2023 Benefits

Medical Contribution Charts

Dental and Vision Contribution Charts

what is a hdhp?

  • HDHPHDHP stands for high-deductible health plan. HDHPs have grown in popularity as more employers offer the plans. A HDHP is the only plan that can be combined with a health savings account (HSA), allowing you to pay for certain medical expenses with money free from federal taxes.

    Until a member meets the deductible, a member will pay 100 percent of the out-of-pocket cost (except preventive care) for the services they receive. Once deductibles are met, all services are covered at the applicable cost share amount until the out-of-pocket maximum is met.

    Advantages of an HDHP

    • Lower premium. You’ll have lower paycheck deductions for health insurance.
    • Long-term savings potential. An HDHP paired with an HSA enables you to build a tax-free savings account to cover medical expenses or save for retirement.
    • SMUHSD will contribute to your HSA.  The District will help you meet your annual deductible by contributing money to your HSA.
      • SMUHSD will contribute:
        • Employee Only: $750
        • Employee + Child(ren): $1,500
        • Employee + Spouse/DP: $1,750
        • Employee + Family: $2,250
    • All the money in an HSA rolls over to the next year. This makes it easier to grow your account and pay for future medical expenses.

    HDHP Presentation
    Estimated Cost of Services
    HDHP FAQ

KAISER - SUMMARY OF BENEFITS

sutter health plus - health benefits

dental - summary of benefits

vision - summary of benefits

HSA vs FSA

District Incentives

  • Medical Waiver

    • Employees who have medical insurance coverage through another health insurance plan and who are eligible with the District, may opt out of coverage under the District's plan and receive an incentive at the end of the year in the amount of $1000.00 prorated by FTE. To be eligible, the employee must provide proof of health insurance coverage.

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  • Spousal Carve Out Incentive

    • Employees who have a spouse who is not enrolled on the District's medical insurance plan, but who is covered in another medical plan, will be eligible to receive $1,000 (prorated by FTE). The employee will need to supply Human Resources with proof of dependent (spouse) to receive the payout. 

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  • Student Loan Stipend (in lieu of FSA $400 match)

    • In lieu of the $400 IRC 125 (Health Flexible Spending Account) District match, the District will provide up to a $400 stipend to any employee who supplies proof that they have paid at least $400 during the 2022-2023 school year toward their student loan debt.

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