Open Enrollment 8/1/2025 - 8/29/2025
No Changes, No Action Needed!
If you make changes, they will take effect October 1, 2025
Reminder: All changes must be submitted via digital form. Adding a dependent? Be sure to turn in the following documents: 1) adding spouse: marriage certificate & 1st page of most recent tax return, 2) adding dependent children: birth certificate. Documents can be emailed to: Benefits Office
Take a moment to review the October 2025-September 2026 Benefits Presentation for important health insurance information.
Check out the open enrollment events calendar to see all campus and virtual scheduled events. Click Here to review the Open Enrollment Calendar
Highlighted scheduled events:
The Benefits Office has scheduled walk-in events to answer questions and provide support (held in LRC-308)
SISC will host a virtual presentation and Q & A during our August 26th drop-in date.
Our EAP provider will host 3 presentations, 2 on-site with a virtual option and 1 only virtually.
Don't forget, annual enrollment is required for all flexible spending accounts. American Fidelity will assist with flexible spending account enrollment and other American Fidelity products on-site and virtually.
AFLAC will be on-site to assist with questions and enrollment.
Links to Information and Forms
Comprehensive Recorded Open Enrollment Presentation Zoom recording (passcode: xxxx) & Open Enrollment Presentation Power Point
Retiree Open Enrollment Presentation (Zoom recording/passcode: xxxx) (pdf slides)
District Paid Plan Summaries & Provider Search: To view the medical/dental/and vision plan summaries and provider search links.
What you need to do to make a change on or before August 29, 2025
1.Find the plan that you would like to change from the list below
2.Click on that plan text to pull up the digital form
3.Carefully complete the fields on the digital form
4.Use the “sign” button to create a signature and sign the form
5.You will receive an emailed copy of the completed form as confirmation of your submission
6.The Benefits Office will automatically receive a copy of the form
| Medical Forms | Dental & Vision Forms | Optional Insurance Forms |
| Anthem PPO 100A(contrib. required) | Delta Premier (contrib. required) | VOYA Life |
| Anthem PPO 80E | Delta PPO (contrib. required) | VOYA Accident |
| Anthem HMO | DeltaCare USA DHMO | Hyatt Legal Plan |
| Kaiser HMO | EyeMed | Unum Long Term Care |
| Kaiser HDHP with HSA | ||
| Waive Medical Insurance |
2025-2026 Employee PPO 12-Month Plan Contributions
Anthem PPO 100A: Single $226/mo., 2-Party $445/mo., Family $627/mo.
Delta PPO: $44.30 (no change)
Delta Premier: $71.00 (no change)
Palomar Supplemental Benefits (to view additional voluntary insurance options)
American Fidelity, flexible spending and supplemental insurance (schedule a meeting)
Aflac supplemental insurance (Information and scheduling a meeting)
Hyatt/MetLaw Plan Summary (Enrollment form, 10 payments of $23.40)
Unum Long Term Care Buy-up (Plan Summary, Enrollment Form & Required EOI)
Complimentary Financial Planning and Retirement Investment 403(b)/457(b)
Benefits Contact
Phone: (760) 744-1150 ext. 3053 or ext. 2889
Email: Benefits Office