2019 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  

Plan Summaries

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

Medicare Enrollment FAQS

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

Medicare FAQS for ACWA JPIA Plans

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.  2019 Retiree Rates

Enrollment Forms

Medical Enrollment / Change Form

Dental Enrollment / Change Form

Required Annual Notices

 2019 Required Annual Notice