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Payroll & Health Benefits


Commonly Used Forms:

Direct Deposit Form

Request for 12-Month Pay Option - CSEA

Federal Form W-4

State Form W-4

If you want your State and Federal withholding allowance to be the same only Federal Form W-4 is required.

If you want your State and Federal withholding allowance to be different both State and Federal Form W-4 is required.

Links for Retirement Information:

California State Teachers' Retirement System (CALSTRS)

California Public Employees' Retirement System (CALPERS)

NBS (National Benefits Services) Third Party Administrator

Mid America (APPLE Plan)


Time Card Info

Click here for info


Maternity/Paternity Leave Information

Click here for Maternity Info

Click here for Paternity Info


Health Benefits

 Two new medical plans effective January 1, 2018.  Information below:

  • Kaiser Bronze

     Plan Summary

  • Western Health Advantage (WHA) Premiere 2

     Plan Summary

     Rx Summary

     WHA Service Area


Please review the information contained below on available health benefits.

Active Rates 2017-2018 - rates effective January 1, 2018 - December 31,2018 

Glossary of Health Coverage and Medical Terms

Health Care Reform

We would like to take this opportunity to describe and explain the improvements made to several of our group health plans as required under Health Care Reform. It is important that you review and share this communication with your family... Read More



BenefitBridge is a program for benefit eligible employees to use to find information about the dental, vision and /or medical plans that they are currently enrolled into or who is enrolled in their plan. Click here to access the BenefitBridge Website.  The website performs best in Google Chrome.

BenefitBridge Registration Instructions

Need help using BenefitBridge:
Call BenefitBridge Support at (800) 814-1862
Monday thru Friday 8:00 am – 5:00 pm (PST)
Or email



Kaiser Permanente

Plan Summaries:

2017 - Traditional Benefit Summary - 1/1/17 - 12/31/17 - no new enrollments as of April 2016.

2017 - Low Benefit Summary - 1/1/17 - 12/31/17

2017 - Deductible HMO Benefit Summary - 1/1/17 - 12/31/17 (plan terminating 12/31/17)

2017 - 2700 HSA Benefit Summary - 1/1/17 - 12/31/17

2017 Sample Fee List

2017 Specialty Drug List

Enrollment Form

    Contact Membership Services
    (800) 464-4000


    Anthem Blue Cross with MCSIG

    Plan Summaries:

    2017 - PPO $25 Benefit Summary

    2017 - PPO $60 Benefit Summary

    2017 - EPO $30 Benefit Summary

    2017 - Express Scripts National Formulary

    Enrollment Form

    Member Services

    (831) 755-8055

    (800) 287-1442

    Monday - Friday 7:00 a.m. - 6:00 p.m.




    Delta Dental


    Administered by CVUSD

    Delta Dental of California
    PO BOX 997330
    Sacramento, CA 95899-7330
    (866) 499-3001

    Plan Summaries:

    High Option - Required 3 year Commitment

    Mid Option - Employee Default

    Low Option

    Enrollment Form

     There are no membership cards for Delta Dental. Give your provider the SSN and DOB of the enrollee receiving services.



    Vision Service Plan (VSP)


    Administered by CVUSD

    Customer Service
    (800) 877-7195
    Monday thru Friday 5:00 am - 7:00 pm (PST)

    Plan Summaries:

    Buy Up Plan

    Base Plan

    Enrollment Form

    Provider Choices

    Laser Discount Program

    Contact Lens Care Program Member Flyer

      There are no membership cards for VSP.  Give your provider the SSN and DOB of the enrollee receiving services.


      Business Services

      Assistant Superintendent of Business Services

      (510) 537-3000 ext. 1212

      Director of Business Services
      (510) 537-3000 ext. 1223




      Certificated Payroll
      (510) 537-3000 ext. 1233

      Classified Payroll

      (510) 537-3000 ext. 1239

      Position Control

      (510) 537-3000 ext. 1288

      Health Benefits

      Employee Benefits
      Robin H. Yearby
      (510) 537-3000 ext. 1231