Administrative Assistant to the Vice President of College Operations, 415.883.2211 ext. 8101