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Valley Water Retirees Information

Welcome!

This website is intended to provide Valley Water retirees with more information regarding retiree healthcare benefits. If you have any questions, please contact a Benefits staff member at (408) 630-3030

Open Enrollment 2024 Medicare

February 12, 2024 - March 1, 2024, for an April 1, 2024 effective date 

1. 2024 Information Memo

2. 2024 Retiree Benefits Guide

3. Enrollment Change Form

4. Go Paperless! Opt Out Form NEW! E-Sign and Submit this form online!

5. Summary of Benefits and Coverage (SBCs)

 

2024 Blue Shield Medicare Advantage Plan v Blue Shield PPO Presentation Slides

Blue Shield Medicare Advantage Plan v Blue Shield PPO. February 23, 2024 Recording

Click here to submit your Medicare Verification Form

NEW: E-sign and submit Medicare Part B Payment Request e-forms online!

2023 Links to submit Medicare Part B Reimbursement Forms online!

2024 Links to submit Medicare Part B Reimbursement Forms online!

 
Benefits Information Dental/Vision/Deferred Compensation/ARDE

Blue Shield PPO/HMO Information 

www.blueshieldca.com 
Group# W0051426
1-855-599-2650

Blue Shield Health Plan Documents

Kaiser Information

www.kp.org, Group# 7189

1-800-464-4000

Delta Dental:(for eligible retirees only)

Vision Service Plan (VSP) (for eligible retirees only)

Deferred Compensation

ARDE

 

Related Files
Attachment Size
2024 SCVWD 7189 -DBL COV HMO EOC.pdf 2.06 MB
2024 SCVWD 7189 -HMO 10 EOC.pdf 2.06 MB
2024 SCVWD 7189 -KPSA EOC.pdf 1.38 MB
SCVWD - GMAPD PPO 2024 Webinar 022224.pdf 789.59 KB
2024 Blue Shield Medicare Advantage EOC 2.34 MB
2024 Blue Shield PPO EOC.pdf 2.29 MB
2024 Blue Shield Access HMO EOC.pdf 2.27 MB
2024 Blue Shield Trio HMO EOC.pdf 2.32 MB
2024 Blue Shield Medicare Advantage Summary of Benefits 197.14 KB
FC_1646_Calendar_Year_2024 (11-08-23).pdf 612.85 KB
FC_1646_Calendar_Year_2024 (11-08-23).xlsx 91.39 KB
FC_1646_Calendar_Year_2024_FILLABLE (11-08-23).pdf 762.51 KB
FC_1646_SAMPLE_Calendar_Year_2024 (11-08-23)_New Rates.pdf 442.06 KB
Sample_Benefits_Verification_Letter.pdf 1.74 MB
FC_1646_Calendar_Year_2023_FILLABLE.pdf 761.21 KB
FC_1646_SAMPLE_Calendar_Year_2023.pdf 511.8 KB
FC_1646_Calendar_Year_2023.pdf 297.16 KB
FC_1646_Calendar_Year_2023.xlsx 93.42 KB
Sample_Benefits_Verification_Letter.pdf 1.74 MB
FC_1646_Calendar_Year_2022_FILLABLE_rev.pdf 741.97 KB
FC_1646_SAMPLE Calendar Year 2022.pdf 437 KB
FC_1646 Calendar Year 2022.xlsx 91.53 KB
FC_1646 Calendar Year 2022 FILLABLE.pdf 741.96 KB
FC_1646 Calendar Year 2022.pdf 215.13 KB
2021 SCVWD kaiser-HMO EOC.pdf 2.25 MB
BlueShield_PPO_EOContract2021.pdf 2.48 MB
BlueShield_HMO_EOContract2021.pdf 2.47 MB
ValleyWater2021_Newsletter_Retirees.pdf 2.65 MB
Kaiser_HMO_Early Retirees_2021_SBC.pdf 676.06 KB
Blue_Shield_PPO_2021_SBC.pdf 730.3 KB
Blue_Shield_HMO_2021_SBC.pdf 724.95 KB
2021SCVWD_Annual_Legal Notice-PartD_Creditable_Coverage.pdf 609.87 KB
2021Retiree_Memo_Under65.pdf 235.61 KB
2021Retiree_Memo_Over65.pdf 217.4 KB
FC_1646_Calendar_Year_2021.xlsx 92.08 KB
FC_1646_SAMPLE_Calendar_Year_2021.pdf 428.45 KB
FC_1646_Calendar_Year_2021_FILLABLE.pdf 737.67 KB
FC_1646_Calendar_Year_2021.pdf 147.28 KB
Sample_Benefits_Verification_Letter.pdf 1.74 MB
Kaiser_EOC.pdf 2.26 MB
BlueShield_HMO_EOC_2020.pdf 2.4 MB
BlueShield_PPO_EOC_2020.pdf 2.32 MB
FC_1646_Calendar_Year_2020_FILLABLE.pdf 983.89 KB
FC_1646_Calendar_Year_2020.pdf 138.3 KB

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