2020 Open Enrollment for Retirees

Retiree Open Enrollment Letter

Open Enrollment Letter

ACWA JPIA Retiree Medical Changes Allowed

The District is required to offer retiree medical coverage that meets the requirements and guidelines established by ACWA JPIA and the insurance carriers. This document explains when and what types of changes a retiree can make to their medical coverage.

Retiree Medical Plan Changes Allowed

Summary of Benefits Coverage & Plan Summaries

Summary of Benefits Coverage

Under the Affordable Care Act (ACA), health insurers and employer groups must provide a summary of benefits and coverage (SBC) to participants and beneficiaries (generally employees and dependents). SBCs must follow standards set forth by the federal agencies.  The SBC helps eligible employees and dependents understand their benefits and coverage by using simple language in a consistent format. The SBC includes brief summaries of:

  • Covered services
  • Examples of coverage
  • Appeals and grievance rights
  • Exceptions and limitations
  • Cost-sharing provisions, including any deductible, coinsurance, and co-payments
  • Continuation coverage

The SBC also contains a phone number to call for questions and the website address where the uniform glossary can be found.

Kaiser Permanente

Anthem Blue Cross  

Benefit Summaries

Some find these benefit summaries more reader friendly than the Summary of Benefits Coverage.  These are provided for your reference:

Anthem Informational Flyers

Anthem LiveHealth Online will provide online doctor visits at no cost. Anthem PPO participants continue to have this benefit at no cost. Anyone who is not an Anthem participant may access this benefit for $49 per visit. Live Health Online

Carrum Health (PPO Only) is a special surgery benefit that provides exclusive access to “Centers of Excellence”. These facilities and doctors provide for an improved patient experience, high quality of care, and zero or minimal out-of-pocket costs. Carrum Health - No Cost Surgery Benefit (PPO Only)

With the Anthem Anywhere App, you can easily manage your benefits anytime, anywhere. Mobile App

Use online Find a Doctotool to look for doctors, hospitals, labs and other health care providers in your Anthem Blue Cross plan. Check if your favorite doctor is part of your plan, or look for one near you. Avoid getting care from doctors outside of your plan if you can — it will cost you more or your plan may not cover it all. Find a Doctor

Kaiser Informational Flyer

Now available for Senior Advantage plan members The Silver & Fit Exercise and Healthy Aging Program can help you stay active and thrive, at no additional cost. Choose the exercise plan that best matches your lifestyle. Silver & Fit

Medicare Enrollment FAQS

This flyer will answer employee and retiree questions about Medicare Enrollment as they turn 65 or retire.

ACWA JPIA Medicare FAQS

Retiree Rates

If you or your spouse is enrolled in a Medicare plan and the other is enrolled in Non-Medicare, please refer to the Mixed Medicare rates. 2020 Retiree Rates

Enrollment Forms

Medical Enrollment / Change Form

Dental Enrollment / Change Form

Required Annual Notices

2020 Required Annual Notices