May 2014 - Benefits Open Enrollment!!!
The Peralta Community College District will hold its annual open enrollment for all benefit-eligible employees and dependents from:
May 1 – May 31, 2014
Note: Deadline for enrollment is May 31, 2014
What is open enrollment?
Open Enrollment is the annual opportunity for benefit eligible employees and retirees to
change or enroll in medical and/or dental plans
add a dependent to the group insurance plans
What if you are currently enrolled and take no action?
If you are currently benefit-eligible and do nothing, then your medical, dental and vision plan enrollment will continue at your current level and at the rates in effect on July 1, 2014 based on your District affiliation.
How do you effect a change?
To effect a change, complete the Universal Benefit enrollment form and submit it to the District benefits office no later than May 31, 2014.
Where to send your Universal Benefit Enrollment form:
Mail to: PCCD Benefits Office 333 East 8th Street; Oakland, CA 94606 (Postmark by May 31, 2014)
Fax: 510 466-7865 (Keep your fax receipt and send the hardcopy to the District Benefits Office.)
What if you need to make a change after the annual open enrollment deadline has passed?
If you miss the open enrollment window, then you may effect an enrollment change within 30 days of when you experience a life event (get married, birth or adopt child). You will need to submit your request on a Universal Benefit Enrollment form. Refer to the Frequently Asked Question #9 in the “Peralta Benefits Everyone” Open Enrollment edition dated April 28, 2014 and mailed during the week of May 1, 2014 to employee and retiree home addresses.
Open Enrollment for part time hourly faculty will occur in mid-August for Fall 2014 coverage.
Open Enrollment Materials are available for Download here:
Please download and print the following documents in PDF format which provide details and required forms for enrollment/re-enrollment in the benefit plans:
May 2014 Open Enrollment Newsletter
2014-2015 Employee and Employer Contribution Table
Universal Benefit Enrollment Form
Use this form to effect and open enrollment change
Changes become effective 7-1-2014