District Benefits: Faculty-Adjunct Employees
Benefits are only available to qualifying Faculty-Adjunct during Open Enrollment.
- The Fall 2024 Open Enrollment window was August 1st through August 21st, 2024.
**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.
If you need to make changes to your health plan due to a qualifying event please contact Jim Firth in the Office of People, Culture and Talent at ext. 6101 or benefits@avc.edu.
Health Plan Election Form:
Required Forms:
SISC Forms:
- SISC Membership Change Form
- SISC III Enrollment Form
- SISC Kaiser Enrollment 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 | Summary | SBC | Plan Document
- Blue Cross PPO: 40463B - 100-B 20 Rx 200/10-35 | Summary | SBC | Plan Document
- Blue Cross PPO: 40463C - 80-C 20 Rx 5-20 | Summary | SBC | Plan Document
- Blue Cross PPO: 40463D - 80-K 30 Rx 9-35 | Summary | SBC | Plan Document
- HSA $5,000 Two-Tier: 70112B - 70%, $5k/$10k Deductible, Rx 9-35 | Summary | SBC | Plan Document
- Kaiser Enrollment Guide
- Kaiser HMO: 234480-0027 - 100% OV 10 Rx 10 | Summary | SBC | Plan Document
- Kaiser HMO: 234480-0028 - 100% OV 20 Rx 10-20 | Summary | SBC | Plan Document
- Navitus Plan Information
- Delta Dental 1: 7079 1300 - Incentive Plan DD 2000; Adult & Child Ortho 100/1500; 3rd Cleaning | Summary
- Delta Dental 2: 7079 1350 - PPO 1500 | Summary
- VSP: 2536/64253ACN - Signature C $5, 2nd Pair | Summary
Contact Numbers