When
Sept. 15th – Oct. 10th, 2025
What is Open Enrollment?
The annual enrollment period when benefit eligible employees can make changes to their health benefits. Eligible employees can enroll in coverage, cancel coverage, change health plans, add eligible dependents or delete dependents.
If you do not have a CalPERS health insurance plan and receive Cash In Lieu, you will receive a separate email in October requesting that you complete the Cash in Lieu affidavit and submit it to the Benefits Office along with a copy of your medical insurance card. The Cash in Lieu affidavit must be completed annually.
Open Enrollment for voluntary insurance products and Flexible Spending Accounts offered through American Fidelity will take place in October/November. We will notify you of those dates soon.
New Benefit Offering
We have some exciting news to announce! We have partnered with Spot Pet Insurance to provide peace of mind in the event of unexpected vet bills. Spot plans cover dogs and cats, all breeds from 8 weeks and up! Please click on the Spot Insurance tab for more information and to sign up!
What if I don’t need to make any changes?
You do not need to do anything if you are not making any changes.
All changes made during open enrollment are effective January 1, 2026.
What’s new for health benefits?
Medical
Effective January 1, 2026, CVS Caremark (CVS) will replace OptumRx as the new pharmacy benefits manager (PBM). For more information on changes visit CVS Caremark Pharmacy Benefits. Health plans not listed are not affected by this change.
Anthem Blue Cross Traditional
Anthem Blue Cross Select
PERS Gold Basic
PERS Platinum Basic
UnitedHealthcare SignatureValue Alliance
UnitedHealthcare SignatureValue Harmony
PERS Gold Basic PPO Value-Based Insurance Design will continue with in-patient deductible credits of up to $500 for completing an expanded menu of preventive care activities such as cancer screenings, vaccinations, depression screening, or participation in a Diabetes Prevention Program (if applicable)
VSP Vision Care
There are no changes to our vision plan for 2026. Rates will increase slightly.
Delta Dental
There are no changes to our dental plan for 2026. Rates will remain the same.
How do I make changes?
Health Enrollment Self-Service is available for all eligible active employees through your myCalPERS account at www.calpers.ca.gov. During Open Enrollment you will be able to make the following changes to your medical insurance online:
Enroll yourself and your eligible dependents into health benefits (If you are adding a spouse and/or dependents you must upload a copy of your marriage certificate and/or copies of dependent(s) birth certificates)
Add or remove dependents
Change health plans
Cancel coverage
For information on signing up for a myCalPERS account and submitting a health enrollment or change request visit the CalPERS website.
If you do not wish to use the self-service option on myCalPERS you must complete the CalPERS enrollment/change form found on the Enrollment Forms tab and return it to the Benefits Office by October 10, 2025. If you are adding a spouse and/or dependents you must submit a copy of your marriage certificate and/or copies of dependent(s) birth certificates to the Benefits Office.
You may also add dependents to the dental/vision plan by completing the dental/vision enrollment form found on the Enrollment Forms tab.
More Information
You can access the 2026 Health Benefit Summary on-line or on the Summaries tab.
QUESTIONS
Contact Mindy Bloom at 661-294-5300 ext. 5192 or by email at mbloom@saugususd.org.