2020 CalPERS Other Benefits Open Enrollment

2020 Open Enrollment will begin on October 21, 2019 and end on November 8, 2019.

Plan Changes are effective on January 1, 2020

Open enrollment is the time to:
NOTE: If no changes are being made for dental and vision plans, you DO NOT need to take any action.  You will continue to keep your current dental and vision plan for the 2020 plan year.  We encourage all employees to login to Employee Self Service (ESS) to review their current benefits. Please refer to 2019 rate table for changes in the  dental and vision plan premiums.

Quick Links:

2020 Dental and Vision Rates
2020 Dental Comparison Guide (PDF)

For complete information about negotiated benefits, please see your applicable Memorandum of Understanding or Management Resolution.

If you would like to make a plan change for 2020, please complete your online enrollment no later than 5:00 PM on November 8, 2019.

Flex Spending Accounts

Per IRS regulation, you must re-enroll in the Health Care Spending Account (HCSA) and/or Dependent Care Assistance Program (DCAP) each Plan Year.
 
In order to enroll in either HCSA or DCAP, you are required to complete your online enrollment by November 8, 2020.

Health Care Spending Account (HCSA): 
*Max 2020 annual contribution $2,650
      
HCSA Guide

Dependent Care Assistance Program (DCAP)
*Max 2020 annual contribution $5,000
DCAP Guide
 
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MEDICAL AND DELTACARE PMI DENTAL (HMO)

Age Limit: 26
Requirements: Upload original certified birth certificate via Employee Self Service (ESS).


Dependent Verification Form (PDF)
 
DELTA PREMIER DENTAL (PPO) AND VISION

Age Limit: 19 - 24
Requirements: Must be a) full-time student, b) receive more than one-half of support from employee and c) unmarried. Upload original certified birth certificate and dependent verification form via Employee Self Service (ESS).


Adding Domestic Partners

Please read the following Domestic Partner Information to see what the  requirements and documentations are to add a domestic partner to your dental and/or vision benefits.

Be sure to complete the following forms during your online Open Enrollment.

Declaration of Domestic Partner Form (PDF)
 
IRC Section 152 Form (PDF)
 

Life Insurance


Life and Accidental Death & Dismemberment (AD&D) Insurance Enrollment 

Evidence of Insurability Form (PDF)
  • must be completed if employee is requesting new or additional coverage
  • must be completed if requesting coverage for dependents

Supplemental Life Insurance Plan Booklet (PDF)

Monthly Premium Rate Sheet (PDF)