Health Benefits Open Enrollment

 Health Benefits Open Enrollment
September 10, 2018 to October 5, 2018

All open enrollment changes are effective January 1, 2019


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.

Medical Plans

Delta Dental and VSP * Summary of Benefits

Health Benefit Enrollment Forms

CalPERS Medical Plan Enrollment/Change Form HBD12 (PDF Fillable)

Delta Dental Premier and DeltaCare USA Enrollment/Change Form (PDF Fillable)

VSP Enrollment Form (PDF Fillable)

**The Health Benefit Plan Enrollment/Change Forms must be completed and turned into the Office of Human Resource Services no later than Friday, October 5, 2018 at 4:30 pm**


Annual Health Benefits Fair 

Our annual Health Benefits Fair will be held on Monday, September 24, 2018 from 10 am to 1 pm in the Student Center South Stage. 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 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 2284


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