CalPERS Health Open Enrollment Starts September 10
September 6, 2018
Communications & Stakeholder Relations
Contact: Stephanie Buck, Information Officer
(916) 795-3991 - email@example.com
Members can browse benefit options through a new mobile experience
SACRAMENTO, Calif. – The CalPERS annual health care Open Enrollment period for the 2019 calendar year starts September 10 and ends October 5, 2018.
During this time, members enrolled in CalPERS health plans have the opportunity to review health coverage options for 2019 from the system's seven Health Maintenance Organizations (HMO), three self-funded Preferred Provider Organization (PPO) health plans, and three association plans.
New this year is a mobile experience designed just for Open Enrollment. Members can head to mobile.my.calpers.ca.gov to explore health plan information from their smartphone or tablet.
Beginning Monday, September 10, members may enroll in or switch their CalPERS health plan, add eligible dependents, or delete dependents.
CalPERS' average health premium increases for 2019 are their lowest in 21 years, with an overall increase of 1.16 percent. The CalPERS Board of Administration approved the rates in June.
All changes made during Open Enrollment become effective January 1, 2019.
CalPERS' Basic (non-Medicare) health plan options include nine HMO plans through Anthem Blue Cross of California, Blue Shield of California, Health Net, Kaiser Permanente, Sharp Health Plan, UnitedHealthcare, and Western Health Advantage.
The system's three Basic PPO plans, offered through third-party administrator Anthem Blue Cross, are PERS Select, PERS Choice, and PERSCare. Medicare health plans are offered through Anthem, Kaiser, UnitedHealthcare, and the three PPO plans.
The plans made several notable service changes for 2019:
- Health Net will leave the Sacramento region, which includes El Dorado, Placer, Sacramento, and Yolo counties.
- Blue Shield Access+ will exit eight counties in the Bay Area: Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma.
- UnitedHealthcare will exit Bay Area and Other Northern regions, but only for public agencies and schools, not for state.
- Anthem HMO Select will no longer offer UC Davis Health.
- UnitedHealthcare SignatureValue™ Alliance HMO (Basic plan only) will not offer UC Davis Health to new members, effective September 1, 2018. UHC members currently enrolled with UC Davis Health are unaffected.
Members may access their health plan information through their my|CalPERS accounts. There they can review their customized Health Plan Statement, which describes details of their current health coverage, their 2019 premium if they remain enrolled in their current health plan, and a list of the health plans offered in 2019.
Using the Find a Medical Plan tool, they may research and compare available health plans and monthly premium rates based on their eligibility ZIP Code, then save customized health searches for future reference. my|CalPERS makes it simple to explore side-by-side benefit costs.
Some members continue to receive their statements and Open Enrollment materials by mail; however, their information is also available to them through my|CalPERS. In addition, Open Enrollment information is available on the CalPERS website.
To make changes to their health plans, active employees must contact their personnel specialist or health benefits officer for required forms and documentation. Retirees may elect changes through my|CalPERS, mobile.my.calpers.ca.gov, via mail, or by calling CalPERS toll free at 888 CalPERS (or 888-225-7377).
For more than eight decades, CalPERS has built retirement and health security for state, school, and public agency members who invest their lifework in public service. Our pension fund serves more than 1.8 million members in the CalPERS retirement system and administers benefits for more than 1.4 million members and their families in our health program, making us the largest defined-benefit public pension in the U.S. CalPERS' total fund market value currently stands at approximately $359 billion. For more information, visit www.calpers.ca.gov.