District Benefits: Faculty-Adjunct Employees
Benefits are only available to qualifying Faculty-Adjunct during Open Enrollment.
- The Fall 2023 Open Enrollment window was August 7th through August 23rd, 2023.
**In accordance with the terms of the collective bargaining agreement between the AVCFT and Antelope Valley College, Article IX, section 1.2.2.3: The District will pay 50% of the premium for any of the health insurance programs (medical ONLY) for adjunct faculty who have no other access to medical insurance and who are working at least 6.0 LHE or the equivalent load for non-classroom adjunct faculty (40% of full-time load). The District shall not be responsible for any portion of premiums for any period of time in which the adjunct faculty member is not working at least 6.0 LHE or 40% F/T load.
Health Plan Election Form:
Required Forms:
SISC Forms:
- SISC Membership Change Form
- SISC III Enrollment Form
- SISC Kaiser Form
- SISC Digital Signature Instructions
- SISC HIPPA Notice of Privacy
- SISC COBRA Notice
- Notice: Medical Insurance Benefits Provided to Domestic Partners as Taxable Income
Faculty Health Matrix:
Faculty Benefit Plans:
- Anthem Blue Cross Enrollment Guide
- Blue Cross PPO: 40463A - 100-A 20 Rx 5-20
- Blue Cross PPO: 40463B - 100-B 20 Rx 200/10-35
- Blue Cross PPO: 40463C - 80-C 20 Rx 5-20
- Blue Cross PPO: 40463D - 80-K 30 Rx 9-35
- HSA $5,000 Two-Tier: 70112B - 70%, $5k/$10k deductible, Rx 9-35
- Kaiser Enrollment Guide
- Kaiser HMO: 234480-0027 - 100% OV 10 Rx 10
- Kaiser HMO: 234480-0028 - 100% OV 20 Rx 10-20
- Navitus Plan Information
- Delta Dental 1: 7079 1300 - DD 2000; C 100/1500; 3rd Cleaning
- Delta Dental 2: 7079 1350 - PPO 1500
- VSP: 2606681A - Signature C $5, 2nd Pair
Contact Numbers
SISC Customer Service Contacts
Note: If you need to make changes to your health plan due to a qualifying event please contact Jim Firth, Human Resources Technician Benefits at ext. 6101 or jim.firth@avc.edu.