2025 Benefits
2025 Benefit Guide
Medical Coverage Opt-Out
Green Dot Public Schools provides an opt-out payment for employees who choose to decline the medical coverage. If you would like to waive medical coverage for the 2025 plan year and qualify for the waiver incentive, please complete the Attestation Form located in Workday. Please be sure to sign the form after you submit your elections to receive a monthly opt-out payment of $250.00.
Important Information for Current Waive Incentive Recipients:
- You must actively waive coverage and elect to receive the credit.
- This coverage does not automatically rollover.
- If you do not actively waive coverage, it will be dropped, and you will not be able to enroll again until the next open enrollment period.
Anthem offers access to one of the largest national networks of dental providers, making it easy to keep your current dentist or find one conveniently located near your home or workplace. With Anthem Dental, you can save money by visiting one of Anthem’s network dentists, benefiting from an average national network discount of 40%.
Similarly, Anthem Vision provides you with access to a broader network of over 40,000 eye doctors and other eye care providers at more than 30,000 locations nationwide. You can purchase eyewear from a network of eye doctors or from a variety of popular regional and national stores, such as LensCrafters, Pearle Vision, and Target Optical. Additionally, members can enjoy access to online providers, including Glasses.com, ContactsDirect, 1-800 CONTACTS, and Ray-Ban.com.
Access Care
Access your Anthem and Kaiser apps, including your ID cards. If you are a new enrollee, your access to the App and ID cards will not be until July 1, 2025.
Anthem Medical Enrollees
- Register Online: Go to www.anthem.com to register and print a temporary ID card.
- Group Number: L10509
- ID Cards: Issued for all plans and mailed to home address.
- To Obtain Member ID:
- Anthem Vivity HMO: (844) 497-5954
- Anthem Traditional HMO (CA Care): (800) 888-8288
- Anthem EPO & PPO: (800) 888-8288
Kaiser Medical Enrollees
- Register Online: Visit KP.org or download the Kaiser mobile app. Use your member ID number to register.
- Group Number: 236578
- Member ID: Issued and mailed to home address.
- Call Member Services at (800) 464-4000 to obtain your ID number.
Anthem Dental Enrollees
- Register Online: Visit https://www.anthem.com/ca to create your account.
- Group Number: 236578
DHMO Plan
- ID cards: Issued and mailed to home address.
- To select a primary care dentist or request a replacement card, call (800) 627-0004.
PPO Plan
- ID cards: Not issued. Providers verify coverage using your Social Security number
- Providers verify eligibility using your name and group number.
- To verify coverage or speak with a representative, call (877) 567-1804 and enter your Social Security number.
Anthem Vision Enrollees
- Register Online: Visit https://www.anthem.com/ca to create your account.
- Group Number: 236578
- ID Cards: Not issued. Providers verify coverage using your Social Security number.
- For Assistance: Call (866) 723 -0515.
Your Medical HMO Plan Benefits
Anthem Blue Cross
833-913-2236
Carrier Website: https://www.anthem.com/ca
Find A Provider: Search for Anthem providers
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Anthem Vivity HMO
Anthem Full HMO
How to Find an Anthem Provider
Anthem Plan Documents
Kaiser Permanente
800-464-4000
Carrier Website: www.kaiserpermanente.org
Find A Provider: Search for Kaiser providers
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Kaiser Traditional HMO
Kaiser Plan Documents
Your Medical PPO Plan Benefits
Anthem PPO (Premier $300)
Anthem EPO (Exclusive Classic $100)
How to Find an Anthem Provider
Anthem Plan Documents
Carrier Information
Anthem Blue Cross
800-888-8288
Carrier Website: https://www.anthem.com/ca
Find a Provider: Anthem network providers
Your Dental Benefits
Anthem Dental
- DHMO plan: you choose a primary care dentist and receive all of your care within the plan’s network — there is no out-of-network coverage. There is also no deductible or annual maximum benefit under the DHMO plan.
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High and Low plans: you can see any dentist you want, but you must first meet a deductible before coverage begins. These plans also include an annual maximum benefit. The differences between the High and Low plans is in the deductibles, annual maximums, out-of-network coverage, and orthodontic lifetime maximums.
Anthem Dental PPO
Anthem Dental HMO
How to Find an Anthem Provider
Carrier Information
Anthem Blue Cross
Carrier Website: https://www.anthem.com/ca
Find a Provider: Anthem network providers
Anthem Dental Enrollees
- Register Online: Visit https://www.anthem.com/ca to create your account.
