Business Services / Payroll & Benefits
PAYROLL & BENEFITS
Payroll Forms | Contact | ESS Login | Retirement System | Anthem Blue Cross | Kaiser Permanente | Delta Dental | Vision Service Plan (VSP)
BENEFITS
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Employee Self-service Online Enrollment and Changes, go to https://www.workterra.net
Must complete enrollment within 30 days of hire date or a qualifying (life changing) event If you need any help, click here to view the Instructions. 
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2019 Matrix Rates (Medical, Dental, and Vision)
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KAISER PERMANENTE BENEFIT SUMMARY AND EOC
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ANTHEM BLUE CROSS
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MTA CTA Certificated Adult Ed
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Affordable Care Act (ACA)
| 2019 Matrix Rates (Self-Pay ACA) KP Low Plan |
Affordable Care Act Marketplace Insurance:
New Health Insurance Marketplace Coverage Options and Your Health Coverage
www.dol.gov/sites/default/files/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees.pdf
New Health Insurance Marketplace Coverage Options and Your Health Coverage:
https://www.dol.gov/sites/default/files/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-do-not-offer-a-health-plan.pdf
www.dol.gov/sites/default/files/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-offer-a-health-plan-to-some-or-all-employees.pdf
New Health Insurance Marketplace Coverage Options and Your Health Coverage:
https://www.dol.gov/sites/default/files/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/model-notice-for-employers-who-do-not-offer-a-health-plan.pdf
COBRA Continuation (optional, self-pay premium) must enroll within 60 days of eligibility period. COBRA is not an automatic enrollment:
https://www.dol.gov/sites/default/files/ebsa/about-ebsa/our-activities/resource-center/faqs/cobra-continuation-health-coverage-consumer.pdf
https://www.dol.gov/sites/default/files/ebsa/about-ebsa/our-activities/resource-center/faqs/cobra-continuation-health-coverage-consumer.pdf
Monthly Premium Calculation (MTA CTA, exclude MTA Adult Ed, CSEA and Management)
Work hours conversion into percentage: divide your 4 hours per day by 8 hours = 50% Full-time equivalent (FTE). This is your base to multiply from the district's medical cap (see example above), dental and vision premiums. Employee's monthly pro-rated contribution is the difference between monthly premiums minus Employer's = Employee's (see example below).
- 100% Full time employee (FTE) Medical Cap eligibility is up $920.87
- **Part time (between 50% and 99.99%), employee Medical Cap is pro-rated. For example, if employee works 4 hours or 50%, then, the medical cap is calculated as follows: $920.87 x 50% = $460.44 monthly District medical pro-rated contribution. Employee pays the difference between the district's and the premiums. **
- 100% Full time employee Delta Dental and Vision Service Plan, the District pays for the monthly premiums
- **Part time (between 50% and 99.99%), Delta Dental and Vision Service Plan is calculated as follows: $Premium x .50% = district's monthly contribution. Employee pays the difference between the district's and the premiums. **
Work hours conversion into percentage: divide your 4 hours per day by 8 hours = 50% Full-time equivalent (FTE). This is your base to multiply from the district's medical cap (see example above), dental and vision premiums. Employee's monthly pro-rated contribution is the difference between monthly premiums minus Employer's = Employee's (see example below).
See the following pro-rated sample calculation based on .50% FTE and Kaiser Single High plan.
- Please be advised that pro-rated contribution will be deducted from your normal pay check. If you do not have normal pay, you MUST remit your monthly contributions during those months to MUSD by the 1st of that month (usually during summer months, June-Aug, July, or July-August).
