Open Enrollment Information for Medical, Dental, and Vision
Please note that only employees wishing to change their current medical, dental, and/or vision coverage or opt-out status need to complete any forms. Again, if you do not wish to make any changes, you do not need to complete any paperwork.
MEDICAL - Open enrollment with CalPERS for medical coverage effective January 1 takes place from mid September through mid October. Only those wishing to make a change for their medical coverage need to participate during this window by completing an HBD-12 form to add, delete, or change coverage.
Those that currently are taking medical coverage and wish to decline coverage during open enrollment and also qualify for cash-in-lieu (Full-time certificated and unrepresented employees only) will need to provide proof of medical coverage to receive funds and complete the Cash-in-lieu form.
DENTAL/VISION - Open enrollment with CVT for dental/vision coverage effective October 1 runs from September 1 until the 3rd Friday of September. Only those wishing to make a change for their dental/vision dependent coverage need to participate during this window by logging in at www.cvtrust.com website to add, delete, or change dependent coverage for dental/vision insurance.