peralta benefits everyone

 

SISC Medical Open Enrollment

 

October 14 - November 21, 2022

All employees are required to re-enroll for coverage effective January 1, 2023

Forms and documents can be submitted as follows:

  • 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 - 4:30 pm Mon-Fri

 

Open Enrollment Important Documents

 

Retirees Under 65

Virtual Meetings

Peralta CCD and SISC invite you to attend virtual OE meetings being held on the following dates:

 

Medical Plans

SISC Kaiser HMO Plan

Kaiser Enrollment Form

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.

SISC Anthem PPO Plan

Anthem PPO Enrollment Summaries
SISC Anthem PPO Enrollment Form

Please download the form and sign with a digital signature before submitting.

Retirees Over 65

All Peralta Retirees hired prior to July 1, 2004 will have the following three options:


  1. Retirees of California ONLY have the option of enrolling in a Kaiser Senior Advantage Plan through SISC. Retiree First does not manage this benefit, and you should call 800- 464-4000 with any questions. If you are currently enrolled in the Trustmark Anthem plan, you will receive a welcome guide for the Anthem Medicare Advantage plan in early November 2022. However, if you choose to opt for the United American Supplemental plan/ Anthem PDP plan, you can complete the enclosed Opt out/enrollment form and disregard the Anthem Welcome guide should you receive it.
  2. Medicare Advantage Prescription Drug (MAPD) Plan through Anthem
  3. Medicare Supplement Plan through United American paired with a Medicare Prescription Drug Plan through Anthem.

Medical Plans

Virtual Meetings

SISC (Kaiser): Peralta CCD and SISC invite you to attend virtual OE meetings being held on the following dates:

Retiree First: Please visit www.retireefirst.com/PeraltaCCD for more information on the virtual meetings. Contact Retiree First at (855) 460-7312 (TTY 711) if you have questions.

 

Choose from these 3 options

1) Kaiser Permanente Senior Advantage (KPSA) Summaries

KPSA Plan Summaries
Kaiser Enrollment Forms

Please download the form and sign with a digital signature before submitting.

2) Anthem Medicare Advantage with Prescription Drug (MAPD)

Summary of Benefits Chart for Anthem PPO
Anthem PPO Enrollment Form

3) United American Medicare Supplement Plan

 

Retirees & Spouses (1 Under 65 & 1 Over 65)

Virtual Meetings

Peralta CCD and SISC invite you to attend virtual OE meetings being held on the following dates:

Retiree First: If you are a non-Kaiser enrollee and over 65, please visit www.retireefirst.com/PeraltaCCD for more information on the virtual meetings. Contact Retiree First at (855) 460-7312 (TTY 711) if you have questions.

Kaiser

Kaiser Summaries
Kaiser Enrollment Forms

Please download the form and sign with a digital signature before submitting.

Anthem

**For retirees over 65, please complete your own enrollment form if opting out of the Anthem MAPD Plan (see forms above for retirees over 65 with additional options)**

**For dependents under 65, please use the enrollment forms below. There is only one form required for the under-65 retiree/spouse with children.**

Anthem Summaries

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 or email benefits@peralta.edu