Medical Benefits

Anthem Blue Cross
Member Services/Customer Service:
(800) 825-5541

Customer Support Website:
www.anthem.com/ca/sisc

Mailing Address:
PO Box 60007
Los Angeles, CA 90060

Medical Benefits FAQ

1. How do I download a summary of my benefits?
Click on your plan to download a Summary of Benefits.

2. How do I get a new insurance card?

Call Member Services at 1-800-825-5541 to request that a new insurance card be mailed. If it is time sensitive, they can also show you how to print out a temporary insurance card.

You can also set up an account at https://www.anthem.com/ca/register/ to access most of the same features from your computer.

or scan this QR Code to download the Sydney Mobile Health App:

3. How do I add a dependent child?

If outside of Open Enrollment, you must provide proof of a Qualifying Event* within the last 30 days (*see question #4 for a definition of Qualifying Event).
Download and complete the "dependent changes" section on the Membership Change Form

Provide a copy of your child's birth certificate (a keepsake copy issued from the hospital is okay, so long as the parent's full name is on it)
Return to Risk Manager
The coverage will be effective on the first of the month in the month after the Qualifying Event took place (for example: if you had a Qualifying Event on July 17th, the coverage would begin on August 1st)

4. How do I add a dependent spouse?

If outside of Open Enrollment, you must provide proof of a Qualifying Event* within the last 30 days (*see question #4 for a definition of Qualifying Event).

Download and complete the "dependent changes" section on the Membership Change Form
Provide a copy of your marriage certificate
Provide a copy of the front sheet of your most recently filed taxes (SISC uses this as another form of proof of marriage; the only time this isn't required is if you are newly married and tax season has not occurred since you've been married)
Return to Risk manager
The coverage will be effective on the first of the month in the month after the Qualifying Event took place (for example: if you had a Qualifying Event on July 17th, the coverage would begin on August 1st).

5. How do I terminate a dependent child or spouse?

Download and complete the "dependent changes" section Membership Change Form
Provide proof of a Qualifying Event within the past 30 days
Return to Risk Manager
The coverage will be canceled on the first of the month in the month after the Qualifying Event took place (for example: if you had a Qualifying Event on July 17th, the coverage would be terminated on August 1st).

6. What is a Qualifying Event?

SISC requires proof of a Qualifying Event within 30 days to add or drop dependents outside of Open Enrollment. Some common Qualifying Events include loss of other coverage, eligibility for other new coverage, death, divorce, birth, adoption, etc. Letters showing enrollment in or loss of new coverage must show the effective date.

7. How do I file a claim to get reimbursed from Anthem?

Download and complete Member Claim Form mail it to Anthem
If you have questions or need assistance, call Member Services at 1-800-825-5541

8. How do I change my name? Or my dependent's name?

Download and complete "name change" section on the Membership Change Form

9. How do I change my address?

10. I heard I am entitled to a medical second opinion. Is that true?

Yes. Click here to learn more about Grand Rounds, SISC's medical second opinion service.

11. How do I find an Anthem PPO medical provider (in network)?

Please review this form for instructions on how to find a PPO provider.

SIGN AND RETURN COMPLETED FORMS & SUPPORTING DOCUMENTS TO THE RISK MANAGER
Email: [email protected]
Fax: 707-468-3454
Mail/Drop-off: 511 S. Orchard Ave, Ukiah, CA 95482