Below is a quick reference of the current insurance plans and their costs (before the District's fringe contribution).

SISC Blue Cross rates effective October 1st - September 30th

Classified/Management Blue Cross, Dental & Vision rates effective January 1st - December 31st

Faculty Medical Single Rate Double Rate Family Rate
 SISC Blue Cross (PPO) Group #40303A
  • $300 Individual/$600 Family Deductible
  • $20 Office Visits / 20% Co-insurance
  • Rx $7 Generic /$25 Brand
  $679/month  $1317/month  $1842/month
 SISC Blue Cross (PPO) Group #40303B
  • $500 Individual/$1,000 Family Deductible
  • $30 Office Visits / 20% Co-insurance
  • Rx $10 Generic/$35 Brand
  $600/month  $1171/month  $1642/month
 SISC Blue Cross (PPO) Group #40303C
  • $2,000 Individual/$4,000 Family Deductible
  • $30 Office Visits / 20% Co-insurance
  • Rx $10 Generic /$35 Brand
  $532/month  $1034/month  $1447/month
 SISC Blue Cross (PPO) Group #40303D
  • $3,000 Individual/$6,000 Family Deductible
  • $40 Office Visits / 20% Co-insurance
  • Rx $9 Generic /$35 Brand
  $498/month  $960/month  $1337/month
 SISC Blue Cross (PPO) Group #40303E
  • $5,000 Individual/$10,000 Family Deductible
  • Health Savings Account compatible
    Office Visits 10%
  • Rx $7 generic/ $25 brand (subject to deductible)
  $473/month  $946/month  $1348/month
 SISC Blue Cross (PPO) Group #70303B
  •  $5,000 Individual/$10,000 Family Deductible
  • $60 Office Visits* / 30% Co-insurance 
  • Rx subject to medical deductible

Spouse/Domestic Partners not allowed on this plan

  $425/month  $841/month  $841/month
Classified/Management Medical (2020) Single Rate Double Rate Family Rate
Blue Cross (PPO) Group# 1302M-B - Plan A
  • $400 Individual / $800 Family Deductible
  • $20 Office Visit / 10% Co-insurance
  • Rx $7 Generic /$20 Formulary/$35 Brand
 $974.00/month $1941.00/month $2523.00/month

Blue Cross (PPO) Group # 1302Q-A - Plan B

  • $650 Individual / $1,300 Family Deductible
  • $25 Office Visits / 20% Co-insurance
  • Rx $7 Generic /$20 Formulary/$35 Brand
 $879.00/month $1756.00/month $2281.00month

Blue Cross (PPO) Group #1854Q-A - Plan C

  • $1,000 Individual/$2,000 Family Deductible
  • $30 Office Visits / 30% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand
 $733.00/month $1465.00/month $1904.00/month

Blue Cross (PPO) Group #1854Q-L - Plan D

  • $1,200 Individual/$2,400 Family Deductible
  • $35 Office Visits / 30% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand
 $757.00/month $1513.00/month $1967.00/month

Blue Cross (PPO) Group #1854Q-W - Plan E

  • $1,500 Individual/$3,000 Family Deductible
  • $40 Office Visits / 30% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand
  $737.00/month $1474.00/month $1915.00/month

 Blue Cross (PPO) Group #1854R-G - Plan F

  • $2,500 Individual/$5,000 Family Deductible
  • $50 Office Visits / 30% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand
  $651.00/month $1302.00/month $1694.00/month

 Blue Cross (PPO) Group #1854R-S - Plan G

  • Deductible $5000  - Deductible must be met before any coverage
  • $60 Office Visits / 30% Co-insurance
  • Rx $25
 $594.00/month $1186.00/month $1541.00/month
Blue Cross (EPO) Group #NEW PLAN - Plan H  
  • $1,000 Individual/$2,000 Family Deductible 
  • $25 Office Visits / 20% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand
  • No out of network coverage
  • New plan start date 6/1/2019
  $619.00/month  $1234.00/month $1603.00/month
All Employees Single Rate Double Rate Family Rate
Delta Dental - Group #6736-0001 Plan A
  • $50 Individual/$150 Family Deductible
  • Annual Maximum Allowance $1,400 (PPO)
  • $500 Orthodontics Annual Max(Adult/Child)
  • Two-Year Commitment Required
  $58.00/month  $103.13/month  $148.95/month

 Delta Dental - Group #6736-0003 Plan B

  • $50 Individual/ $150 Family Deductible
    Annual Maximum Allowance $2,000 (PPO)
  • $1,000 Orthodontics Annual Max (Child Only)
  • Two-Year Commitment Required
  $64.80/month  $115.20/month  $166.46/month

Delta Dental - Group #6736-01001 Plan C

  • $50 Individual/$150 Family Deductible
    Annual Maximum Allowance $2,400 (PPO)
  • $500 Orthodontics Annual Max(Adult/Child)
  • This plan has implant coverage
  • Two-Year Commitment Required
  $73.65/month  $130.98/month  $188.58/month

Delta Dental - Group #6736-01003 Plan D

  • $50 Individual/$150 Family Deductible
    Annual Maximum Allowance $3,000 (PPO)
  • $1,000 Orthodontics Annual Max (Child Only)
  • This plan has implant coverage
  • Two-Year Commitment Required
  $82.29/month  $146.31/month  $211.36/month

Vision Service Plan (VSP) - Group #30071230

  • One eye exam every 12 months
  • Zero co-pay/ Zero deductible
  • $200 Annual Maximum for Lens/Frames every 12 months
  $11.37/month  $18.48/month  $29.30/month