Health Benefits

This section outlines employee health/medical information for benefit-eligible employees.
Full-Time Eligibility: 6 – 8 hours per day or 30+ hours per week
Part-Time Eligibility: 4 – 5.9 hours per day or 20 – 29.9 hours per week

Health Plans 

Benefit eligible employees may elect health/medical coverage through UnitedHealthcare. Employees may  choose between the High Deductible or Value Plan outlined below. To understand the difference between each plan, click on the links below.  

Provider: UnitedHealthcare 
www.myuhc.com 
1-888-480-0921 

Value Health Plan

Value Health Plan Certificate of Coverage
Value Health Plan Summary of Benefits and Coverage
Value Health Plan Benefit Breakdown

High Deductible Health Plan (HDHP)

HDHP Certificate of Coverage
HDHP Summary of Benefits and Coverage
HDHP Benefit Breakdown

Health Plan Vision Coverage 

Vision Rider – Addendum to the Medical Benefit Summary 

Health Savings Account (HSA) 

Eligible employees who elect the HDHP Health Plan can also elect to open a health savings account. This allows employees to pay for qualified medical, dental, and vision expenses tax-free. 

Here’s how it works: 

  • Plan — Pays for covered expenses once you meet the deductible. 
  • HSA — May be used to save and pay for qualifying medical, dental, and prescription expenses. 

Why choose to set up an HSA?  

  • HSA funds roll over from year to year. If the money in the HSA isn’t spent, it adds up and stays in the account  
  • HSA contributions are done on a pre-tax basis 
  • Save for retirement, HSA contributions can help offset medical expenses that you incur during retirement.  
  • Manage health care expenses. If you have a high-deductible health plan, an HSA may help you save and pay for health care.  

Here’s how you can start an HSA and manage it to get the most out of your account.  

  • Open your HSA account through a bank of your choice. 
  • Complete the HSA contribution form and return to payroll 
  • Make deposits every pay period 
  • Use your HSA to pay for things like deductibles, eyeglasses, and medicine 

Health Savings Account (HSA) Forms  

Health Savings Account Contribution Form 

Flexible Spending Account (FSA) 

Provider: 121 Benefits 
www.121benefits.com 
1-800-300-1672

Eligible Expense Worksheet 
Dependent Care Overview
SCCSD FSA Summary Plan
Benny Card Information
FSA Quickstart Guide 
121 Benefits Mobile App
121 Benefits Mobile App Login Instructions

To learn more about 121 Benefits FSA Accounts watch this video.

Flexible Spending Account Forms 

FSA Direct Deposit Form
FSA Benefits Enrollment Form 
FSFA Reimbursement Request Form 

Questions about FSA’s? Visit the Employee Insurance and Benefits Enrollment Information page to learn more.

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