Benefits & Medical Information Home
Part-Time Faculty Benefits Open Enrollment Announcement Spring 2020
Open enrollment begins on February 3, 2020 ends on March 5, 2020
Enrollment is optional and voluntary.
Re-enroll or enroll between February 3, 2020 & March 5, 2020
If you are re-enrolling with no changes to plan eligibility, coverage or dependents, only complete the Eligibility Affidavit/ Enrollment Form and email it back to benefits@peralta.edu or bring it into the PCC District Benefits Office on or before the close of Open Enrollment March 5, 2020. No need to enroll via BenefitBridge. Re-enrollment is required by March 5, 2020, and is not automatic. The coverage period begins March 1, 2020, and ends August 31, 2020. To maintain coverage without interruption, re-enroll by March 5, 2020 (no exceptions). Enrollment is optional and voluntary.
If you are making changes, please follow the instructions found in the Part-Time Faculty Benefits Open Enrollment Announcement Spring 2020 (link below) and upload the required forms during your online enrollment via BenefitBridge.
Part-Time Faculty Benefits Open Enrollment Announcement Spring 2020 link: https://web.peralta.edu/benefits/files/2020/01/Part-Time-and-Hourly-Faculty-Benefits-Open-Enrollment-Announcement-Spring-2020-Final-OE.pdf
If you are adding dependents, use this web address/link to download the 2019-2020 Required Dependent Documentation Matrix: https://web.peralta.edu/benefits/files/2019/06/Required-Documentation-Matrix-2019-2020-revised-6.11.2019.pdf
The newsletter/announcement can also be downloaded from the Resource Library @ www.benefitbridge.com/peralta or the Benefits Office website @ https://web.peralta.edu/benefits/
Flexible Spending Medical and Dependent Day Care Expenses under IRS Code 125
Current year forms & Documents:
- Handbook with Enrollment Form- 2020
- Flexible Spending SPD: 2014-spd-003
- Claim-form
- Direct-deposit-authorization
Pre-tax Commuter Expense under IRS Code 132
Contribution Limit Increase for 2020:
The maximum amount you may contribute to each account cannot exceed the maximum amount specified in Code Section 132(f).
The maximum amounts are:
- Parking Expenses $270/month
- Transportation Expenses $270/month (Public transportation/vanpool)
- Handbook with Enrollment Form – 2020
- Pre-Tax Commuter SPD: peralta-132-doc
- Direct-deposit-authorization
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Important links
2019-2020 PCCD Employee Benefits Guide with Rate Matrix
PCCD Required Documentation Matrix
Registration and login online instructions for BenefitBridge
BenefitBridge Secure Enrollment Portal
Kaiser Permanente Downloads
2019-2020 Traditional Plan Summary of Benefits & Coverage
2019-2020 Senior Advantage Summary of Benefits & Coverage
- Peralta Community College 65 HMO $0 SR ADV Benefit Summary
- Peralta Community College 65 HMO $10 SR ADV Benefit Summary
- Peralta Community College 65 HMO $15 SR ADV Benefit Summary
Self-funded Plan Downloads
2019-2020 Summary of Benefits & Coverage
- Peralta Self Funded Traditional PPO SBC $15 Plan(Local 1021 & Confidentials)
- Peralta Self Funded Traditional PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Traditional PPO SBC $15 Plan(Local)
- Peralta Self Funded Lite PPO SBC $15 Plan(Local 1021 & Confidentials)
- Peralta Self Funded Lite PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Lite PPO SBC $15 Plan (Local 39)
Dental
- Delta Dental PPO Plan – Plan Summary
- UHC Dental – Direct Compensation DHMO Dental Plan Evidence of Coverage
Vision
District-Paid Life Insurance
District-Paid Disability Insurance
New 403(b) Plan and 457(b) Plan Contribution Plan Limits
2019 Calendar year contribution limits the 403(b) and the 457(b) plans have increased to $19,000. Other limits may apply. Check with your financial planner or tax consultant for limits appropriate to your circumstances.
New website – www.tsacg.com
TSA Consulting Group, Inc (TSACG)
403(b) & 457(b) Plan Administration Provider
Tax-deferred 403(b) & 457(b) Plan Documents
Peralta Community College District CA 457(b) Plan Document
Peralta Community College District CA 403(b) Plan Document
Informational links below
TSA Consulting Group, Inc. (TSACG) – Key Contact List
403(b) & 457(B) Plan Information for Employees & Advisors link (context below)
Peralta Community College District has contracted with TSA Consulting Group, Inc (TSACG) to provide 403(b) & 457(b) plan administration services. TSACG, based in Fort Walton Beach, Florida, is an independent TPA and is not affiliated with an investment provider nor do they market investment products.
TSACG will be responsible for the approval of transactions such as Distributions, Exchanges, Transfers, Loans, and Rollovers. After reviewing submitted paperwork to ensure that the transaction complies with IRS regulations and the Plan, TSACG will forward approved paperwork to the applicable investment product provider who will complete the transaction by disbursing funds directly to the participant or directly to an account specified by the participant.
