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, 2026.
• Changes you make go into effect on October 1, 2026.
• During Open Enrollment, you select your benefits from October 1, 2026 through September 30, 2027.
• 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, 2026:

Rates for Contract Faculty and Classified

Rates for Management and Board of Trustees

 

For Classified staff with an FTE of less than 100%, please download a copy of this Calculation tool to calculate your rates

 

Benefit Guide

Benefits at a Glance

 

Please click on the links below to view the Benefit Summaries of the five medical plans:

Kaiser Permanente HMO

Kaiser Permanente Deductible plan with a Health Savings Account (HSA) This is an HMO deductible plan.

Blue Shield of California HMO

Blue Shield of California PPO

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.

 

Vision Insurance

VSP benefit summary

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.

Waive Medical Insurance

If you work more than 90% and want to waive your health insurance, please fill out these three forms. WABE stands for Waiver of Active Benefit Enrollment (previously Waiver of Anchor Bronze Enrollment):

• WABE option enrollment form
• WABE option SRJC form
• SRJC waiver

WHAT'S NEW FOR 2026-27?

• Monthly medical premium – rates change for all plans 10/1/2026. 

• WellTheory is now available to Kaiser HMO and Blue Shield HMO members on the under 65 plans. It is continuing for Blue Shield PPO members. Members can get personalized nutrition and lifestyle coaching from a team of autoimmune experts to help people living with one or more of the 100+ autoimmune conditions with symptoms like muscle and joint pain, fatigue, digestive or skin issues. Visit welltheory.com/partner/sisc to learn more.

• New! Blue Shield HMO and Kaiser HMO plans added infertility services.

  • Services include: fertility evaluation, laboratory testing, treatment and reproductive technology, fertility oral and injectable medications, 3 oocyte retrievals per lifetime, fertility preservation. 

  • Copays or coinsurance apply.

  • Contact your Kaiser or Blue Shield plan for more information.