{"id":7491,"date":"2020-01-31T14:24:16","date_gmt":"2020-01-31T22:24:16","guid":{"rendered":"https:\/\/www.palomar.edu\/hr\/?page_id=7491"},"modified":"2025-11-25T12:33:15","modified_gmt":"2025-11-25T20:33:15","slug":"retiree-information-page","status":"publish","type":"page","link":"https:\/\/www.palomar.edu\/hr\/retiree-information-page\/","title":{"rendered":"Retiree Resource Page"},"content":{"rendered":"
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tRETIREE OPEN ENROLLMENT 2025-2026 INFORMATION\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
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Open Enrollment 2025-2026<\/h1>\n

Fall 2025 Enrollment is Closed.<\/h2>\n

Changes took effect October 1, 2025<\/h3>\n

No Changes, No Action Required!<\/h2>\n

All retirees can change their medical\/dental insurance plans or add\/delete dependents. We are no longer using the eBenefits portal for insurance changes, you will use the digital form links on this webpage and in the Open Enrollment Retiree Presentation. Review insurance plan options in the Open Enrollment Retiree Presentation. There is a special section at the bottom of this page for individuals who retired on or after October 1, 2020. \u00a0(2025 Retiree Open Enrollment Presentation Slides<\/a>)<\/p>\n

Please be sure your Palomar College address and emergency contact information is up to date. Address\/Emergency Contact Form<\/a><\/p>\n

The medical and dental contributions listed below apply October 1, 2025 through September 30, 2026 for people who retired on, or after, 10\/1\/2020.<\/p>\n

Medical Insurance Information<\/h3>\n

Anthem CaliforniaCare HMO U65 Plan Summary (no retiree contribution required)<\/a>
\nAnthem 80E PPO U65 Plan Summary (no retiree contribution required)<\/a>
\nAnthem 100A U65 PPO Plan Summary (Retired on\/after 10\/1\/2020: Single $226\/mo., 2-party $445\/mo., Family $627\/mo.)<\/a>
\nAnthem PPO EGWP +65 Plan Summary (no retiree contribution required)<\/a><\/p>\n

Kaiser HMO U65 Plan Summary (no retiree contribution required)<\/a>
\nKaiser HDHP\/HSA U65 Plan Summary (no retiree contribution required)<\/a>
\nKaiser Permanente Senior Advantage +65 Plan Summary (no retiree contribution required)<\/a><\/p>\n

Dental Plan Information<\/h3>\n

DeltaCare USA DHMO Plan Summary (no retiree contribution required)<\/a>
\nDelta PPO Plan Summary ($44.30\/mo. contribution required if retired on\/after 10\/1\/2020)<\/a>
\nDelta Premier Incentive Plan Summary ($71.00\/mo. contribution if retired on\/after 10\/1\/2020)<\/a><\/p>\n

How to enroll or make changes:<\/h3>\n
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  1. Review the \"2025 Retiree Open Enrollment Presentation Slides\"<\/li>\n
  2. Find the plan from the list below that you would like to change<\/li>\n
  3. Click the text to pull up the digital form<\/li>\n
  4. Carefully complete the fields on the digital form<\/li>\n
  5. Use the \"sign\" button to create a signature and sign the form<\/li>\n
  6. You will receive an emailed copy of the completed form as confirmation of your submission<\/li>\n
  7. The Benefits Office will automatically receive a copy of the form<\/li>\n<\/ol>\n

    MEDICAL FORMS<\/strong>
    \n    Anthem PPO U65<\/a>
    \n    Anthem PPO +65<\/a> (this is an email not a digital form)
    \n    Anthem PPO 80E<\/a>
    \n    Anthem HMO<\/a>
    \n    Kaiser HMO U65<\/a>
    \n    Kaiser HMO +65<\/a> (this is an email not a digital form)
    \n    Kaiser HDHP<\/a><\/p>\n

    DENTAL FORMS<\/strong>
    \n    Delta Premier<\/a>
    \n    Delta PPO<\/a>
    \n    DeltaCare USA DHMO<\/a><\/p>\n

    Annual Required Notifications:<\/h3>\n

    HIPAA Privacy Notice<\/a>
    \n    Insurance Marketplace Notice<\/a>
    \n    COBRA General Notice<\/a>
    \n    Newborns Health Protection Act<\/a>
    \n    Children's Health Insurance Program<\/a>
    \n    Medicare Creditable Coverage Disclosure<\/a>
    \n    Patient Protection Disclosure<\/a>
    \n    Special Enrollment Notice<\/a>
    \n    Women's Health & Cancer Rights Notice Notice<\/a><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t

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    Group Number<\/h3>\n