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Valley Water Retirees Information

Content

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 2022 Medicare

February 14, 2022 - March 11, 2022, For an April 1, 2022 effective date 

1. 2022 Information Memo

2. 2022 Open Enrollment Newsletter

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

4. 2022 Plan Year Annual Notices

5. Retiree (Under age 65) Summary of Benefits and Coverage (SBCs)

6. Kaiser Enrollment Form (Under Age 65) NEW! E-Sign and Submit these forms online!

7. Kaiser Senior Advantage Form (Over age 65)

8. Blue Shield Enrollment Form NEW! E-Sign and Submit these forms online!

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

2022 Links to submit Medicare Part B Reimbursement Forms online!

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

2023 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

    HMO: 1-855-599-2650 | PPO: 1-855-599-2650

    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