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2017-2018 Open Enrollment - Retiree

NOTE!  If you are not making any changes, you do not need to do anything.

Benefits will mail letters mid-September confirming your elected plan(s) and rate(s).


Retired Employees

Open Enrollment letter

SISC III Change Form (addresses, dependents)

Retiree Plan Comparison

Retire Beyond YCCD Contribution Rate Sheet

Retiree Health Plan Rate Sheet 

Retiree Health Plan Election Form (If changing plans, see notes below.)

If you are changing from Blue Shield to Kaiser, also complete:

     Kaiser Enrollment Form

If you are changing from Kaiser to Blue Shield, also complete:

     Blue Shield Enrollment Form

Retiree Vision/Dental Enrollment Form


Other Retiree Information

How to set up Automatic Payments

Retiree Dental/Vision Rate Sheet - Only for retirees with current Dental/Vision benefits


General Health Plan Information

Kaiser Plan Information

Kaiser Senior Advantage Information (over 65)

Blue Shield 80-G Plan Information

Blue Shield 80-C Plan Information

Blue Shield 90-G Plan Information

Blue Shield 100-D Plan Information

Blue Shield Companion Care Plan Information