Employee/Career Resources
Employee Resources
Employee Resources
- Certificated Sub. Line Procedure
- Employee Accident/Incident Report Form
- Schoolworks
- Certificated Staff Training Opportunities
- Google Mail Access
- ParentSquare
- Tech Help Request
- Worker's Compensation Fact Sheet
- OMNI 403b Annual Notice
- OMNI 403b Salary Reduction Agreement (SRA)
- Optum Health Savings Account (HSA) SRA
- Optum HSA Guide
- W-4 Tax Form
Employee Benefits Information
Employee Benefits Information
A summary of each medical plan offered is listed below. Depending on which scenario you select, check the applicable rate sheet to determine your monthly premium cost. It is possible to waive benefits if your spouse does not work for the District and has a plan that works better for you. Remember that waiving your benefits means that you will have no dental or vision.
Benefits Waiver Form
Benefits Waiver Form
Benefit Guide 18-19
Benefit Guide 18-19
Dental & Vision
Dental & Vision
Western Health Advantage
Western Health Advantage
- WHA Enrollment Form
- WHA Premier 20 HMO Plan Summary
- Western 1800 HMO Plan Summary
- Western 2800 HMO Plan Summary
Blue Shield
Blue Shield
Only available to employees living outside the service area. Please contact the District Office for more information.
Benefit Caps
Benefit Caps
- Certificated/Management Cap Breakdown 18-19
- Certificated/Management Cap Breakdown 19-20
- Confidential Cap Breakdown 18-19
- Confidential Cap Breakdown 19-20
- Classified Cap Breakdown 18-19
- Classified Cap Breakdown 19-20
Kaiser Permanente
Kaiser Permanente
- Kaiser High Deductible Plan Summary
- Kaiser Traditional Plan 20 Co-Pay Plan Summary
- Kaiser CA Group Election Form
Sutter Health Plus
Sutter Health Plus
- Sutter Health Enrollment Form
- Sutter Health Service Area Map
- Sutter Health HMO Plan Summary
- Sutter High Deductible 1500-3000 Plan Summary
- Sutter High Deductible 2500-5000 Plan Summary
- Sutter Health Chiropractic & Acupuncture Schedule of Benefits
Affordable Care Act
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.
Placer Hills Union School District
Placer Hills Union School District
16801 Placer Hills Rd. Meadow Vista, CA 95722
Phone: (530) 878-2606, Fax: (530) 878-2663