Documents | Green Dot Public Schools: California

Plan Documents and Legal Notices

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For a PDF of the Summary of Benefits and Coverage (SBC) for each of your benefit plans, click on the plan names below:

Coverages

Medical Plans

Anthem Vivity HMO Plan

Anthem HMO Plan

Kaiser HMO Plan

Anthem EPO Plan

Anthem PPO Plan

Dental Plans

MetLife DHMO Plan

MetLife High & Low Plan

Vision Plan

VSP Vision Plan

Flexible Spending Accounts

Health Care Account

Dependent Care Account

Income Protection

Life Insurance

Basic Life Insurance

Optional Life Insurance

Disability

Short-Term Disability (STD)

Long-Term Disability (LTD)

Rate Tables

Green Dot Public Schools Contribution Rates - CA

National & UPAS Contribution Rates Sheet

AMU and Home Office Contribution Rate Sheet

ACEA, School Site Admin and Classified (non-union) Contribution Rate Sheet

Legal Notices

Legal Notices