To ensure health benefit coverage, retirees must have completed the required steps as outlined in the Planning to Retire page. 

Employees who take a deferred retirement (leave funds on deposit with the retirement system for withdrawal at a later date) or opt for a lump sum distribution are not eligible for District-sponsored retiree health benefits.

Eligible children include children up to age 26, permanently disabled children of any age who were continuously enrolled in the District’s plans before age 19 or who were first enrolled as eligible full-time students prior to the disabling condition, children of domestic partners whom the retiree has adopted or has been declared legal guardian (must be registered with the State of California), and court-ordered children who are included in the retiree’s tax return.

Please note that if coverage for a disabled dependent is terminated for any reason, the coverage cannot be reinstated.

                              Retiree Under 65                                             Retiree Over 65

Under Age 19
Medical, Dental, Vision
Under Age 19
Medical, Dental, Vision
Students Age 19 to 25
Student Verification Required
Medical, Dental, Vision
Students Age 19 to 25
Student Verification Required
Medical, Dental, Vision
Non-Students Age 19 to 25
Medical Only
Non-Students Age 19 to 25
Medical Only
Only Anthem EPO
Ages 25 to 26
Due to Health Care Reform Act
Medical Only
Ages 25 to 26
Medical Only
Only Anthem EPO

 

 

 Anthem Blue Cross  Health Net  UnitedHealthCare  
EPO & HMO HMO & Seniority Plus Advantage HMO  
 Kaiser Permanent  Kaiser Permanent  Kaiser Permanent  
 HMO & Senior Advantage HI: Big Island, Oahu, Maui NW: Oregon, Washington  

 

There is no out-of-country coverage. 

The Anthem Blue Cross HMO plan is available to most California residents.  The Anthem Blue Cross EPO plan is available in all states.

The Kaiser HMO plan is available to most California residents.  The Kaiser Senior Advantage plan is available in California, Hawaii, Oregon, and Washington.

The Health Net HMO and Seniority Plus plans are available to most California residents.

The UHC Advantage HMO plan is available in Arizona, California, Colorado, Nevada, Oregon, Texas, and Washington.

All medical plans are available in certain zip codes only.  Contact each plan directly for specific coverage area.

Changing Doctors
Retirees may contact their plan directly to receive information on electing a different medical provider.

Contact information for each provider can be found under the Benefit Providers page (link provided at the top of this page).

 

 

 DeltaCare   United Concordia  Western Dental
       DHMO         PPO   DHMO & Plan Plus

 

  EyeMed VSP

There is no out-of-country coverage.

Both EyeMed and VSP allow for in-network and out-of-network providers.

Please note that enrolling in a vision plan is a two-year commitment.  If a vision plan is elected in 2015 (to take effect January 2016), eligibility to change plans is not available until 2017 (for the plan to take effect January 2018).

Changing Dentists and/or Optometrists

Retirees may contact their plan directly to receive information on electing a different dental and/or vision provider.

Contact information for each provider can be found at the Benefit Providers page.

Changing health plans is permissible only during the District’s annual Open Enrollment period that typically takes place during the month of November.

Mid-year plan changes can only be made because of a qualifying Major Life Event or if moving out of the provider's service area. 

If moving out of California, retiree must contact Benefits Administration for benefit plan availability in the new area and must complete the Out of Area Enrollment form found in the Related Documents tab at the end of this page.

 

 

Student verifications are required every Spring (typically April) and Fall (typically September) to verify eligibility of dependent children ages 19 to 25.

See the Dependent Children Eligibility tab above for further information.

All dependents who lose health coverage may apply for COBRA.

In the event of a retiree’s death, the District will not pay for the health plan coverage of a surviving spouse or other dependents.  Surviving spouses may continue coverage at their own expense under the District’s AB528 Continuation Plan, and may also be eligible for COBRA coverage for a limited time.  Other dependents, however, are eligible for COBRA only.  The retiree’s surviving spouse or dependent(s) must notify the District of the retiree’s death within 60 days of the event.  The notice must be in writing and sent by mail to: Benefits Administration P.O. Box 513307, Los Angeles, CA 90051-1307 or fax to 213-241-4247. Include name, employee number/social security number, and a copy of the death certificate.  The District will then notify the COBRA/AB528 Administrator who in turn will mail an enrollment packet to the retiree’s surviving spouse/dependent(s).  Failure to notify the District of a retiree’s death may cause the surviving spouse and dependent(s) to forfeit their COBRA/AB528 rights.

Further information can be found on the COBRA Information page.

Click here for more information.

To view related documents, please visit the "District Retirees" section of the Forms and Publications page.