Full Plan Booklet

Understand your healthcare coverage.

Using Your Plan

Your benefits are explained in the Fresno Unified School District Employee Health Care Plan Booklet. The full plan booklet is very detailed, so in the interest of making it easier for you to get the information you need, the Joint Health Management Board (JHMB) has also compiled a Benefits Information Guide for full-time employees, amendments for changes to the plans, and important excerpts from the booklet to help you navigate your plan.

Benefits Information Guide

For full-time employees, the Benefits Information Guide is your initial resource to understanding and selecting the best benefit options for you and your family. We encourage you to review this booklet in its entirety. The guide reflects the plan information from the date it was published. Please review the “Plan Amendments” section below for the latest updates.

Do you still have questions? You may contact the Benefits Department at (559) 457-3520.

Plan Excerpts

Along with the Benefits Information Guide, the following excerpts from the Full Plan Booklet may help you with specific questions.

If you are a Plan C enrollee, review the Kaiser Permanente® Evidence of Coverage brochure below.

Delta Health Systems gives you the option to receive electronic Explanation of Benefits (EOB). Follow the instructions in the directions below to opt-in to receive electronic copies only. Delta Health Systems also provides a guide to understanding your EOBs.

As part of the health care reform law, the government established a health plan information document called the Summary of Benefits and Coverage (SBC). The SBC will help you understand and compare different medical plan options. It provides an easy-to-understand overview of each medical plan in a standard format.

Each SBC is based on the plan option that you are currently enrolled in, i.e., Plan Option A (PPO), Plan Option B (PPO), or Plan Option C (Kaiser Permanente HMO). If you would like to review the SBC for a different plan option, you may request one from Delta Health Systems, Kaiser Permanente or the District’s Benefits Office, or you can download all three SBCs below. You will also receive a SBC with your open enrollment materials each year and can request a SBC at any time.

The Summary of Benefits and Coverage includes two parts:

  • Benefits and coverage information
  • Coverage examples
2023 Summaries of Benefits and Coverage

If you are enrolled in Plan Option C, the following Kaiser Evidence of Coverage booklets provide detailed plan information for the Kaiser Permanente® Deductible HMO Plan. As a plan participant, you should review these booklets in addition to the Full Plan Booklet to familiarize yourself with all of the provisions offered through the District.

2023 Summaries of Benefits and Coverage

Full Plan Booklet

If you want more clarification into your benefits after reading through the Benefits Information Guide, we suggest reading through the official healthcare plan booklet.

Plan Amendments

Frequently Asked Questions

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I agree to represent my school/department as the Wellness Champion for this school year. I understand the outlined roles and responsibilities of the Wellness Champion and will assist in the implementation and coordination of wellness initiatives. I agree to not only support the WellPATH Employee Wellness program by my participation, but to collaborate with my local management team to support the initiatives as well. I understand that the success of the program hinges on all employees being empowered to make informed decisions that positively impact their health. The WellPATH program can count on me to be a messenger and motivator and to help gather information from my co-workers, principals and managers to help foster a culture of wellness within Fresno Unified School District that supports good health.

I also understand that I may be asked to assist in scheduling rooms and programs (including wellness screenings, seasonal influenza program) at my location, displaying WellPATH brochures, posters, etc. in appropriate areas, and encouraging my co-workers to be involved in the WellPATH Employee Wellness program.

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All WellPATH-sponsored activities are open to active employees, spouses, domestic partners, dependent children age 18+, early retirees, and Medicare-eligible retirees covered under the District’s health benefit plan.
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