Benefits Resource Library Current Plan Year
July 1, 2019 – June 30, 2020
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 39)
- 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
Employee Assistance Program (EAP)
- EAP Evidence of Coverage: 2019-eap-peraltacommunitycollege14eoc
- EAP Summary Benefit Comparison: 2016-mhn-eap-sbc
Flexible Spending Medical and Dependent Day Care Expenses under IRS Code 125
*Open enrollment occurs annually November 1-30 for the following plan year (January – December).
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
PDF files