Retired members or non-member payees (e.g., eligible spouses or domestic partners) who receive an ACERA monthly retirement allowance and who live within a plan’s designated service area are eligible to enroll in an ACERA-sponsored medical, dental, and/or vision plan.
You can enroll in or make changes to your medical, dental, and vision coverage elections at any of the following times:
During ACERA’s annual Open Enrollment period
Within 30 days of a status change event, such as Medicare eligibility, marriage/domestic partner registration, divorce/ dissolution of a registered domestic partnership, birth, adoption, or loss of other group health plan coverage; see list below
ACERA offers a range of medical plan options to ACERA retirees,
dependents, and survivors who are receiving a monthly retirement
benefit from ACERA. The plans available, their coverage levels
and costs, are subject to change from year-to-year. Members who
qualify can receive a Monthly Medical
Allowance to offset the costs of the medical plans.
Non-Medicare Medical Plans
ACERA offers the following Non-Medicare medical group plans to
members who are not yet eligible for Medicare (generally, those
under age 65):
Open Enrollment is your annual opportunity to consider your benefit needs and options, and to make changes if needed. ACERA’s Open Enrollment period for group plans is November 1 – November 30, 2019; you can change your Kaiser Permanente or UnitedHealthcare medical plan, you can change your Delta Dental plan, you can change your vision plan, and you can add or drop medical, dental, and vision coverage for your eligible dependents. Open Enrollment for an individual medical plan through Via Benefits is depicted in the chart below.
The monthly cost of being enrolled in a healthcare plan is called
a “premium.” Premiums for medical, dental, and vision coverage
are based on the plan and coverage level you select. Your monthly
retirement allowance must be sufficient to cover your plan
premium costs to enroll in Category 1 group plans listed on the
Retirees with 10 or more years of ACERA service credit or service-connected disability and who are enrolled in an ACERA-sponsored medical plan receive a Monthly Medical Allowance (MMA) to partially offset their monthly medical costs. The offset is based on years of ACERA service credit and a contribution amount determined annually by the ACERA Board of Retirement.
The Consolidated Omnibus Budget Reconciliation Act (COBRA)
provides retired members, non-member payees, and their dependents
who lose ACERA-sponsored coverage the right to continue coverage
for limited periods of time due to certain “COBRA-qualifying”
circumstances. These events include the death of a covered
member, divorce or legal separation from a retired member,
eligibility for Medicare, and a child’s loss of dependent status
(and therefore coverage) under the plan.
ACERA is not legally required to comply with HIPAA. However, the integrity of your account is a high priority. Because ACERA does frequently deal with retiree personal health information (PHI), we have developed procedures on how to process your information in order to keep it confidential. To read about the privacy statement and practices, please click here.
If you or your eligible dependents are currently Medicare eligible, or will become Medicare eligible during the next 12 months, you need to be sure that you understand whether the prescription drug coverage that you elect under the Medical Plan options available to you are or are not creditable with (as valuable as) Medicare’s prescription drug coverage.