Benefits & Medical Information Home

Flexible Benefit Plan (IRS 125 Plan)

Open enrollment for 2021 plan participation is November 1, 2020 – November 30, 2020.

The IRS 125 Flexible Benefits Plan allows you to set aside money on a pre-tax basis to help pay for certain expenses. There are two options to the plan, Health FSA and Dependent Daycare Account (DCA) as discussed in the Section 125 / Flexible Benefit Plan Employee Handbook Plan (Plan). Valid for plan years on or after January 1, 2021.

Add on option:

Debit Card: You can request a debit card via the participant portal. The debit card feature will allow you to pay for qualified expenses with your pretax dollars.
Enrolling is as easy as 1-2-3:

Please review the handbooks and CBIZ Transition Guide below before enrolling.

CBIZ FSA – Transition Guide

Section 125 / Flexible Benefit Plan (Plan) Employee Handbook

Section 132/Pre-Tax Commuter Expense Program Employee Handbook

Note: Part-time & hourly faculty open enrollment for this benefit will be during the Spring 2021 open enrollment period for eligible employees.

For plan information/clarification and enrollment assistance, please contact CBIZ.

Pension Dynamics was acquired by CBIZ earlier this year, however the same team is here to assist you with your account. You can continue to contact them directly by phone at (925) 956-0514 or email at PHCBenefits@cbiz.com for assistance with your old or new account.

Important Links

2020 Employee Open Enrollment Benefits Newsletter/Announcement

2020 Retiree Open Enrollment Benefits Newsletter/Announcement

2020 – 2021 PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix

2020 – 20201 PCCD Retiree Benefits Guide

PCCD Required Documentation Matrix

Registration and login online instructions for BenefitBridge

BenefitBridge Secure Enrollment Portal

403 (b) & 457 (b) Plan Information

Voluntary Benefits

For BenefitBridge technical assistance only, please contact BenefitBridge Customer Care at 800.814.1862;

Mon – Fri, 8:00 AM – 5:00 PM, PST or email benefitbridge@keenan.com

For assistance with your benefits questions, please contact the District, Benefits office at 510.466.7229;

Mon – Fri, 8:30 AM – 5:00 PM, PST or email benefits@peralta.edu

Benefits Resource Libraries -Current & Previous Plan Years

*Located under the Navigation tab top left of webpage.

Current Plan year ( July 1, 2020 – June 30, 2021 ) Resource Library Below

Medical Plans

Kaiser HMO Plans

2020-2021 Kaiser Traditional Plans Summary of Benefits & Coverage

Peralta-Community-College-Kaiser-HMO-10 SBC

Peralta-Community-College-Kaiser-HMO-15 SBC

Peralta-Community-College-Kaiser-HMO-0 SBC

2020-2021 Kaiser Senior Advantage Plans Summary of Benefits & Coverage

Peralta Community College 65 HMO $0 SR ADV Benefit Summary

Peralta Community College 65 HMO $10 SR ADV Benefit Summary

Peralta Community College 65 HMO $15 SR ADV Benefit Summary

Kaiser Permanente Senior Advantage (HMO) Enrollment Form

Universal Benefit Enrollment Form – Retiree & Exceptional Processing

*Retirees enrolling in a Kaiser Permanente Senior Advantage Plan must complete the Kaiser Permanente Senior Advantage Enrollment form (above) and mail to the address on the form. If you are changing your medical plan during open enrollment also complete the Universal Benefit Enrollment Form (above) and mail to the PCCD Benefits Office at the address on the form along with any required dependent documents if applicable. Remember to enclose a copy of the Kaiser Permanente Senior Advantage Form mailed directly to Kaiser.

PCCD Kaiser Permanente Reimbursement Form

Kaiser Reimbursement Form

Anthem PPO Traditional & PPO Lite Self-funded Plans Administered by Trustmark

2020-2021 Summary of Benefits & Coverage

Peralta Self Funded Traditional PPO SBC $15 Plan (Local 1021 & Confidentials)

Peralta Self Funded Traditional PPO SBC $10 Plan (PFT, Management & Trustees)

Peralta Self Funded Traditional PPO SBC $15 Plan (Local 39)

Peralta Self Funded Lite PPO SBC $15 Plan (Local 1021 & Confidentials)

Peralta Self Funded Lite PPO SBC $10 Plan (PFT, Management & Trustees)

Peralta Self Funded Lite PPO SBC $15 Plan (Local 39)

Universal Benefit Enrollment Form – Retiree & Exceptional Processing

*Retirees changing medical plans during open enrollment must complete the Universal Benefit Enrollment Form (above) and mail to the PCCD Benefits Office at the address on the form along with any required dependent documents if applicable.

CASH IN-LIEU OF MEDICAL & DENTAL BENEFITS FORM

If you are an active employee waiving medical and dental benefits please uploaded the completed form with all required insurance verifications during your BenefitBridge online enrollment.