Plans Effective January 1, 2023 – September 30, 2023
Important links
- *UPDATED* PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (October 2023 – September 2024) – Flip Book
- *UPDATED* PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (October 2023 – September 2024) – PDF
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (January 2023 – September 2023) – Flip Book
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (January 2023 – September 2023) – PDF
- SISC Medical Rates 1/1/2023 – 9/30/2023
- Update Personal Information
- Registration and login online instructions for BenefitBridge – Open Enrollment
- Registration and login online instructions for BenefitBridge – Life Events
- BenefitBridge Secure Enrollment Portal
- Eligibility Checklist
- 403 (b) & 457 (b) Plan Information
- Benefits Resource Library Current Plan Year
- Voluntary Benefits
For part-time faculty, click here
For retirees, click here
For ACA-eligible employees, click here
Important Forms & Documents
- Announcement
- SISC - Letter to Active Employees
- To All Current PPO Lite Plan Enrollees
- SISC Medical Rates 1/1/2023 – 9/30/2023
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (January 2023 – September 2023) – Flip Book
- PCCD Employee Benefits Guide with Monthly Contribution Rate Matrix (January 2023 – September 2023) – PDF
Medical Plans
SISC Kaiser Traditional HMO Plan
Please download the form and sign with a digital signature before submitting.
You can submit your form in person or via mail to the PCCD Benefits office at 333 East 8th St, Oakland, CA 94606.
SISC Anthem PPO Plan
Please download the form and sign with a digital signature before submitting.
PCCD Kaiser Permanente Reimbursement Form
Dental / Vision
- UHC Vision – Welcome brochure
- UHC Vision $ 15.00 copay plan bundled with Anthem PPO Traditional & Lite Medical Plans – L39
- UHC Vision $ 10.00 copay plan bundled with Anthem PPO Traditional & Lite Medical Plans – All groups except L39
- Use your UHC vision benefits at Warby Parker
- UHC DENTAL & VISION 2022 Open Enrollment Presentation
- UHC Dental DHMO – Welcome brochure
- UHC Dental Select Managed Care CA Open Enrollment Brochure
- Summary of Dental Benefits and Coverage Disclosure Matrix (SDBC)
- UHC DHMO – Direct Compensation Dental Plan Evidence of Coverage
- UHC Dental DHMO – Direct Compensation (DC) Contributory CA250/covered dental services CA D1065
- UHC Dental Vision Discount Flyer
- UHC DENTAL & VISION 2022 Open Enrollment Presentation
Group Life Insurance
CBIZ
*Open enrollment occurs annually November 1-30 for the following plan year (January – December).
CBIZ Open Enrollment 2021 Presentation
Current year forms & Documents:
Flexible Spending SPD: 2014-spd-003
- CBIZ FSA Claim-form
- CBIZ Direct-deposit-authorization
- CBIZ FSA Change in Status or Termination Form
- My Plans by CBIZ Direct Deposit Instructions
CBIZ CONTACT INFORMATION
EMAIL: cbizflex@cbiz.com
TELEPHONE: 1-800-815-3023, Option 4
CBIZ Open Enrollment 2021 Presentation
The maximum amount you may contribute to each account cannot exceed the maximum amount specified in Code Section 132(f).
The maximum amounts are:
Parking Expenses $280/month
Transportation Expenses $280/month (Public transportation/vanpool)
Pre-Tax Commuter SPD: peralta-132-doc
*CBIZ debit card must be used for eligible transit expenses starting 1/1/2021.
CBIZ CONTACT INFORMATION
EMAIL: cbizflex@cbiz.com
TELEPHONE: 1-800-815-3023, Option 4
Medicare Reimbursement Direct Deposit
If you are currently receiving direct deposits from CBIZ for your Medicare Premium Reimbursements and are not registered online on the CBIZ platform, click on the link below. Once registered you will be able to manage your direct deposit information.
If you are already registered on the CBIZ platform and would like to update your direct deposit information you can click on the link below.
https://myplans.cbiz.com/
My Plans by CBIZ Direct Deposit Instructions
Medicare Downloads
Medicare A, B & D Premium Reimbursement Plan Summary Plan Description (SPD) 2015
Navia
Navia Benefit Solutions will be the administrator of our Flexible Spending Accounts (FSA) and Commuter benefits, effective January 1, 2023.
It's important to note that a change has been made to the FSA plan design for 2023. The 2023 FSA plans will have the 2 ½ month grace period instead of the carryover feature. The grace period gives you an additional 2 ½ months to incur expenses against your Health Care and Day Care arrangements. This means that you will have until 3/15/2024 to incur services against your 2023 FSA. All expenses incurred during the 2 ½ month grace period will automatically deduct from the prior year's account first, and any remaining claim balance will then be applied to your current plan year.
If you participated in the 2022 Health Care FSA with CBIZ and have remaining funds at the end of the 90-day claims runout period, remaining balances of up to $570 will be transferred to Navia as a one-time carryover.
The Commuter account balances will continue the carryover feature as it has in the past.
For 2023, the maximum amount that you can contribute is:
- $3,050 for healthcare/medical FSA
- $5,000 (per household) for dependent care FSA
- $300 each for commuter benefits (transit and parking)
- Participant Online Registration Instructions
- Peralta CCD Participant Facing Contact Sheet
- Revised-Peralta-Medicare-Reimbursement-Claim-Form_ Updated Navia Info.11.29.2022
- Direct Deposit Form-Initial mailing
- Medicare A, B & D Premium Reimbursement Plan Summary Plan Description (SPD) 2015
- Medicare Reimbursement Plan Policy Statement 10.2015
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
