Plans Effective October 1, 2023 – September 30, 2024
Important Forms & Documents
- Eligibility DocumentationChecklist
- Registration & Login Instructions for BenefitBridge – Open Enrollment
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (October 2023 – September 2024) – PDF
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (January 2023 – September 2024) – Flip Book
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (January 2023 – September 2023) – PDF
- To All Current PPO Lite Plan Enrollees
- Update Personal Information
- BenefitBridge Secure Enrollment Portal
- 403 (b) & 457 (b) Plan Information
- Benefits Resource Library Current Plan Year
- Voluntary Benefits
Employee Assistance Program (EAP)
EAP administered by Anthem, effective July 1, 2023
| Note: this program will be administered by Anthem effective July 1, 2023 |
Medical Plans
SISC Kaiser Traditional HMO Plan
Please download the form and sign with a digital signature before submitting.
You can submit your form in person or via mail to the PCCD Benefits office at 333 East 8th St, Oakland, CA 94606.
If you have questions about your coverage when you are away from home:
Call 1-951-268-3900
24 hours a day, seven days a week (except closed holidays)
Website Kp.org/travel
SISC Anthem PPO Plan
Please download the form and sign with a digital signature before submitting.
PCCD Kaiser Permanente Reimbursement Form
Dental / Vision
- UHC Dental DHMO – Welcome brochure
- UHC Dental Select Managed Care CA Open Enrollment Brochure
- Summary of Dental Benefits and Coverage Disclosure Matrix (SDBC)
- UHC DHMO – Direct Compensation Dental Plan Evidence of Coverage
- UHC Dental DHMO – Direct Compensation (DC) Contributory CA250/covered dental services CA D1065
- UHC Dental Vision Discount Flyer
Group Life Insurance
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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