(A) Plan Type Based from 2019 |
(B) No. of Cov |
(C) Monthly Premium Based from 2019 |
(D) Employer Monthly Based from 2019 |
(E) Employee Monthly Based from 2019 (Premium minus Employer's = Employee's) (C-D=E) |
Kaiser High Plan Co-payment |
Employee Only |
635.27 |
460.44 ($920.87 x 50%) |
174.84 (635.27-460.44) |
Delta Dental Premium Plan (effective 01/01/2019) Group #07102-11190 give to the Dentist MTA CTA/CSEA/MGMT (Excluding Adult Ed Ayer & Elmwood) |
Employee Only Employee+One Employee+Family of 3+ |
64.72 129.43 218.81 |
32.36 (64.72 x 50%) 64.72 (129.43 x 50%) 109.41 (218.81 x 50%) |
32.36 (64.72-32.36) 64.72 (129.43-64.72) 109.41 (218.81-109.41) |
Vision Service Plan High Plan Co-payment Grp #2931234A MTA CTA/CSEA/MGMT (Including Adult Ed Ayer & Elmwood) |
Employee Only Employee+One Employee+Family of 3+ |
8.53 17.05 32.21 |
4.27 (4.27 x 50%) 8.53 (17.05 x 50%) 16.11 (32.21 x 50%) |
4.27 (8.53-4.27) 8.53 (17.05-8.53) 16.11 (32.21-16.11) |
| part-time_benefits_template.xlsx |
Forms & Documents
Certificated New Hire Payroll & Benefit (Powerpoint)
Classified New Hire Payroll & Benefit (Powerpoint)
Certificated New Hire Packet
Classified New Hire Packet
COBRA Continuation (Self-Pay premium)
Blue Shield of California Life Insurance (Classified/Management)
Hartford LTD (Disability, Management)
State Disability (SDI), Non-participant Employer, Acknowledgement) Form
American Fidelity Assurance (AFA) Contact: Oma.Haidarzada@americanfidelity.com
Classified New Hire Payroll & Benefit (Powerpoint)
Certificated New Hire Packet
Classified New Hire Packet
COBRA Continuation (Self-Pay premium)
Blue Shield of California Life Insurance (Classified/Management)
Hartford LTD (Disability, Management)
State Disability (SDI), Non-participant Employer, Acknowledgement) Form
American Fidelity Assurance (AFA) Contact: Oma.Haidarzada@americanfidelity.com
PAYROLL
EMPLOYEE SELF SERVICE (ESS)
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To access your Copies of Milpitas USD Payroll Records, go to Employee Self Service (ESS).
If you need any help, click here to view the Instructions. |
Forms & Documents
STRS Membership Election Form
PARS Beneficiary Designation Form
Employee Benevolent Association
Certifcated Acknowledgement of Payroll and Benefits (permanent)
Certificated Adult Ed Acknowledgement of Payroll and Benefits (permanent)
Classified Acknowledgement of Payroll and Benefits (permanent)
Management Acknowledgement of Payroll and Benefits
Extra Work Permanent employee
Pay period from the 16th of previous month to the 15th of the current month) DUE every 15th of current month (paid end of the current month). Must complete and submit time sheet #P-20. For all extra work (outside your normal work hours), the school secretary must submit F-12 prior to allowing employee to work the extra hours. F-12 for extra hours must match exact hours on time sheets. Failure to complete F-12 for all extra work hours will delay in processing your pay check. Payroll is unaware of employee's extra work. Therefore, it is the employee's responsibility to track all of his/her extra work hours and ensure with the school site secretary that all required paperwork has been completed and submitted to Payroll on time for payment. Time sheet to be uploaded
F-12 permanent FTE employee, extra work (beyond normal position) must be completed prior
P-20 permanent FTE employee, extra work to be paid
Pay period from the 16th of previous month to the 15th of the current month) DUE every 15th of current month (paid end of the current month). Must complete and submit time sheet #P-20. For all extra work (outside your normal work hours), the school secretary must submit F-12 prior to allowing employee to work the extra hours. F-12 for extra hours must match exact hours on time sheets. Failure to complete F-12 for all extra work hours will delay in processing your pay check. Payroll is unaware of employee's extra work. Therefore, it is the employee's responsibility to track all of his/her extra work hours and ensure with the school site secretary that all required paperwork has been completed and submitted to Payroll on time for payment. Time sheet to be uploaded
F-12 permanent FTE employee, extra work (beyond normal position) must be completed prior
P-20 permanent FTE employee, extra work to be paid
SUBSTITUTE TEACHERS & CLASSIFIED EMPLOYEES
Certificated Acknowledgement of Payroll and Benefits
Classified Acknowledgement of Payroll and Benefits
Time sheet deadlines:
Substitutes (on-call) - pay period ( the 26th of previous month to the 25th of the current month) DUE every 25th of current month (paid the following tenth of the month). Must complete time sheet #P-65. The school secretary must submit P-16 prior to allowing employee to work. P-16 is required for all substitute being contracted to work for certain length of time. Payroll is unaware of who works as a substitute. Therefore, it is the substitute's responsibility to track all of his/her work days/hours and ensure with the school site secretary that all required paperwork has been completed and submitted to Payroll on time for payment.