- Group Number: 236578
DHMO Plan
- ID cards: Issued and mailed to home address.
- To select a primary care dentist or request a replacement card, call (800) 627-0004.
PPO Plan
- ID cards: Not issued. Providers verify coverage using your Social Security number
- Providers verify eligibility using your name and group number.
- To verify coverage or speak with a representative, call (877) 567-1804 and enter your Social Security number.
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Anthem Dental Contributions
Anthem Dental Rates Per Pay Period
Benefits 101
Your Vision Benefits
Anthem Plan Documents
How to Find an Anthem Provider
Carrier Information
Anthem Blue Cross
Carrier Website: https://www.anthem.com/ca
Find a Provider: Anthem network providers
Anthem Vision Enrollees
- Register Online: Visit https://www.anthem.com/ca to create your account.
- Group Number: 236578
- ID Cards: Not issued. Providers verify coverage using your Social Security number.
- For Assistance: Call (866) 723 -0515.
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Contributions
Vision Rates Per Pay Period
Find a Network Provider
You’ll get the best value by using a provider in the Anthem network.
Benefits 101
Your FSA Benefits
HealthEquity Plan Documents
Carrier Information
HealthEquity
Carrier Website: https://info.healthequity.com/Member/FSA
877-924-3967
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Your DCFSA Benefits
HealthEquity Plan Documents
Carrier Information
HealthEquity
Carrier Website: https://info.healthequity.com/Member/FSA
877-924-3967
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Your Prescription Drug Benefits
Prescription Drugs
All of the medical plans include retail and mail-order prescription drug coverage. Benefits are provided by:
- Anthem if you enroll in an Anthem medical plan. See how drugs are covered by Anthem. (To view the Essential Formulary, click on “Essential Drug List 4-Tier (Searchable).”)
- Kaiser Pharmacy if you enroll in a Kaiser medical plan. See how drugs are covered by Kaiser.
Your Telehealth Benefits
LiveHealth Online (for Anthem members only)
With our convenient LiveHealth Online benefit, you and your covered family members can see the doctor without leaving the house! It’s an affordable, easy alternative to urgent care and ER visits when you need non-emergency medical care.
Use it for:
- Sinus problems
- Urinary track infections
- Behavioral health needs
- Pink eye
- Bronchitis and flu/cough
- Upper respiratory infections
- Ear infections
- Much more
LiveHealth Online gives you 24/7/365 access to board-certified physicians who will consult with you by phone or via live video on your mobile phone or computer. LiveHealth Online physicians can provide fast, convenient diagnosis and treatment for many common conditions. To get started, simply set up an account on the LiveHealth Online website and you’ll be ready the next time you need care in a hurry!
Use it when:
- The doctor’s office is closed
- Your child has a fever at 2 AM
- You’re traveling or on vacation
- It’s after business hours or on weekends
- Your medical situation is not life-threatening
- You think you have the flu but feel too ill to leave the house
Telehealth (for Kaiser members only)
If you enroll in the Kaiser HMO plan, telehealth services are provided directly through Kaiser.
Your Health Advocate Benefits
Health Advocate
Member Services: 866-695-8622
E-mail: answers@HealthAdvocate.com
Website: www.healthadvocate.com/greendotpublicschoolsca
Smartphone App: Health AdvocateSM
Health Advocate Plan Documents
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Contributions
To perform at your best, you need a whole-person approach that provides physical, emotional, relational, and financial support.
This Health Advocate plan is complimentary; there is no cost to you!
Your STD Benefits
Carrier Information
Lincoln Financial
https://www.mylincolnportal.com (first-time users register with code: GreenDot)
Lincoln Financial Plan Documents
Contributions
Lincoln STD is 100% employer paid.
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Benefits 101
Your LTD Benefits
Carrier Information
Lincoln Financial
https://www.mylincolnportal.com (first-time users register with code: GreenDot)
Lincoln Financial Plan Documents
Contributions
Lincoln LTD is 100% employer paid.
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
Benefits 101
Your Life and AD&D Benefits
Carrier Information
Lincoln Financial
https://www.mylincolnportal.com (first-time users register with code: GreenDot)
Lincoln Financial Plan Documents
Contributions
Lincoln Life is 100% employer paid.
Eligibility
All active, regular full-time employees scheduled to work 30 hours or more per week are eligible the first of the month following your date of hire or coinciding with the current month in the Green Dot Public Schools’ benefits program.
