Open Enrollment for 2021 Plan Year
Open Enrollment is retirees’ annual opportunity to consider their benefit needs and options and to make changes, if needed. You can change plans and add or drop coverage for you and/or your eligible dependents.
How to Enroll During Open Enrollment
Enrollment instructions start on page 4 of our Retiree Enrollment Guide.
For our group plan enrollment forms, ACERA accepts faxes of completed enrollment forms faxed to 510-268-9574. We also accept scanned copies of completed enrollment forms emailed to info@acera.org. Emailed and faxed enrollment forms must be time stamped by 11:59 pm PST on November 30, 2020. Mailed enrollment forms must be postmarked by November 30, 2020. Enrollment forms are below.
If you’re enrolling in an individual plan through Via Benefits, you must conclude your enrollment with Via Benefits by the dates specified in the chart below. You must contact Via Benefits by phone or through the Via Benefits website. Instructions for enrollment through Via Benefits can be found in the Retiree Enrollment Guide linked below.
Open Enrollment Periods and Plan Years
Healthcare Plans | Open Enrollment Period | Plan Year |
---|---|---|
|
Nov 1 – Nov 30 | The following Feb 1 – Jan 31 |
|
Nov 1 – Dec 15 | The following Jan 1 – Dec 31 |
|
Oct 15 – Dec 7 | The following Jan 1 – Dec 31 |
Delta Dental SmileWay Benefit
Starting February 1, 2021, Delta Dental will offer the SmileWay benefit to plan enrollees, which provides expanded coverage if you have been diagnosed with diabetes, heart disease, HIV/AIDS, rheumatoid arthritis, or stroke. Contact Delta Dental on or after February 1, 2021 about enrolling in the benefit.
Open Enrollment 2020 Packet
All retirees and payees receive a paper packet in the mail in mid-October. Here’s the electronic packet:
2020 Packet Materials
Making Your Via Benefits Reimbursements Easier flyer
Getting Your Affairs In Order Flyer
2020 Virtual Health Fair Flyer
Kaiser Permanente Flyer - 5 Ways to Ease Stress and Anxiety About Coronavirus
Delta Dental Flyer - Introduction to SmileWay Benefit (Benefit begins February 1, 2021)
VSP Flyer - Eyeconic Eyewear Website Benefits
Group Plan Enrollment Forms
Kaiser Permanente Senior Advantage Enrollment Form
Other Relevant Forms
Affidavit of Dependent Eligibility
Affidavit of Domestic Partnership
Medicare Part B Reimbursement Plan (MBRP) Application Form