Employee Benefits

Click on a link below to get more information. If you have general questions about employee benefits please send email to Maribel Gaytan.

Frequently Asked Questions

Medical: (top)

Tri-Counties School Insurance Group
1445 Butte House Road , Suite A
Yuba City , CA 95993

Phone: 530-822-5299
Fax: 530-822-5284

Links and Resources:

• Plan Summary
• Plan Document
• Service Providers
• Medical Claim Form
• Prescription Summary
• Prescription Claim Form
• Additional Claim Forms

Dental: (top)

Links and Resources:

• Delta Dental
• Delta Premier Plan
• Dental Claim Form

Vision: (top)

Links and Resources:

• Vision Service Plan
• Plan C Benefits
• Vision Claim Form

Life Insurance: (top)

Prudential Financial
290 W. Mt. Pleasant Avenue
Livingston , NJ 07039

All Yuba Community College District permanent, full-time employees are covered by a $50,000 Basic Plan. The plan covers: Basic Term Life Insurance, Accidental Death and Dismemberment (AD&D), and Dependent Life Insurance.

Section 125 Plan: (top)

AFLAC

For enrollments or service, please call:

Jody Fleming | District Sales Coordinator
CA Insurance License # 0F73254
An Independent Agent Representing Aflac
California-North/Nevada-North
American Family Life Assurance Company of Columbus (Aflac)

Mob: 530.415.6123 | Office/Fax: 530.740.1200
610 C Street, Suite B, Marysville, CA 95901

jody_fleming@us.aflac.com | aflac.com

Policy Resources:

• Aflacts.pdf
• Personal Disability Income Protector.pdf
• Personal Accident Indemnity Plan.pdf
• Personal Cancer Indemnity Plan.pdf

Visit: www.aflac.com > Policyholder Services

1. Access your policy information.
2. Download claim forms and check your claim status.
3. Update your contact information.
4. Access policy change forms.
5. Enroll in and manage Aflac Always policy protection.
6. Find your Aflac associate’s contact information.

Flexible Spending Account Resources:

• FSA Participant Resource Guide.pdf
• Pre-tax Savings Example.pdf
• FSA Direct Deposit Form.pdf
• FSA Request for Reimbursement Form.pdf

Other Documents

• AFLAC Q & A Document.pdf
• Plan Summary Document (2 pages)
• Salary Redirection Agreement form

403b and Long-Term Care Plans: (top)

TBA

For more information on Nationwide Financial 403b plans, contact:

Contact:
TBA

Health Savings Account (top)

Sterling HSA
1-510-326-8207 (Local Office)

Contact:
Michael Maganis

Employee Assistance Program: (top)

Employee Assistance Program Human Behavior Associates

Phone: 1-800-937-7770

TB Information: (top)

Links and Resources:

• TB Information - Prospective Employee
• TB Information - Current Employee