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2025 Benefits Open Enrollment

Starting Monday, September 16th, you can login to Alight Worklife (formerly SmartBen)  and make changes to your elections.

Open Enrollment dates are September 16, 2024, to October 11, 2024. Changes made during Open Enrollment take effect January 1, 2025. During Open Enrollment, you can:

  • Change your medical and/or dental plan
  • Add or remove eligible dependents
  • Cancel your existing medical, dental or vision plan(s)
  • Enroll in a medical, dental or vision plan, if currently waived
  • Enroll or change volume in voluntary life and/ore accident death and dismemberment insurance plans
  • Begin or re-certify cash-in-lieu status – Annual certification is required
  • Enroll or re-enroll in a flexible spending account (FSA) – Annual enrollment is required to continue to participate each year
Open Enrollment changes are due Friday, October 11, 2024 at 5:00 PM.
Changes you make are effective January 1, 2025.

  • CalPERS PPO plans carrier change from Anthem to Blue Shield – watch the PERS Gold and PERS Platinum video link (below) for more details
  • Health Care Flexible Spending Account (FSA) annual election limit is $3,200 for 2025
  • HMO network expansions for Blue Shield Trio, Kaiser, and UnitedHealthcare Harmony
  • Employee contributions for all groups have increased for Anthem HMO plans and PERS Platinum PPO – review the cost sheets (below) for specific changes on other plans
  • Delta Dental PPO Enhancements – lower deductible, adult coverage for orthodontia, and implant benefit improvements including a separate annual maximum benefit for implants

Open Enrollment Resources

Documents

2025 Alight Worklife Open Enrollment Process2025 Open Enrollment MemoCalPERS HBD12 FormCash In Lieu Certification Requirements

Benefits Guide

Benefits Guide 2025

Cost Sheets

Health Plan Cost Changes 2024-2025Health Plan Costs 2025

Video Library

Open Enrollment TutorialKaiser (HMO) Open Enrollment on-demand video (requires registration)Blue Shield HMO Open Enrollment PresentationPERS Gold and PERS Platinum (PPOs) - change in administrators from Anthem-Blue Cross to Blue Shield (CalPERS webinar recording)OptumRx for Basic members (for the following plans: Anthem HMO, UnitedHealthcare HMO, PERS Gold PPO, and PERS Platinum PPOs) WVMCCD Open Enrollment webinar for staff

 

CalPERS Medical

CalPERS hosted an Open Enrollment webinar for members on September 12th. If you were not able to join that webinar, slides from the presentation are available to view online and a recording of the webinar is available on the CalPERS YouTube channel .

CalPERS article: HMO, PPO, and EPO – What’s the Difference and Why Does It Matter?

HMOs

Anthem SelectAnthem TraditionalBlue Shield Access+Blue Shield TrioKaiserUnitedHealthcare SignatureValue AllianceOptumRx (prescription services for Anthem and UnitedHealthcare)

PPOs

PERS Gold (Blue Shield)PERS Platinum (Blue Shield)Peace Officers Research Association of California (for PORAC members only)OptumRx (prescription services for PERS Gold and PERS Platinum)

On August 22, CalPERS held a webinar where they introduced the new PPO administrators, Blue Shield and Included Health. (This video is also linked in the Video Library above.)

Visit the Preferred Provider Organization (PPO) webpage to access an extensive list of Frequently Asked Questions.

2025 Flyer Need to Know for PERS Gold and Platinum PlansBlue Shield Information Flyer PERS GoldBlue Shield Information Flyer PERS Platinum

Delta Dental 

The District offers employees in a dental PPO plan offered by Delta Dental or a dental HMO plan offered by DeltaCare.

2025 Delta Dental PPO Benefit Summary

Delta Dental Incentive PPO

  • Members must choose a primary care dentist
  • No annual deductible
  • Schedule of copays based on services
  • Orthodontia coverage for adult and child

DeltaCare HMO

  • Providers available in or out of network
  • In-network providers offer more benefit coverage
  • Plan covers 70% in-network (for most services) and increases 10% each  year with at least one visit to the dentist until 100% coverage is reached
  • Orthodontia coverage for adult and child

  2024 2025
Deductible $100 individual/ $300 family $50 individual/ $150 family
Orthodontia Child only Adult and Child
     
Implant Coverage    
Coinsurance 50%

70%-100% 

Matches member's incentive level
Annual Benefit Coverage

$2,000 in-network or

$1,500 out-of-network

For all covered services

$2,000 in-network or

$1,500 out-of-network

Separate annual benefit for implant coverage

 

Are you a Retiree?

Medical

Visit Open Enrollment for Retirees (CalPERS website) to get information specific for retired members. Active employees/members can explore their options within this page.

Delta Dental and/or VSP

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