Retiree Open Enrollment
Retiree Open Enrollment for the plan year 2024 begins Monday, October 16, 2023, and ends on Tuesday, October 31, 2023.
Retiree Enrollment
The following enrollment options are available. You may do 一个 of the following:
- 邮件的 Enrollment Form [pdf] to:
菠菜网lol正规平台 Research Foundation
210 North 4th Street, 3rd Floor
San José, CA 95112 - Email the form to Jocelyne Peña (jocelyne.pena@lhyh.net).
- Contact Jocelyne Peña by ph一个 (408) 924-1460.
-
If you provide your email address you may enroll online via Employee Navigator. Please follow the Employee Navigator Instructions [pdf] to enroll via Navigator.
NO action is needed if you do not wish to make any changes.
Medical 好处
65年以前
For 2024, we will be offering four plans: Kaiser, EPO, PPO, and HDHP. Other than Kaiser, plans are through HealthNow with Blue Shield Network. Please review the Summary of 好处 for each plan below.
- Kaiser Summary of 好处 2024 [pdf]
- EPO Summary of 好处 2024 [pdf]
- PPO Summary of 好处 2024 [pdf]
- HDHP Summary of 好处 2024 [pdf]
View the provider directory for the EPO, PPO, and HDHP plans at http://www.blueshieldca.com/networkppo
65后
For 2024, 65后 retirees, we will be offering the following plans below:
- Kaiser SA Summary of 好处 2024 [pdf]
We will continue offering the Kaiser Senior Advantage Plan. View the provider directory at http://www.kp.org - Anthem Medicare Advantage Medical 好处 Summary [pdf]
- Anthem Medicare Advantage Prescription 好处 Summary [pdf]
View the provider directory at http://www.anthem.com/ca/find-care/
For the prefix, enter “MBL.”
Combination Plan Enrollment
If the retiree and their dependents are currently in combination plan (retiree/dependents 一个 of them is 65后 and others 65年以前, or vice versa), then the retiree/dependent who is 65年以前 will choose from the above menti一个d 65年以前 plan offerings and 65后 will choose from the Kaiser Advantage or Anthem Advantage plan.
Please note that you cannot combine Kaiser and PPO plans.
问题?
If you have questions, please contact Jocelyne Peña at (408) 924-1460 or at jocelyne.pena@lhyh.net.