Your Health Plan Statement provides customized health enrollment information.

Health Plan Statement, Page 1
Health Plan Statement, Page 2

Provides your health enrollment information as of the date indicated. Any health enrollment changes processed on or after this date will not be reflected.

Informs you of specific health benefit changes that may impact you in the upcoming year.

Provides the name of your enrolled health plan.

Determines which health plans are available specifically to you, based on your ZIP code.

Lists you and your enrolled family members.

This notice informs you of your privacy rights regarding the medical information CalPERS has on file about you.

Provides your 2018 monthly premium rate.

Provides your 2019 monthly premium rate if you do not change your health plan.

Provides online resources to view the plans and premium rates specifically available to you and a list of the 2019 health plans CalPERS offers.

Discover your options online through my|CalPERS

Log into your my|CalPERS account from your desktop or mobile device to access, view, download, and print your Health Plan Statement.

If you experience difficulties logging in or need to retrieve your username or password, follow the prompts to identify yourself and answer your security questions in the my|CalPERS login screen.