Open Enrollment for 2019 Coverage is Closed 

From November 5th to November 28th, 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 2019.  Employees who wish to make a change must complete, sign, and submit a MCISG Change Form to Human Resources before November 28, 2018 (see the "Forms" section 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 "Active Employee Insurance Cost Comparison Chart," and  "District Health Benefits Overview").  For more information, visit our Section 125 & HRA webpage by clicking the link on your left.

 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 (EE only) from Prudential Financial
  • Long-term disability income protection (EE Only) through MetLife (eff. 12/1/2018)
  • Accidental death and dismemberment coverage (employees only)


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

  • MCSIG Change Form (pdf fillable)
    • 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 medical coverage, per collective bargaining agreement.
    • (Declination section on page 2 is REQUIRED if any coverage for an eligible employee and/or dependents is waived)
  • MCSIG Complete Care Enrollment Form (pdf)
  • MCSIG Complete Care Attestation Form(pdf)
    • Both above forms are required WITH the MCSIG Change form if enrolling in Complete Care.
  • MCSIG New-Hire/Enrollment Form (pdf)
    Documents verifying dependent status is required for all enrolled dependents, including Domestic Partners (see above "MCSIG Eligibility Rules"). 

Webpage last updated: 1/10/19

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)