Employee/Career Resources

Employee Resources

• Employee Accident/Incident Report Form

• Schoolworks

• Google Mail Access

• ParentSquare

• Tech Ticket

• Worker's Compensation Fact Sheet

• OMNI 403b Annual Notice

• OMNI 403b Salary Reduction Agreement (SRA)

• OMNI Max 2022

• Optum Health Savings Account (HSA) SRA

• Optum HSA Guide

• W-4 Federal Tax Withholding Form

• State Tax Withholding Form

• Employee Guide to FMLA Leave

• Evaluation of the Superintendent Rubric (Blank)

• Superintendent Evaluation.

• Board Member Self-Evaluation (Blank)

Employee Contracts

• ABEA Contract

• Teachers Overage Form

• PHACE Agreement

• Edjoin Link

Salary Schedules

• Certificated Elementary School Principal 21-22

• Certificated Middle School Principal 21-22

• Certificated Teachers 21-22

• Certificated Management, VP, Coordinator, School Psychologist, Program Specialist 21-22

• Classified Business Manager 21-22

• Classified Confidential Hourly 21-22

• Classified Hourly 21-22

Benefits Waiver Form

• SIG Waiver Form

• SIG Enrollment/Change Form

Open Enrollment Medical Summaries

Kaiser Traditional HMO Plan

Kaiser HSA-Qualified High Deductible Plan

Sutter Health 1500/3000

Sutter Health HD18 2500/5000

Sutter Health HMO

Western Health 1800/0/0 HDHP HMO

Western Health 2800/40/500 HDHP HMO

Western Health Premier 0/20/0 HMO

Benefit Guide 21-22

Benefit Guide Booklet

Benefit Guide 22-23

Benefit Guide Booklet

PHUSD Summary Plan Description - SPD

PHUSD Summary Plan Description-SPD

Western Health Advantage

• WHA Premier 25 HMO Plan Summary

• Western 1800 HMO Plan Summary

• Western 2800 HMO Plan Summary

Blue Shield

Only available to employees living outside the service area. Please contact the District Office for more information.

• Blue Shield BSC Trio

• Blue Shield BSC 2700

• Blue Shield BSC 4000

Benefit Caps

• Certificated CTA/Mngmt CAP Breakdown 21-22

• Certificated CTA/Mngmt CAP Breakdown 22-23

• Confidential CAP Breakdown 21-22

• Confidential CAP Breakdown 22-23

• Classified CAP Breakdown 21-22

• Classified CAP Breakdown 22-23 pending Board approval in May

Kaiser Permanente

• Kaiser High Deductible Plan Summary

• Kaiser Traditional Plan 25 Co-Pay Plan Summary

Sutter Health Plus

• Sutter Health HMO Plan Summary

• Sutter High Deductible 1500-3000 Plan Summary

• Sutter High Deductible 2500-5000 Plan Summary

Affordable Care Act

Below are the required notifications under the Affordable Care Act (ACA). Please review the documents for more information on the Health Insurance Marketplace.

• Health Insurance Marketplace Coverage

Dental & Vision

• Delta Dental IB - Active Employees

• Delta 2B - Retired Employees

• Vision (VSP) Plan