Open Enrollment for Contract Faculty, Classified, Management and Board of Trustees
- Open Enrollment for medical and vision insurance is from August 1 to August 31, 2025.
- Changes you make go into effect on October 1, 2025.
- During Open Enrollment, you select your benefits from October 1, 2025 through September 30, 2026.
- There is no dental Open Enrollment this year. It's once every three years and the next one is in 2027.
If you aren't making changes to your Health Insurance, no action is required.
Open Enrollment is your once-a-year opportunity to review current benefit elections and make changes such as:
- Change medical plans
- Enroll in one of the five medical plans and/or the vision plan if you aren't currently enrolled
- Drop your medical or vision plan
- Add or drop dependents
After Open Enrollment ends, you cannot change your benefit elections until the next Open Enrollment, unless you have a ‘qualified status change’ like a change in your marital status, the birth of a baby, loss of other coverage, etc.
- Medical Benefit Summaries and Rates
The District offers a choice of five medical plans through our membership in Self-Insured Schools of California (SISC). These rates are effective October 1, 2025:
Rates for Contract Faculty and Classified
Rates for Management and Board of Trustees
Benefit Guide
Please click on the links below to view the Benefit Summaries of the five medical plans:
Kaiser Permanente Deductible plan with a Health Savings Account (HSA). This is a HMO deductible plan.
Blue Shield of California PPO Deductible plan with a Health Savings Account (HSA). This is a PPO deductible plan.
General Medical Plan Information - Click here for information on the difference between HMO or PPO, Health Savings Accounts (HSAs), dependent eligibility documents and additional SISC benefits for Kaiser and Blue Shield members, such as fitness programs. Also includes Blue Shield drug formularies and the doctor search tool.
- Enrollment Forms
All enrollment forms should be submitted to Christie Colón in Human Resources
Don't forget to provide the dependent eligibility documentation if you're adding a dependent.
These forms are fillable and signable. Once you've opened the form, please click "Download" to download the signable version:
Membership Change form
Making changes to your current medical plan (like adding or deleting a dependent)? Please fill out the Membership Change form.
Blue Shield enrollment form
Use this form to enroll for the first time and follow these instructions:
- Blue Shield PPO or HSA – you must write HSA or PPO in the top margin on the form
- Blue Shield HMO – you must select a doctor when enrolling in this plan and include the doctor's IPA & PCP information on the enrollment form:
- IPA is the Group Name
- PCP is the Primary Care Physician #
- Here’s how to search on Blue Shield's website for the IPA and PCP information and to select a Blue Shield HMO doctor in your area:
- Click on “Primary Care Physician”
- Type in your location
- Select Specialty, like “Family Practice”, “Internal Medicine”, etc.
Kaiser enrollment form
Use this form to enroll for the first time and follow these instructions:
* Be sure to check "HMO" or "Deductible plan" in Section A on the enrollment form
HSA form
If you are enrolling in Kaiser Deductible or Blue Shield Deductible, please fill this HSA form out in addition to your Kaiser or Blue Shield enrollment form.
VSP form
Complete this form to make changes to your vision insurance.
WHAT'S NEW FOR 2025-2026?
Blue Shield
MDLive copay change from $10 to $0 effective 10/1/2025.
Midi Health: Virtual Menopause Clinic available as a contracted provider.
PPO Plan – members 45+ are eligible for a free, at-home FIT colorectal cancer screening kit. Request a kit by creating an account at My.QuestForHealth.com.
Costco pharmacy prescriptions are delivered for free with Instacart. Once a prescription is filled, a text is sent to you with the link to access Instacart for free.
Kaiser Permanente
Kaiser discounted gym membership program changed from Active & Fit to One Pass.
If you have any questions or need assistance with these documents, please contact Human Resources at 707-527-4304.