Benefits Department

294 Green Valley Road, 4th Floor

Watsonville, CA  95076


(831)728-6996 - FAX


Nita Black, Payroll/Benefits Manager

 Mark Bernhardt, Beneifts Analyst

 TBH, Benefits Specialist


Open Enrollment for Medical, Dental and/or Vision plans is May 2018

All Enrollment, Change or Selection forms plus all required documents must be in the Benefits office no later than May 31, 2018, 4 pm ; changes will be effective October 1, 2018.



Open Enrollment Packet--May 2018 for October 1, 2018 effective date; Notice, forms and information.


**If you are requesting a change from any Medical PPO plan to one of the Medical HMO or Kaiser plans you are required to complete a Medical Enrollment form.  Please contact the Benefits department for the form.  


    Open Enrollment Forms ​​​​​​:



Documents required when adding a qualifying member to your coverage plan.


Medical Plan Comparison Sheet--Summary of the plans side-by-side.


Blue Shield and Anthem Website information for finding doctors/providers


PVUSD Information:


Self-Insured Schools of California (SISC)

Value-Added Services Provided by SISC for members

  • SISC EAP-Employee Assistance Program
  • MDLive-24/7 Physician Access--Anytime, Anywhere
  • Costco Rx--Free Generic Medications



Remember to check your District email often for important information


Summary of Benefits, Coverage and Rates

     Blue Shield PPO Plan

     Blue Shield PPO 80- M Plan

     Blue Shield PPO HSA

     Anthem Select PPO

     Blue Shield PPO Anchor Bronze

     Blue Shield Access+HMO

     Blue Shield Access+HMO Savenet

     Kaiser Permanente


     Delta Dental Plans Comparison


   Summary of Benefits - Certificated/Management

    Summary of Benefits - Classified/Confidential


     Health and Welfare Rates-Effective 1-1-2017

                         Percentage Rates for Certificated working less than 100% Contract

     Health and Welfare Rates--Effective 10-1-2016

                          Percentage Rates for Certificated working less than 100% Contract




Annual Report for the Pajaro Valley Unified School District Futuis Trust - July 2015


Patient Protection and Affordable Care Act (ACA) Information

Health Insurance Marketplace information/form (often referred to as the Exchange)-FAQ



Get Insurance Forms

Summary Plan Documents 

and other information



MDLIVE: 24/7/365 access to U.S. board-certified doctors. for information call (888) 632-2738 or visit


Navitus-Prescription Drug coverage plan (866) 333-2757 

Mail Order Prescription Drugs through Costco -- (800) 607-6861

Delta Dental  -  (866) 499-3001

Vision Service Plan  -  (800) 877-7195

Tax Shelter Annuity--403b: Information and Procedures

     To look up approved vendors:

      403b--for payroll deduction setup or changes:

       457b Plans--must contact the Benefits office for information.

American Fidelity Assurance-Flex Spending/Section 125 Information   AFA Online

Employee Assistance Program-MHN - (800) 535-4985; TDD callers - (800) 327-0801              

Company code: pajarovalley