Open Enrollment

 

The annual open enrollment period runs from mid-September through the first week of October.   All Open Enrollment request become effective on January 1st of the following year.

During the annual open enrollment period, eligible employees may:

  • enroll as a new enrollment, change health plans, or add or delete eligible family members to health plans;
  • enroll or cancel FlexCash -- if employee has an alternate non-CSU medical and/or dental plans; or
  • enroll or re-enroll in the DCRA or HCRA plans for the new tax year

CalPERS Dependent Eligibility & Enrollment Guidelines

All dependents on health plans will require a Social Security number in addition to the documents below.

Eligible Dependents

  • Spouse (opposite-sex and same-sex) and Domestic Partners (same-sex over the age of 18 or opposite sex-partners if over the age of 62).  Requires a copy of Marriage Certificate or Domestic Partnership.  Former spouses or former domestic partners are not eligible.
  • Under the age of 26 – Natural children, stepchildren or adopted children. Requires a copy of birth certificate.
  • Under the age of 26 - Economically dependent children. Requires Certificate and Affidavit of Eligibility of Economically-Dpendent Children Form (HBD-35) for each dependent and specific legal documentation.  Please contact Human Resources for additional information (559) 278-2032.

Enrollment Guidelines

Split Enrollments: Members who are married and who both work or worked (retirees), for agencies in the CalPERS Health Program can enroll separately. If you and your spouse enroll separately, you must enroll all eligible family members, regardless of the relationship, under only one of you.  Dependents cannot be split between parents.

For example, if a CalPERS member with children marries another CalPERS member with children and each member has their own enrollment in the CalPERS Health Program, all children must be enrolled under one parent.

The effective date of coverage will be the first of the month following the date of marriage. If split enrollments are discovered, they will be retroactively corrected. You will be responsible for all costs incurred from the date the split enrollment began.

Dual Coverage: You cannot be enrolled in a CalPERS health plan as a member and a dependent or as a dependent on two enrollments. This is called dual coverage and it is against the law. When dual coverage is discovered the coverage will be retroactively canceled. You may have to pay for all costs incurred from the date the dual coverage began.