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:

• Claim Forms (Delta Health Systems)
• Plan Summary
• Plan Document
• Service Providers
• Prescription Summary
• TCSIG Enrollment/Change Form (Submit form to YCCD HR Office for processing)

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.

Documents

• Active Employee Certificate

• Retired Employee Certificate

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)

Mobile: 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/457 Plans- Envoy:

Contact:

George Tarwater, Registered Representative
Zuk Financial Group
1195 Park Avenue, Suite 205
Emeryville, CA 94608

Toll Free: 800-660-6291
Office Phone: 510-547-8900 Ext 102
Fax: 510-547-8987
Cell: 530-370-0223
gtarwater@zukfinancial.com

Health Savings Account (top)

Sterling HSA

Contact:
Cinnamon Trimpey
2009-2010 North Valley AHU President
Sales Director, Northern California

Health Services Administration
475 14th Street, Suite 650
P.O. Box 71107
Oakland, CA 94612
www.SterlingHSA.com

Cell: 530-520-1182
Toll Free:  800-617-4729 ext. 244
Fax: 916-415-7058

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
  

Documents