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 email@example.com. Emailed and faxed enrollment forms must be time stamped by 11:59 pm PST on November 30, 2021. Mailed enrollment forms must be postmarked by November 30, 2021. 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
Open Enrollment 2021 Packet
All retirees and payees receive a paper packet in the mail in mid-October. Here’s the electronic packet:
2021 Packet Materials
Group Plan Enrollment Forms
For the easiest, most efficient enrollment, without having to print, sign, and scan forms, use the DocuSign E-Forms.