Click here for plan year July 1, 2021 – June 30, 2022
Announcements & Plan Documents
Anthem PPO Traditional & Lite Self-Funded Medical Plans
- Anthem PPO Traditional & Lite Self-Funded Plans 2021-2022 Active Employee Open Enrollment Presentation (Administered by Trustmark)
Access Passcode: n8@$pUW5 - Anthem PPO Traditional & Lite Self-Funded Plans 2020-2021 Retiree Open Enrollment Presentation (Administered by Trustmark)
Access Passcode: GHJ.2ydj - Registering on myTrustmarkBenefits.com
- Understanding your Explanation of Benefits (EOB)
- Download the myTrustmarkBenefits Mobile App
- Stay connected with myTruskmarkBenefits Wire
- PHM My Health Center
- PHM Health Assessment Flyer
- PHM Digital Coaching
- PHM Mobile App
- LiveHealthOnline Flyer How to Register
- Using LiveHealth Online
- Convenient care during COVID-19
- Active&Fit DIRECT – Member FAQ’s
- Kaiser Permanente Traditional HMO Plans 2021-2022 Active Employees & Retirees without Medicare Coordination Presentation
- Kaiser Permanente Senior Advantage Plans 2021-2022 Retirees Age 65 & Over with Medicare Presentation – Video link included
- KP Mobile App Flier 2020
- Mental Health and Wellness Brochure
- Calm App
- KP Accessing Telehealth
- KP ChooseHealthy-ComplementaryCare 2020
- KP ClassPass
- KP Wellness-Coaching by Phone 2019
- MinuteClinic Traveling Members
- MyStrength Flyer
- UHC VISION AND DENTAL PRESENTATION
- UHC Vision – Welcome brochure
- UHC Vision $ 15.00 copay plan bundled with Anthem PPO Traditional & Lite Medical Plans – L39
- UHC Vision $ 10.00 copay plan bundled with Anthem PPO Traditional & Lite Medical Plans – All groups except L39
- UHC Vision Contact Formulary List – January 2020
- Use your UHC vision benefits at Warby Parker
- Your benefits could go further with Warby Parker
Delta Dental PPO AB-528 Plan Benefits Overview Presentation – Retired Faculty
*Offered to Faculty members at the time of retirement along with Dental COBRA continuation offer. Plan not available during retirement if not elected during the applicable offer period following retirement.
Anthem PPO Traditional & PPO Lite
Self-funded Plans Administered by Trustmark
- Peralta Self Funded Traditional PPO SBC $15 Plan (Local 1021 & Confidentials)
- Peralta Self Funded Traditional PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Traditional PPO SBC $15 Plan (Local 39)
- Peralta Self Funded Lite PPO SBC $15 Plan (Local 1021 & Confidentials)
- Peralta Self Funded Lite PPO SBC $10 Plan (PFT, Management & Trustees)
- Peralta Self Funded Lite PPO SBC $15 Plan (Local 39)
Click here for additional information
Universal Benefit Enrollment Form – Retiree & Exceptional Processing
*Retirees changing medical plans during open enrollment must complete the Universal Benefit Enrollment Form (above) and mail to the PCCD Benefits Office at the address on the form along with any required dependent documents if applicable.
CASH IN LIEU OF MEDICAL & DENTAL BENEFITS FORM
If you are an active employee waiving medical and dental benefits, please uploaded the completed form with all required insurance verifications during your BenefitBridge online enrollment.
Dental / Vision / District-paid insurance
Additional Documents
*Open enrollment occurs annually November 1 - 30 for the following plan year (January – December).
CBIZ Open Enrollment 2021 Presentation
Current year Forms & Documents:
CBIZ FSA Handbook with Enrollment Form- 2021
Flexible Spending Summary Plan Description
CBIZ FSA Claim-form Plan Year 2021
CBIZ Direct Deposit Authorization Form
CBIZ FSA Change in Status or Termination Form
CBIZ CONTACT INFORMATION
EMAIL: cbizflex@cbiz.com
TELEPHONE: 1-925-956-0514
CBIZ Open Enrollment 2021 Presentation
The maximum amount you may contribute to each account cannot exceed the maximum amount specified in Code Section 132(f).
The maximum amounts are:
Parking Expenses – $270/month
Transportation Expenses – $270/month (Public transportation/vanpool)
CBIZ COMMUTER – Transition Guide
CBIZ Pre-Tax Commuter Handbook with Enrollment Form – 2021
Pre-Tax Commuter Summary Plan Description
CBIZ PRE-TAX COMMUTER (PARKING ONLY) Claim-form Plan Year 2021
*CBIZ debit card must be used for eligible transit expenses starting 1/1/2021.
CBIZ Direct Deposit Authorization Form
CBIZ CONTACT INFORMATION
EMAIL: cbizflex@cbiz.com
TELEPHONE: 1-925-956-0514
For BenefitBridge technical assistance only,
please contact BenefitBridge Customer Care at 800.814.1862
Mon – Fri, 8:00 AM – 5:00 PM, PST or email benefitberidge@keenan.com
For assistance with your benefits questions,
please contact the District Benefits Office at 510.466.7229
Mon – Fri, 8:30 AM – 5:00 PM, PST or email benefits@peralta.edu
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