Retired Employees Health Benefit Information
SEIU, Management/Supervisors/Confidential/UPE/CSA, Teamsters


Open Enrollment

Open Enrollment for Retired Employees will be open September 25, 2017 and ends October 13, 2017. All changed are effective January 1, 2018. Qualified employees will receive a notification letter via USPS.  

Your current benefits will remain the same unless you make changes during Open Enrollment. 

Rate Changes and Open Enrollment Information for Retiree Benefit Plans

Open Enrollment Process

  • Enroll in a different medical plan
  • Add or remove dependents from your medical plan
  • Update or change your life insurance beneficiary

Please note: if you are adding a dependent, you will be required to provide proof of eligibility i.e., marriage/domestic partner certificate, birth certificate and social security card for all dependents being added.

If you have any questions or would like further assistance, please feel free to contact the Benefits Department at (916) 643-9432 or via email at

Health and Wellness Fair for Open Enrollment

The District Health and Wellness Fair will be on October 6, 2017 from 10am – 4pm at the Serna Center.  The Health and Wellness Fair is help during the Open Enrollment period and offers a chance for employees to speak to health providers.  

Add dependents outside of Open Enrollment

Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage along with required documentation. 

Enrollment Forms

Enrollment Form

Beneficiary Form - Sun Life Insurance

2017 Health Plan Rate Sheets

Effective January 1, 2017 – December 31, 2017

SEIU Early Retiree

SEIU Over 65 50%

Teamster Early Retiree

Teamster Under 65 50%

Management/Supervisors/Confidential/UPE/CSA Early Retiree

Management/Supervisors/Confidential/UPE/CSA Over 65

2018 Health Plan Rate Sheets

Effective January 1, 2018 – December 31, 2018

SEIU Early Retiree

SEIU Under 65 50%

SEIU Over 65

SEIU Over 65 50%

Teamster Early Retiree

Teamsters Over 65

Teamsters Over 65 50%

Teamster Under 65 50%

Management/Supervisors/Confidential/UPE/CSA/Teamsters Early 65

Futuris Care Management/Supervisors/Confidential/UPE/CSA Over 65

ALL GROUPS Surviving Spouse Over 65

Summary of Benefits

Kaiser Permanente Early Retiree

2018 Health Plan Comparisons

Classified Employees & Early Retirees