Certificated Acknowledgement of Payroll and Benefits
Classified Acknowledgement of Payroll and Benefits
Time sheet deadlines:
Substitutes (on-call) - pay period ( the 26th of previous month to the 25th of the current month) DUE every 25th of current month (paid the following tenth of the month). Must complete time sheet #P-65. The school secretary must submit P-16 prior to allowing employee to work. P-16 is required for all substitute being contracted to work for certain length of time. Payroll is unaware of who works as a substitute. Therefore, it is the substitute's responsibility to track all of his/her work days/hours and ensure with the school site secretary that all required paperwork has been completed and submitted to Payroll on time for payment.
P-16 Form - Temporary Employment Service Contract
P-65 Form - Substitute Teaching Service Record & Claim (use if you are a permanent teacher substituting for another teacher or if you are a regular substitute teacher)
P-15 Form - Monthly Time Sheet for Substitute/Hourly Employees (Classified substitute and Substitute Teacher with P-16 contract)
P-65 Form - Substitute Teaching Service Record & Claim (use if you are a permanent teacher substituting for another teacher or if you are a regular substitute teacher)
P-15 Form - Monthly Time Sheet for Substitute/Hourly Employees (Classified substitute and Substitute Teacher with P-16 contract)
RETIREMENT SYSTEMS
CalSTRS: Certificated - Employer/Employee Contributions
CalPERS: Classified - .50%+ FTE - Employer/Employee Contributions
Social Security: Classified - .50%+ FTE - Employer/Employee Contributions
PARS: Classified (permanent part time, <.50% FTE) and Substitute employees - Employer/Employee Contributions
Medicare: ALL Employees - Employer/Employee Contributions
CalPERS: Classified - .50%+ FTE - Employer/Employee Contributions
Social Security: Classified - .50%+ FTE - Employer/Employee Contributions
PARS: Classified (permanent part time, <.50% FTE) and Substitute employees - Employer/Employee Contributions
Medicare: ALL Employees - Employer/Employee Contributions
- Supplemental Retirement Account ** Tax Deferred Solutions (TDS) - Third Party Administrator (TPA)
- 403(b) Salary Reduction (SRA) Forms
- 457 Salary Reduction Agreement (SRA) Forms
- ** Supplemental Retirement (optional - employee's contribution - employer does not match employee's contribution)
- MUSD 403(b)/457 Plan ID for brand new account set up: 50618
- MUSD Federal Identification Number (FIN): 77-0289955
- TDS reviews, signs, and approves ALL current/previous employee's transaction request (rollover, transfer, withdraw or borrow funds). Send all request to them. They will verify your employment period with MUSD.
PAYROLL & BENEFITS TEAM
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Payroll & Benefits Dept:
Tel: 1-408-635-2600 | Fax: 1-408-635-2621 Dept. E-mail (District G-mail user only): Payroll@musd.org Dept general number: x6012 Ria Feldman, x6026, RFeldman@musd.org (Benefits) Sherry Ames, x6027, SAmes@musd.org (Payroll) Uyen Dao, x6021, UDao@musd.org (Time sheets & Mortgage Loan Application) Mortgage employment verification request MUST be sent via fax or e-mail with the employee's authorization page. Such request will be completed within three business days from receipt date. Requests are completed and returned via fax back to the company. Employee's salary information will not be released via phone. Payroll records employee access: https://ess.sccoe.org/ Human Relations Dept: https://www.musd.org/human-relations.html Employment Status Verification, hire date, status, and job title. Dept. E-mail (District G-mail user only): HumanResources@musd.org Tel. 1-408-635-2600 | Fax: 1-408-635-2617 Charlotte Torres, x6075, CTorres@musd.org Virginia Coleman, x6079, VColeman@musd.org Kay Dasu, x6074, KDasu@Musd.org Sherry Estrada, x6076, SEstrada@musd.org Heather Forsyth-Cano, x6073, HForsyth@musd.org Absence Tracking employee access: http://ars.sccoe.org/ |
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