Certificated K-12 Employees Outline of Benefits
Classified Hourly Employees Outline of Benefits
Hour-Time Employees Outline of Benefits (non-education)
Exempt Employees Outline of Benefits

Payroll Schedule 2024
Holiday Schedule 2024
Treasurer's Workshop Presentation on ACA compliance

• Health Exchange Notice
  Opt Out
  Spouse Eligibility Worksheet
  
  Adventist Risk Management  ARM Reimbursement Form
   Portal to View Employee Claims
   To Find a Provider Click Here
  
  Ascend to Wholeness Healthcare Plan Medical pre-certification required for out-of-network care.  Preferred provider network (Aetna Signature Administrators PPO), it's important to note that as of 2018 all non-emergency, out-of-network care requires pre-certification. Find a Provider 
  
     Enrollment Form
     Open Enrollment Platform
     Change Form
    2023 Schedule of Benefits
    Plan Highlights
     Wellness Portal Login  -- members can manage, enter and track activities points
  
     Summary of Benefits and Coverage (SBC) - Accelerate Plan
     Summary of Benefits and Coverage (SBC) - Access Plan
     Summary Plan Document 
     Exchange Notice on the AscendToWholeness.org website.

Overview of HCAP and Dental Benefits

Delta Dental -  
   Enrollment Application
   Schedule of Benefits

   Mobile App flier
   Stay Connected flier

Where's my ID card?

Delta Dental has partnered with Amplifon for Hearing HealthCare and QualSight for Lasik

Get Started flier
amplifon flier
Qualsight flier

Health Care Assistance Plan (HCAP)
   Enrollment Application
   Reimbursement Request
   Schedule of Benefits

Kaiser HMO - Medical and Mental Health Insurance: each enrolled member receives a card with their name
   Enrollment/Change Form
   Chiropractic Benefit 
   Find a Chiropractor Link
   Kaiser Benefits Summary
   Kaiser Schedule of Benefits 2024
Kaiser Overview Slides
   Mobile App Flier
   Online Mobile Tools Flier
   Registration My Health Manager Flier
   Advice Nurse Flier
   Physician Telephone Appointment Flier
Kaiser Away From Home Resources:
Getting Care Away From Home Brochure
More Care Options Away from Home
Telehealth & Away from Home

Chiropractic

ARM Members -- Alternative therapies does not require PPO network utilization
Alternative therapies have a collective limit of 45 alternative therapy visits per Plan Year; no single therapy category to exceed 30 visits per Pan Year.  

Alternative therapies are as follows:
1) Chiropractic Services, limited to spinal manipulation after annual office visit and X-ray
2) Acupuncture Therapy, must be age 18 or older

Kaiser Members have continued access of Chiropractors in the American Specialty Health network
Chiropractic coverage is provided by American Specialty Health Insurance Company (ASHN). Chiropractic coverage is only available by contracted
providers with ASHN.

There is no out-of-network chiropractic coverage available.
Click here to find a chiropractor in your area.

40 visits per year
$15 copay per visit

Legal Shield - rep to call is John Hofmann 619-719-7826 for more information
   Enrollment for Legal Protection and Identity Theft   
   http://www.legalshield.com/info/seccsda

HealthEquity - Flexible Spending Account
   Flexible Spending Account Enrollment  any questions participants can call 800-950-0105
   Flyer Flexible Spending Account
Flexible Spending Account Standard Flyer
Dependent Care FSA
  Link to HealthEquity https://www.healthequity.com/fsa-qmem

Pets Best - Pet Health Insurance
North American Division of SDA Pet Insurance | Pets Best
Pets Best Benefits Overview

Anonymous Counseling Providers - Pastors, Teachers, Office Employees and Their Families

Automobile Insurance Assistance Policy

CA COVID-19 Supplemental Paid Sick Leave

Employment Application

Employment Application, Certificated

Travel Expense Report

Office Worker Travel Request

Orientation Contact Info

Pastor Travel Request (this form is to be submitted to the President's Office for processing)

Vacation Application, Exempt Employees

Application, Non-Education

Application, Education (Teachers and Principals)

Church Membership Verification Form

Employee Information Form

AB506 for Employees

Live Scan Request Form

Certifix Website

Certifix Account Flyer

I-9 Employment Eligibility Verification

I-9 Employment Eligibility Verification Instructions

DE-4 2024

W-4 2024

Direct Deposit Slip

Conflict of Interest
Statement of Ethical Foundations

Background Check Authorization Form

Forms
 Church Safety Self Inspection Form
Church Safety Self Inspection Guide
Job Hazard Assessment Survey
Employee Safety Information Form
Workplace Safety Reporting Form
  
Resources & Workers Compensation
 Injury and Illness Prevention Program - 2022
SECC Disaster Preparedness Guide
SECC 10 Safety Rules
Safety Officer- Summary of Responsibilities
Ladder/Step Ladder Safety Training
Employer's Report Occupational Injury or Illness - 5020
Employee's Claim for Workers' Compensation Benefits - DWC-1

Links

Adventist Risk Management Safety Webinars

Adventist Risk Management Church Safety Officer Resources
SECC Risk Management/General Resources Website
American Red Cross Website
Safety video

Find Occupational Medicine Provider

2024 Holiday Schedule
2024 Payroll Schedule
Personnel Action Request (PAR)
Cost Breakdown 2024
Job Description Instructions
Time Card for Auxiliary Staff

Employment Application
Employment Application - Certificated

Volunteers

This form must be completed by any person who wishes to volunteer for or assist with a church position or activity such as, but not limited to Sabbath school teacher, Pathfinders, etc.

Volunteer Background Screening- Sterling Volunteers