Health Benefits Open Enrollment

Health Benefits Open Enrollment
September 9, 2019 to October 4, 2019
All open enrollment changes are effective January 1, 2020

During Open Enrollment you may make changes to your health and welfare plans such as: enroll into or change medical, dental, vision, and supplemental life insurance plans, add eligible family members not currently enrolled (proof of dependent eligibility must be provided), or delete dependents who may have attained other coverage. To obtain the required enrollment forms please contact the Office of Human Resource Services or choose one of the enrollment form links below. If you are satisfied with your current health plans and do not want to make any changes, you do not need to complete any forms requesting to remain in your current plans. Therefore, your current health plans will remain the same.


CalPERS Open Enrollment Center for Medical Plans
Please visit the Open Enrollment Center which includes quick links to health program publications, medical plan rates and information, and other online resources.


 HMO Plans

  • Anthem Blue Cross Select
  • Anthem Blue Cross Traditional
  • Blue Shield Access +
  • Health Net
  • Kaiser
  • United Health Care          

PPO Plans

  • PERS Care
  • PERS Choice
  • PERS Select


Delta Premier PPO
DeltaCare USA HMO
Vision Service Plan (VSP)

Health Benefit Enrollment Forms are available by contacting Donna Sheibe at 


The Health Benefit Plan Enrollment/Change Forms must be completed and turned into the Office of Human Resource Services no later than Friday, October 4, 2019 at 4:30 pm

  Annual Health Benefits Fair 

Our annual Health Benefits Fair will be held on Monday, September 23, 2019 from 10 am to 1 pm in the new Conference Center, located behind the GYM. During the Health Benefits Fair, you will get the opportunity to learn more about your health plans and other benefits options by talking with plan representatives.

The Health Expo is open to all full-time employees who wish to attend! 

If you have any questions or require additional information, please contact Donna Sheibe, ext. 2280. 

Office of Human Resource Services
Multi-Purpose Building (MP 100)

(562) 860-2451, extension 2280


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Last Update: 8/26/2019