Benefits & Medical Information Home
Flexible Benefit Plan (IRS Plan)
Open enrollment for 2020 plan participation is November 1, 2019 – November 30, 2019
Enrolling is electronic and is easy.
The IRS 125 Flexible Benefits Plan allows you to set aside money on a pre-tax basis to help pay for certain expenses. There are two options to the plan, Health FSA and Dependent Daycare Account (DCA) as discussed in the Section 125 / Flexible Benefit Plan Employee Handbook Plan (Plan). Valid for plan years on or after January 1, 2019.
Note: Part-time & hourly faculty open enrollment for this benefit will be during the Spring 2020 open enrollment period for eligible employees.
Add on option:
- Debit Card: You can request a debit card via the participant portal. The debit card feature will allow you to pay for qualified expenses with your pretax dollars.
- Enrolling is as easy as 1-2-3:
- Click here to review the plan literature in the Section 125 / Flexible Benefit Plan Employee Handbook Plan (Plan). Valid for plan years on or after January 1, 2019.
- Determine how much, if any, you would like to set aside to help pay for certain eligible expenses with pre-tax dollars.
- Click here for instructions on how to complete the on-line enrollment process before the November 30, 2019 deadline.
Please review the handbook before enrolling.
Handbook link: Section 125 / Flexible Benefit Plan Employee Handbook Plan (Plan). Valid for plan years on or after January 1, 2019.
For plan information/clarification and enrollment assistance, please contact:
Pension Dynamics Company LLC
Phone: (925) 956-0514
Email: benefits@pensiondynamics.com
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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- 2019
- Flexible Spending SPD: 2014-spd-003
- Claim-form
- Direct-deposit-authorization
Pre-tax Commuter Expense under IRS Code 132
Contribution Limit Increase for 2019:
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 $265/month
For Transportation Expenses $265/month (Public transportation/vanpool)
- Handbook with Enrollment Form – 2019
- Pre-Tax Commuter SPD: peralta-132-doc
- Claim-form
- Direct-deposit-authorization
Employee Assistance Program (EAP)
- EAP Evidence of Coverage: 2019-eap-peraltacommunitycollege14eoc
- EAP Summary Benefit Comparison: 2016-mhn-eap-sbc
PDF files