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Benefits Resource Library Current Plan Year

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July 1, 2020 – June 30, 2021

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 benefitberidge@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

  

Medical Plans

  

Kaiser HMO Plans

  

2020-2021 Kaiser Traditional Plans Summary of Benefits & Coverage

  

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

  

  

Kaiser HMO Plan Downloads

  

  

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

  

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

  

Self-funded Plan Download

  

2020-2021 Summary of Benefits & Coverage

  

  

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.

  

Dental

  

Dental PPO

  

  

UHC Dental DHMO – Direct Compensation Dental Plan

  

  

Vision (Bundled With Medical Plans)

  

  

Voluntary Vision

  

  

District-Paid Life Insurance

  

  

District-Paid Disability Insurance

  

  

Employee Assistance Program (EAP)

  

  

Flexible Spending Medical and Dependent Day Care Expenses under IRS Code 125

  

*Open enrollment occurs annually November 1-30 for the following plan year (January – December).

  

Current year forms & Documents:

  

  

Pre-tax Commuter Expense under IRS Code 132

  

Contribution Limit Increase for 2020:

  

The maximum amount you may contribute to each account cannot exceed the maximum amount specified in Code Section 132(f).

The maximum amounts are:

  1. Parking Expenses $270/month
  2. Transportation Expenses $270/month (Public transportation/vanpool)

  

Medicare Downloads

  

  • Benefits & Medical Information

    Wednesday 12 August 2020
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  • Peralta Community College District

    The District comprises four colleges serving northern Alameda County.
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