Open Enrollment is During the Month of November  

In November, employees who are eligible for health coverage can change their medical plan enrollment, add coverage for themselves and/or dependents not previously enrolled in coverage; or in some cases, decline coverage.

All open enrollment changes, additions, and declinations of coverage are effective January 1st of the following calendar year.  Employees who wish to make a change must complete, sign, and submit a MCISG Change Form to Human Resources before November 22nd (see "Forms" below).

Hartnell College provides health coverage through  (MCSIG) Municipalities, Colleges, and Schools Insurance Group).

Full-time employees may select from a menu of medical plan options offered by MCSIG (all eligible employees are covered by the dental & vision plan). The District pays 100% of full-time employee premiums, and 95% of dependent premiums - up to the cost of coverage for MCSIG's Medical PPO $25 plan (aka the "base plan").  

Employees who elect coverage totaling less than the "base plan" coverage may receive the difference in cost (up to $200/month) as a contribution into their Health Reimburement Account.  (See below "District Health Benefits Overview" and visit our Section 125 & HRA webpage for more information.)

 Coverage is designed to emphasize wellness and preventative care, and includes the following programs:

  • Anthem Blue Cross Medical coverage (see below "Plan Information")
  • TelaDoc  24-hour, On-Call, Telephonic physician coverage (Mobile App Download)
  • BridgeHealth Deductible-free, Medical/Surgical coverage 
  • Express Scripts Prescription coverage
  • Delta Dental Dental coverage (Medium Level with Orthodontia, plan #7104-2198)
  • VSP Vision coverage (Medium Level, plan "B")
  • Epic Hearing Hearing health coverage
  • CHPC Chiropractic coverage 
  • MHN Behavioral Health and Employee Assistance Program
  • Section 125 Health Care Expense & Child Care Expense Reimbursement program
  • Wellness Incentive Programs: Fitness Center Discounts, Healthy Weight Incentive, & more!
  • Life Insurance coverage from Prudential Financial (employees only)
  • Long-term disability income plan through UNUM (employees only)
  • Accidental death and dismemberment coverage (employees only)


See: MCSIG Eligibility Rules for confirmation of required forms & documentation

  • MCSIG Change Form (pdf)
    • Any employee who declines medical coverage MUST submit documented proof of other coverage (i.e., copy of medical ID card, or other certification of coverage) with the completed Declination form. 
    • CSEA unit members may not decline coverage, per collective bargaining agreement.
    • (Declination section on page 2 is REQUIRED if any coverage for the eligible employee and/or dependents is waived)
  • NEW as of 2018! - MCSIG Complete Care Enrollment Form (pdf)
  • NEW as of 2018! - MCSIG Complete Care Attestation Form(pdf)
    • Both above forms are required WITH the MCSIG Change form for Complete Care enrollment.
  • MCSIG New-Hire/Enrollment Form (pdf)
    Documents verifying dependent status is required for all enrolled dependents (see above "MCSIG Eligibility Rules"). 

Webpage last updated: 8/9/18

Who to contact

Human Resources Specialist
Phone: (831) 770-6166; FAX: (831) 755-6937
D - College Administration (North)
Office: Room 110
Building: College Administration (North)