Benefits Open Enrollment

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Open Enrollment starts September 12, 2016 and ends on October 7, 2016.  During Open Enrollment, you can:

  • Change your CalPERS health plan
  • Add eligible dependents
  • Remove dependents
  • Cancel your existing CalPERS health coverage
  • Enroll in a CalPERS health plan if you don't currently have CalPERS health coverage

Open Enrollment Fair will be held in the Loker Student Union, Ballroom C on September 27, 2016 from 9am to 11am.

All changes made during the Open Enrollment Period will be effective January 1, 2017. 

Retirees Open Enrollment Plans and Rates for 2017 

2017 Health Benefit Plan Rates [PDF]

Please carefully review the 2017 Health Plan Rates to determine the premium changes to your health plan effective January 1, 2017.  There will be sufficient changes in the 2017 health premiums.

Below is the 2017 employer’s contributions rates for the health plans:

Coverage Level

All Employees

(Except R06)

R06 Employees

Employee Only



Employee + One



Employee + Two or More






Benefits Enrollment Worksheet [PDF]
HCRA/DCRA Enrollment Form [PDF]
ASI Flex Card Claim Form [PDF]



Highlights of the 2017 CalPERS health benefit changes are listed below. Please refer to the health plan’s Evidence of Coverage (EOC) for a complete explanation of the benefits covered, as well as limitations and exclusions that apply. For additional information on CalPERS health plans, please refer to the CalPERS open enrollment materials, or visit the CalPERS website at:

  • Blue Shield NetValue will no longer be available starting January 1, 2017.  For members who do not make changes to their NetValue plan during Open Enrollment, will be automatically enrolled in Blue Shield Access+ effective January 1, 2017.
  • Beginning January 1, 2017, OptumRx will act as the Pharmacy Benefit Manager for a majority of CalPERS health plans. OptumRx will replace CVS/Caremark. The following health plans are affected by the transition:
  • PERS Select, PERS Choice, and PERSCare PPO plans (Basic and Medicare Supplement)
  • Anthem Blue Cross Traditional & Select HMOs
  • Anthem Blue Cross Monterey & Del Norte EPOs
  • Health Net SmartCare & Salud y Más
  • Sharp Health Plan Performance Plus
  • UnitedHealthcare SignatureValue Alliance

Members will receive a welcome package from OptumRx in late November 2016.  New ID cards containing OptumRX information will be received during the second week in December 2016.  Copayments for 2017 will remain the same as for the 2016 plan year, however some drug coverage and cost share may be different. 

CalPERS active members can reach OptumRx Member Services at (855) 505-8110 or can log into OptumRx’s website at  For more information about the transition from CVS/Caremark to OptumRX, please visit CalPERS-OptumRx Transition.

  • Health Net SmartCare is expanding into Marin County
  • Kaiser (non-Medicare) is expanding into Santa Cruz County
  • United Healthcare is expanding within San Luis Obispo, Madera, Riverside, San Bernardino and San Diego Counties
  • All health plans will implement a diabetes prevention program that meets the Center for Disease Control and Prevention’s “Diabetes Prevention Recognition Standards and Operating Procedures”, at no additional cost to employees.  This benefit is designed to reach pre-diabetic plan members to prevent or reduce the onset of Type 2 diabetes.
  • Anthem HMO Select will no longer offer coverage within Butte County, but Anthem HMO Traditional will still be available in Butte County

CalPERS members will have access to an online Customized Health Plan Statement.  More information located under CalPERS New Online Health Plan Statement heading at end of website


  • The Standard Insurance will offer a guarantee issue to employees during this Open Enrollment period.  Employees will have the opportunity to enroll or increase (employee only) Life Insurance up to $100,000 without providing Evidence of Insurability.  Prior declined employee will need to provide satisfactory Evidence of Insurability.
  • AFLAC Group Critical Illness Insurance [PDF] will offer a guarantee issue to employees during this Open Enrollment period.  Employees will have the opportunity to enroll in Group critical illness insurance with coverage up to $20,000 for employees only and $10,000 of coverage for their spouse/registered domestic partner without providing Evidence of Insurability.
  • MetLaw Legal Plan [PDF] monthly premium will remain at $21.70.  The MetLaw Legal Plan offered by Hyatt Legal Plans, Inc., provides representation for many personal legal services for employees and their eligible dependents.  Employees who do not enroll in the plan during this Open Enrollment period, will not be able to enroll until next year’s open enrollment period.


CalPERS members will have access to their health benefits information online via a customized Health Plan Statement.  Beginning August 22, 2016, all health plan members can access their CalPERS account at to view download and/or print their 2016 Health Plan Summary.  This new feature will provide members with customized health information regarding health benefits changes that may impact them.

Customized Health Plan Statements and other Open Enrollment materials will be available online to all active and retired members via MyCalPERS starting August 22, 2016.  This new feature will allow health plan subscribers the opportunity to receive customized employee/retiree specific health information in a confidential and secure methods, and provides a convenient, central location for health plan resources.  Health Plan subscribers will also have 24/7 access to all components of the CalPERS Open Enrollment material; information regarding specific health benefit changes that may impact them in the coming year; a listing of enrolled dependents; the current 2016 and 2017 health plan rates.

If you have any questions regarding Open Enrollment or Employee Benefits, please contact Human Resources at (310) 243-3771.