Medical Coverage

The School Board recognizes the importance of maintaining the physical and mental well-being of its employees. All employees regularly scheduled to work 15 or more hours per week in a benefits-eligible position are eligible for enrollment in the group Medical, Dental, and Vision plans.

Employees may select medical insurance coverage for themselves and their eligible family members from:

  • Kaiser Permanente, or
  • Cigna Healthcare

Medical Coverage Plan Year:   January 1st through December 31st
The medical plans operate on a calendar year basis and both plans renew January 1st.  An open enrollment period is held annually, during the month of October, at which time employees can elect or make changes to their medical coverage, with coverage going into effect the following January 1st.

2019 Employee Contribution Schedule for Active Employees
Go to the Benefits Home Page to view the 2019 Employee Contribution Schedule for Active Employees.

After each pay date, review your current deductions on your pay stub and notify the Benefits Department immediately of a discrepancy. You can view your pay stub and view your current benefit elections via your STARS APS Employee Self-Service account.  To access your STARS account, go to the Tools section on the Staff Central page.

Newly Hired Benefits-Eligible Employees and Current Employees Newly Eligible for Benefits
To make your benefit election, go to the Benefits Home Page to download and print the APS Benefits Enrollment and Change Form. Send your completed form to the Benefits Department to the address printed at the bottom of the form.

Have a Cigna Healthcare benefit question before you are enrolled?
Call Cigna Healthcare’s Pre-Enrollment Help Line at 1-800-564-7642.  View the Pre-Enrollment Help Line brochure.

What’s New in 2019?

The following plan changes will go into effect January 1, 2019:

Cigna Healthcare:

Cigna HIGH Plan and Cigna LOW Plan

  • Under the prescription drug plan, generic drugs will be substituted for brand-name drugs whenever available. Effective January 1, 2019, if you request a brand name medication instead of the available generic (even though your doctor is OK with you taking the generic), you’ll pay a higher amount. You’ll pay your generic copay plus the difference in cost between the brand name and the generic medication. View Prescription Drug Cost Difference Flyer.

Kaiser Permanente HMO Signature Plan:

  • Effective January 1, 2019, Discount Dental benefits are no longer included in the Kaiser Permanente HMO medical plan.
  • Primary Care Physician (PCP) Copay increasing by five dollars ($5.00)
  • Specialist Copay increasing by five dollars ($5.00)
  • Prescription Copays increasing between five ($5.00) and ten ($10.00) dollars

2019 Benefit Information:

Applies to full-time and part-time benefits-eligible employees, non-Medicare retirees, employees on an approved leave status, and COBRA participants.

Kaiser Permanente HMO:

Kaiser Permanente 2019 Summary of Benefits and Coverage (SBC) ◊ view Spanish version
Kaiser Permanente 2019 Enrollment Guide ◊ view Spanish version
Kaiser Permanente Mental Health and Wellness Brochure
For an up-to-date list of Medical Centers, go to Kaiser Permanente Metro Washington D.C. Facilities

Cigna Healthcare:

Cigna 2019 Benefit Summary HIGH Option
Cigna 2019 Summary of Benefits and Coverage (SBC) HIGH Option
Cigna 2019 Benefit Summary LOW Option
Cigna 2019 Summary of Benefits and Coverage (SBC) LOW Option

Cigna Prescription Drug Formulary effective January 1, 2019
Prescription Drug Cost Difference Flyer

Cigna 90 Now
Cigna 90 Now Pharmacy Directory
Cigna 90 Now Maintenance Drug List

Cigna Telehealth Connection
Cigna Telehealth Connect FAQ
Cigna Telehealth Connection “Know Before You Go”
Telehealth “How it Works” Videos:  Amwell for Cigna   MDLIVE for Cigna

Cigna Online Provider Directory
Behavioral Autism Specialty Team Flyer
Personal Health Team
Healthy Rewards
Cigna Open Access Plus Overview
Cigna How to Make the Most of Your Health Plan

2018 Benefit Information:

Kaiser Permanente:

Kaiser Permanente 2018 Evidence of Coverage (EOC)
Kaiser Permanente 2018 Summary of Benefits and Coverage (SBC)  ◊ view Spanish Version
Kaiser Permanente 2018 Discount Dental Fee Schedule incl Pediatric Dental
Kaiser Permanente 2018 Enrollment Booklet ◊ view Spanish Version

Cigna Healthcare:

Cigna 2018 Low Option Evidence of Coverage (EOC)
Cigna 2018 Low Option Benefit Summary
Cigna 2018 Low Option Summary of Benefits and Coverage (SBC)

Cigna 2018 High Option Evidence of Coverage (EOC)
Cigna 2018 High Option Benefit Summary
Cigna 2018 High Option Summary of Benefits and Coverage (SBC)

Cigna’s January 1, 2018 Standard 3-Tier Prescription Drug Formulary List