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2023-24 Health Information

PLAN YEAR: October 1, 2023, through September 30, 2024. The District offers eligible employees four Blue Shield PPO plan options and one HMO plan through Kaiser Permanente. Selection of carriers and/or administration plans selected by the District shall be subject to negotiations with the District's bargaining units.

IMPORTANT NOTE ON KAISER:  You must live or work in an approved Kaiser Service Area.  Columbia College employees are not eligible unless they live in one of these service areas.  To see if you qualify, you can access Kaiser's directory at:

YCCD's benefits are administered through SISC III (Self Insured Schools of California) which is one of the largest school-focused health care pools in California.



SISC Change Form (address, name, adding/removing a spouse and/or dependent children)

Kaiser Enrollment Form

Blue Shield Enrollment Form

Premium Only Plan (POP) Form (required for 80%-C, 90%-G, or 100%-D plan choices)

Blue Shield Claim Form

Flex Spending is managed through Navia Benefits Solutions.  Contact the Payroll Department at 209-575-6538 for more information.


2023-2024 Health Plan Comparison 

Please review the 2023-24 Health Plan Comparison Sheet for comparison of plan services, co-payments, and deductibles. Plan summaries are available by selecting corresponding links below.

2023-24 Health Plan Comparison Sheet (with rates) - effective 10/01/2023

Health Plan Election Form - ALL ACTIVE EMPLOYEES - effective 10/01/2023


Health Plan Summaries

Evidence  of  Coverage

(SBC Forms)


Cost per Month



2023-24 Kaiser HMO Summary

2022-23 EOC/SBC

$0.00 (YCCD Paid) 


2023-24 Blue Shield PPO 80%-G

2022-23 EOC/SBC

$0.00 (YCCD Paid) 


2023-24 Blue Shield PPO 80%-C

2023-23 EOC/SBC

$202.00 (2022-23)


2023-24 Blue Shield PPO 90%-G

2022-23 EOC/SBC

$232.00 (2022-23)


2023-24 Blue Shield PPO 100%D

2022-23 EOC/SBC

 $329.00 (2022-23)


Prescription Benefit information for Blue Shield PPO Plans.


COBRA Benefits 

COBRA benefits may be available for employees leaving the District who do not qualify for Retirement Benefits. 

SISC III, our Benefits Administrator, will mail COBRA correspondence to eligible participants regarding the continuation of medical, dental and/or vision coverage. This should arrive via certified mail following the cancellation of your benefits.  Please respond to SISC within their election period for continuation of coverage to avoid lapse in benefits.


2022-23 COBRA and Super Composite Rates (actual rates may very - this is for information only)



ALSO! Outpatient Treatment for Arthroscopy, Cataract Surgery, Colonoscopy, Upper GI: Value Based Site-of-Care Benefit


Do you have an upcoming surgery for:

     Knee Replacement?  Hip Replacement?  Spinal Fusion?

Check out CARRUM Health


Employee Assistance Program

Blue Shield PPO and Kaiser members may take advantage of six free counseling sessions through the Employee Assistance Program.

To access the EAP benefits, you may call 800-999-7222 or visit

Behavioral Health Benefits are administered through your health plan. Contact your health plan's Member Services numbers listed below to access counseling benefits.


Plan Contact Information

Locate providers, forms, view claims and eligibility.

Blue Shield PPO
Member Services: 1-855-256-9404
Need your Blue Shield card right away?  See more info here or call 1-800-393-6130.
   Costco Prescription Forms:
    - Mail Order Registration
    - Mail Order Form
Member Services: 1-866-333-2757
BIN#: 610602
   Navitus Prescription Forms:
   - Navitus Booklet
   - NaviGate
Member Services: 1-800-464-4000

Kaiser Chiropractic Provider Network: American Specialty Health 1-800-678-9133