Employee Benefits

HEALTH INSURANCE
OPEN ENROLLMENT September 1, 2021 through September 30, 2021

Medical Health Insurance is administered by CALIFORNIA’S VALUED TRUST and provided by Anthem Blue Cross.

Dental, Vision and Life Insurance is administered by Kansas City Life Insurance Company.

2022/23 Benefit Plan Matrix
Plan: WELLNESS, HDHP, BRONZE

2022/23 Benefit Plan Matrix
Plan: PPO 7C, PPO 8C, PPO 9C, PPO 10C


Premium Rates 2022/23
10 month/11 month/12 month

CVT MD Live

CVT Enrollment/Change Form

CVT Disabled Dependent Certification

CVT Declaration of Domestic Partnership

Termination of Domestic Partnership

PRESCRIPTION MEDICINE COVERAGE

CVS/Caremark Standard Claim Form

CVS/Caremark Secondary Claim Form

CVS/Caremark Mail Order Pharmacy Form

LAB SERVICES

LabCorp is the preferred provider for services in South Lake Tahoe and Nevada. LabCorp: 1625 SR88 #102, Minden, NV 89423  Tel: (775) 782-4532.

Quest Diagnostics is the preferred provider for services within California and outside South Lake Tahoe.

DENTAL INSURANCE

Dental insurance is administered by CVT and provided by Kansas City Life Insurance 

Member Assistance: (77) 266-6767 ext. 8200 – Have your Group# and ID# ready

Email: [email protected]

website: www.kclgroupbenefits.com 


VISION INSURANCE

Vision insurance is administered by CVT and provided by Kansas City Life Insurance 

Member Assistance: (77) 266-6767 ext. 8200 – Have your Group# and ID# ready

Email: [email protected]

website: www.kclgroupbenefits.com 


LIFE INSURANCE

Vision insurance is administered by CVT and provided by Kansas City Life Insurance
Forms can be obtained at www.cvtrust.org/resources/forms

Member Assistance: (77) 266-6767 ext. 8200 – Have your Group# and ID# ready

Email: [email protected]

website: www.kclgroupbenefits.com

Beneficiary Designation Form


RETIREMENT PLANS:

CAL STRS Link to Website

CAL PERS Link to Website

For questions about employee benefits, please contact:

Karla Aguirre
Tel: (530) 541-2850 ext. 1041
Email:  [email protected]

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