Benefits Office Hours of Operation
Monday-Friday 8:30 am - 5:00 pm
(Open to the public from 9:00 am - 12:00 pm & 1:00 pm - 4:00 pm)
If you are enrolled in the Anthem MAPD Plan or the United American Plan, please reach out to your Peralta CCD dedicated team of Retiree Advocates Monday-Friday 8:00 am - 5:00 pm PST tele: (855) 460-7312. Website: https://retireefirst.com/PeraltaCCD/
Navia Reimbursement Programs
Health Reimbursement Arrangements (HRA)
Distinct procedures and addresses are required for submitting reimbursement requests for each program.
- Participant Online Registration Instructions
- Peralta CCD Participant Facing Contact Sheet
- Revised Peralta Medicare Reimbursement Claim Form – Updated Navia Info 11 30 2023
- Direct Deposit Form-Initial mailing
- Medicare A, B & D Premium Reimbursement Plan Summary Plan Description (SPD) 2015
- Medicare Reimbursement Plan Policy Statement 10.2015
- Welcome Letter with Navia Plan-Specific Contact Information
- Example Explanation of Benefits
- Mobile App and Portal Registration Instructions
- Reimbursement Request Form
- Direct Deposit Request Form
HRA Schedule of Benefits (Retired Before 7/1/04)
HRA Schedule of Benefits (Retired Between 7/1/04 and 6/30/12)
HRA Schedule of Benefits (Retired After 7/1/12)
- Anthem Local 39 (SISC)
- Anthem Local 1021 & Confidential (SISC)
- Anthem Managers & PFT (SISC)
- Kaiser Senior Advantage Local 39 (SISC)
- Kaiser Senior Advantage Local 1021 & Confidential (SISC)
- Kaiser Senior Advantage Managers & PFT (SISC)
- Kaiser Traditional HMO Local 39 (SISC)
- Kaiser Traditional HMO All EXCEPT Local 39 (SISC)
Important Documents
If enrolling in a SISC Kaiser Senior Advantage plan, please contact the Benefits Office for the applicable forms. We can either email or mail them to you upon request.
Benefits Office tele: (510) 466-7229 Mon - Fri, 8:30 am - 4:30 pm, PST or email benefits@peralta.edu.
Completed forms can be sent via the following methods (with dependent documents if applicable):
- Fax: (510) 587-7865
- Mail: PCCD Benefits Office
333 E 8th Street
Oakland, CA 94606 - Walk-in to the District Benefits Office: 8:30 am - 4:00 pm Mon-Fri
- Closed from 12-1 pm
If you are enrolling or making any changes to the Anthem MAPD Plan or the United American Plan please reach out to your Peralta CCD-dedicated team of Retiree Advocates Monday-Friday 8:00 am - 5:00 pm PST tele: (855) 460-7312. Website: https://retireefirst.com/PeraltaCCD/. RetireeFirst will process all open enrollment forms related to the Anthem MAP or United American plan.
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (October 2023 – September 2024) – PDF
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (October 2023 – September 2024) – Flip Book
- Peralta Transport Letter (MAPD effective 03.01.2023)
- Update Personal Information
- Eligibility Checklist
All Enrollees Under 65
Medical Plans
SISC Kaiser 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
All Enrollees with Medicare A & B
Open Enrollment is October 1 - October 31, 2023, for coverage effective January 1, 2024.
Medical Plans
Kaiser Permanente Senior Advantage (KPSA) Summaries
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
Anthem Medicare Advantage with Prescription Drug (MAPD)
United American Medicare Supplement Plan
Dental Plan
Medicare Enrollees with Non-Medicare Enrollees
Medical Plans
Kaiser
Please download the form and sign with a digital signature before submitting.
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
Anthem
Please download the form and sign with a digital signature before submitting.
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 (Open to the public from 9:00 am - 12:00 pm & 1:00 pm - 4:00 pm)
Or email benefits@peralta.edu
