Retiree Health Insurance Information

  • Please see below sections for retiree health insurance forms, rates, and plan summaries. If you will be a new retiree this year and you are eligible for the Bridge program, please remember that there is a deadline to turn in your retiree bridge form to Risk Mgmt and your retirement form to HRD. Please refer to your classifications bargaining unit language for applicable deadlines. Open enrollment for retirees is in the month of July each year. Please make sure you keep your email address up to date with Risk Mgmt as this is how the open enrollment (and all communication) will be sent to you.

Retiree Health Insurance Forms

Retiree Health Insurance Rates

Retiree Health Insurance Plan Summaries/SBCs

  • CLASSIFIED RETIREES

    Click here to view plan summaries for the following plans:

    • PPO Plan 2 RxC
      Group # 13929M
    • PPO Plan 7 RxC
      Group # 13929S
    • PPO Plan 8 RxC
      Group # 13929T
    • PPO Plan HDHP 2
      Group # 13931S
    • PPO Bronze
      Group # 1853YB
    • Anthem HMO Plan 2 
      Group # 
    • Kaiser South 3 
      Group # 232646-0005

    CERTIFICATED RETIREES

    Click here to view plan summaries for the following plans:

    • PPO Plan A
      Group #: 40464L (55-64 retiree)
    • Group #: 40464R (65+ retiree)
    • PPO Plan B
      Group #: 40464M (55-64 retiree)
    • Group#: 40464S (65+ retiree)
    • PPO Plan C
      Group #: 40464N (55-64 retiree)
    • Group#: 40464T (65+ retiree)
    • PPO Plan D
      Group #: 40464P (55-64 retiree)
    • Group#: 40464W (65+ retiree)
    • HMO Classic
      Group #: 57AHCC (55-64 retiree), 57AHCD (65+ retiree)
    • Kaiser
      Group #: 231876-0111 (55-64 retiree)
    • Group #: 231876-0111 $10 Senior Advantage Plan (65+ retiree)

    MANAGEMENT/CONFIDENTIAL RETIREES

    Click here to view plan summaries for the following plans:

    • PPO Plan A
      Group #: 40465L (55-64 retiree)
    • Group #: 40465R (65+ retiree)
    • PPO Plan B
      Group #: 40465M (55-64 retiree)
    • Group#: 40465S (65+ retiree)
    • PPO Plan C
      Group #: 40465N (55-64 retiree)
    • Group#: 40465T (65+ retiree)
    • PPO Plan D
      Group #: 40465P single, 40465Q family (55-64 retiree)
    • Group#: 40465W single, 40465X family (65+ retiree)
    • HMO Classic
      Group #: 57AHCG (55-64 retiree), 57AHCH (65+ retiree)
    • Kaiser
      Group #: 231876-0113 (55-64 retiree)
    • Group #: 231876-0113 $10 Senior Advantage Plan (65+ retiree)