403(b) & 457(b) Transaction Processing:
To assist in the efficient and timely processing of your request, TSACG recommends when faxing or mailing documents, each transaction(s) be accompanied by a Transaction Information Form. This form can be obtained from https://www.tsacg.com. The Transaction Information Form provides important information regarding your request and is essential in ensuring proper processing. 403(b) Hardship Withdrawal and 457(b) Unforeseen Financial Emergency requests must be accompanied by a disclosure form which can also be found on TSACG’s home page.
Distributions:
Distribution transactions may include any of the following: loan, transfer/exchange, rollover, hardship withdrawal, or cash distributions. Each investment product provider requires their own form to be submitted. You may request distributions by completing the necessary forms obtained from your investment product provider, other necessary documentation as indicated below and submitting all completed documents to TSACG for processing.
Online Distribution Processing
TSAGG maintains an advanced Web-based system for use by participants and advisors. This online system allows participants and advisors alike, to gain immediate approval certification for eligible distributions. Further, all distribution requests may be submitted in this manner, even those that require supporting documentation such as Hardship and Unforeseeable Emergencies. TSACG’s Online Distribution System, which can be found on the homepage at https://www.tsacg.com, is available 24 hours a day, seven days a week.
Submitting Transaction Requests:
All transaction requests should be submitted to TSACG for processing via fax, mail, or email:
Regular Mail:
TSA Consulting Group, Inc. TSA Consulting Group, Inc
Attn: Participant Transactions Department
P.O. Box 4037
Ft. Walton Beach, FL 32549-4037
Fax: 1-866-741-0645 Email: recordkeeping@tsacg.com
Regular Mail: Overnight Mail:
TSA Consulting Group, Inc
Attn: Participant Transactions Department
73 Eglin Parkway NE, Suite 202
Ft. Walton Beach, FL 32548
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THE HUB NEWSLETTER
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2018-2019 PCCD Employee Benefits Guide with Rate Matrix click here
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2017-2018 PCCD Employee Benefits Guide
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Kaiser Permanente Downloads
2019-2020 Traditional Plan Summary of Benefits & Coverage
2019-2020 Senior Advantage Summary of Benefits & Coverage
- Peralta Community College 65 HMO $0 SR ADV Benefit Summary
- Peralta Community College 65 HMO $10 SR ADV Benefit Summary
- Peralta Community College 65 HMO $15 SR ADV Benefit Summary
2018-2019 Traditional Plan Summary of Benefits & Coverage
2018-2019 Senior Advantage Summary of Benefits & Coverage
- Peralta Community College 65 HMO $0 SR ADV Benefit Summary
- Peralta Community College 65 HMO $10 SR ADV Benefit Summary
- Peralta Community College 65 HMO $15 SR ADV Benefit Summary
Other documents
Self-funded Plan Downloads
2019-2020 Summary of Benefits & Coverage
- Peralta Self Funded Traditional PPO SBC $15 Plan(Local 1021 & Confidentials)
- Peralta Self Funded Traditional PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Traditional PPO SBC $15 Plan(Local)
- Peralta Self Funded Lite PPO SBC $15 Plan(Local 1021 & Confidentials)
- Peralta Self Funded Lite PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Lite PPO SBC $15 Plan (Local 39)
2018-2019 Summary of Benefits & Coverage
- Peralta Self Funded Traditional PPO SBC $15 Plan(Local 1021 & Confidentials)
- Peralta Self Funded Traditional PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Traditional PPO SBC $15 Plan(Local)
- Peralta Self Funded Lite PPO SBC $15 Plan(Local 1021 & Confidentials)
- Peralta Self Funded Lite PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Lite PPO SBC $15 Plan (Local 39)
CoreSource Links:
Introducing My CoreSource Wire
Dental
- Delta Dental PPO Plan – Plan Summary
- UHC Dental – Direct Compensation DHMO Dental Plan Evidence of Coverage
Vision
District-Paid Life Insurance
District-Paid Disability Insurance
Flexible Spending Medical and Dependent Day Care Expenses under IRS Code 125
Current year forms & Documents:
- Handbook with Enrollment Form- 2020
- Flexible Spending SPD: 2014-spd-003
- Claim-form
- Direct-deposit-authorization
Pre-tax Commuter Expense under IRS Code 132
Contribution Limit Increase for 2020:
The maximum amount you may contribute to each account cannot exceed the maximum amount specified in Code Section 132(f).
The maximum amounts are:
- Parking Expenses $270/month
- Transportation Expenses $270/month (Public transportation/vanpool)
- Handbook with Enrollment Form – 2020
- Pre-Tax Commuter SPD: peralta-132-doc
- Direct-deposit-authorization
Employee Assistance Program (EAP)
- EAP Evidence of Coverage: 2019-eap-peraltacommunitycollege14eoc
- EAP Summary Benefit Comparison: 2016-mhn-eap-sbc
PDF files