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Benefits Office Hours of Operation

By Appointment Only 
November 1, 2024, through January 21, 2025 

Benefits Office will resume walk-in services on
  Tuesday, January 21, 2025

Scheduled appointments are available on Tuesdays and Thursdays from 9:00 am - 11:00 am & 1:00 pm - 3:00 pm
Please email benefits@peralta.edu to schedule your appointment.

2024 Open Enrollment Banner

 

All Enrollees with Medicare A & B

Medical Plans

Kaiser Permanente Senior Advantage (KPSA) Summaries

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KPSA Plan Summaries
Away from Home Travel Line

If you have questions about your coverage when you are away from home:

Call 1-951-268-3900

24 hours a day, seven days a week (except closed holidays)

Website 

DeltaCare Plan (Bundled with Kaiser Senior Advantage)
2024 KPSA Election Form

SISC Anthem

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Anthem Summary of Benefits
Anthem PPO Summary of Benefits and Coverage (SBC)
Anthem Enrollment Form

Medicare Enrollees with Non-Medicare Enrollees

Medical Plans

Kaiser

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SISC Kaiser Senior Advantage & Kaiser HMO Benefits Summaries
Enrollees 65 and Over with Medicare A & B

Enrollees Under 65 (No Medicare)

Kaiser Enrollment Forms

Please download the form and sign with a digital signature before submitting.

Away from Home Travel Line

If you have questions about your coverage when you are away from home:

Call 1-951-268-3900

24 hours a day, seven days a week (except closed holidays)

Website 

DeltaCare USA - Bundled with Kaiser Permanente Senior Advantage (KPSA)
If the spouse/domestic partner turns 65 before the retiree, both members will be enrolled. If the retiree turns 65 before the spouse/domestic partner, only the retiree will be enrolled. Dependent children are not covered.

Anthem

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Anthem Summaries

Please download the form and sign with a digital signature before submitting.

Anthem Enrollment/Opt-Out Forms

All Enrollees Under 65 (No Medicare)

Medical Plans

SISC Kaiser HMO Plan

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Kaiser HMO Enrollment Summaries
Kaiser HMO Summary of Benefits & Coverage (SBC)
Kaiser Enrollment Form

Please download the form and sign with a digital signature before submitting.

You can submit your form in person or via mail to the ÌÇÐÄviog¹Ù·½ÍøÕ¾ Benefits office at 333 East 8th St, Oakland, CA 94606.

Away from Home Travel Line

If you have questions about your coverage when you are away from home:

Call 1-951-268-3900

24 hours a day, seven days a week (except closed holidays)

Website 

SISC Anthem PPO Plan

Attention screen reader users: press Enter on any of the below Help titles to expand or collapse its content
Anthem PPO Enrollment Summaries
Anthem PPO Summary of Benefits and Coverage (SBC)
SISC Anthem PPO Enrollment Form
SISC Evidence of Coverage Pharmacy Benefit

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 (Open to the public from 9:00 am - 12:00 pm & 1:00 pm - 4:00 pm)
Or email benefits@peralta.edu