Open Enrollment for 2020 Plan Year
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.
How to Enroll During Open Enrollment
Requests for changes for all plans (except Via Benefits plans) must be made in writing to ACERA. 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, 2019. Mailed enrollment forms must be postmarked by November 30, 2019. See the bottom of this page for enrollment forms.
If you’re enrolling in a 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
ACERA Open Enrollment Periods and Plan Years |
||
| ACERA Healthcare Plans | Open Enrollment Period | Plan Year |
| Kaiser Permanente HMO California (non-Medicare) | November 1, 2019 - November 30, 2019 |
February 1, 2020 – January 31, 2021 |
| Kaiser Permanente Senior Advantage California (Medicare) | ||
| UnitedHealthcare SignatureValue HMO and SignatureValue Advantage HMO (non-Medicare) | ||
| Delta Dental | ||
| Vision Service Plan (VSP) | ||
| Via Benefits Non-Medicare Plans | November 1, 2019 - December 15, 2019 |
January 1, 2020 – December 31, 2020 |
| Via Benefits Medicare Plans | October 15, 2019 - December 7, 2019 |
|
Look For it in the Mail Mid-October
All retirees and payees receive a packet in the mail in mid-October.
Open Enrollment 2020 Packet
Making Your Via Benefits Reimbursements Easier
Kaiser Permanente Flyer - Get More From Your Health Plan
VSP Flyer - What Do Your Eyes Say About You?
Delta Dental Flyer - Preventing Gum Disease May Reduce Alzheimer’s Risk
Group Plan Enrollment Forms
Other Relevant Forms
Affidavit of Dependent Eligibility
Affidavit of Domestic Partnership
Medicare Part B Reimbursement Plan (MBRP) Application Form