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Valley Water Retirees Information

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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 or [email protected]

Open Enrollment 2026Medicare

September 29th, 2025 - October 17th, 2025 for a January 1st, 2026 Effective Date 

1. 2026 Information Memo:

  • Retiree Memo (Under Age 65)

  • Retiree Memo (Over Age 65)

2. 2026 Retiree Benefits Guide

3. Changing Plans:

  • Enrollment Change Form (Blue Shield/Kaiser)
  • Anthem Medicare Preferred PPO Enrollment Form

4. Summary of Benefits and Coverage (SBCs):

  • Anthem Medicare Advantage PPO
  • Blue Shield PPO
  • Blue Shield HMO
  • Blue Shield Trio HMO
  • Kaiser Chiro
  • Kaiser Double Coverage HMO
  • Kaiser Medicare Advantage
  • Kaiser HMO

5. Retiree Open Enrollment Presentation:

  • If you were unable to attend the presentation, please take a moment to watch the recording for important information about your 2026 Retiree Benefits
    • Click here to view the recording
    • Passcode: z@ixmS0n
  • 2026 Retiree Open Enrollment Presentation Slides 

NEW Anthem Medicare Advantage Plan with RetireeFirst concierge service: 

Valley Water is pleased to announce a new and upcoming Medical and Prescription Drug coverage offering specifically for Medicare retirees. The new Medicare Advantage with Prescription Drug (MAPD) Plan will be provided by Anthem Medicare Preferred (PPO). 

Anthem Medicare Preferred Enrollment Guide 

Frequently Asked Questions (FAQ’s)

Dedicated RetireeFirst advocacy lines are now LIVE:   

  • Dedicated local number assigned: (408)868-8964

  • Dedicated toll-free number assigned: (855)301-8203

  • Dedicated RetireeFirst/ValleyWater website: www.retireefirst.com/valleywater

New: Medicare Mail Order Changing to Amazon effective April 1, 2025

Click here to submit your Medicare Verification Form

  • 2026 Medicare Part B Reimbursement Form:
    • FC_1646_Calendar_Year_2026
    • FC_1646_Calendar_Year_2026_FILLABLE
    • FC_1646_SAMPLE_Calendar_Year_2026
    • FC_1646_Calendar_Year_2026.xls
    • Sample Benefits Verification Letter
  • 2025 Medicare Part B Reimbursement Form:
    • FC_1646_Calendar_Year_2025.pdf
    • FC_1646_Calendar_Year_2025_FILLABLE.pdf
    • FC_1646_SAMPLE_Calendar_Year_2025.pdf
    • FC_1646_Calendar_Year_2025.xlsx
    • Sample Benefits Verification Letter
  • 2024 Medicare Part B Reimbursement Form:
    • FC_1646_Calendar_Year_2024.pdf
    • FC_1646_Calendar_Year_2024_FILLABLE.pdf
    • FC_1646_SAMPLE_Calendar_Year_2024.pdf
    • FC_1646_Calendar_Year_2024.xlsx
    • Sample Benefits Verification Letter
  • 2026 Medicare Part D Reimbursement Form:
    • FC_1946_Calendar_Year_2026_MARCH
    • FC_1946_Calendar_Year_2026_JUNE
    • FC_1946_Calendar_Year_2026_SEPTEMBER
    • FC_1946_Calendar_Year_2026_DECEMBER
  • 2025 Medicare Part D Reimbursement Form:

    • FC_1946_Calendar_Year_2025_MARCH
    • FC_1946_Calendar_Year_2025_JUNE
    • FC_1946_Calendar_Year_2025_SEPTEMBER
    • FC_1946_Calendar_Year_2025_DECEMBER

     

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

2026 Links to submit Medicare Part B Reimbursement Forms online:

  • CY26 Medicare Part B Reimbursement Form Quarter Ending 03/31
  • CY26 Medicare Part B Reimbursement Form Quarter Ending 06/30
  • CY26 Medicare Part B Reimbursement Form Quarter Ending 09/30
  • CY26 Medicare Part B Reimbursement Form Quarter Ending 12/31

2025 Links to submit Medicare Part B Reimbursement Forms online:

  • CY25 Medicare Part B Reimbursement Form Quarter Ending 03/31
  • CY25 Medicare Part B Reimbursement Form Quarter Ending 06/30
  • CY25 Medicare Part B Reimbursement Form Quarter Ending 09/30
  • CY25 Medicare Part B Reimbursement Form Quarter Ending 12/31

2024 Links to submit Medicare Part B Reimbursement Forms online:

  • CY24 Medicare Part B Reimbursement Form Quarter Ending 03/31
  • CY24 Medicare Part B Reimbursement Form Quarter Ending 06/30
  • CY24 Medicare Part B Reimbursement Form Quarter Ending 09/30
  • CY24 Medicare Part B Reimbursement Form Quarter Ending 12/31

2026 Links to submit Medicare Part D Reimbursement Forms online:

  • CY26 Medicare Part D Reimbursement Form Quarter Ending 03/31
  • CY26 Medicare Part D Reimbursement Form Quarter Ending 06/30
  • CY26 Medicare Part D Reimbursement Form Quarter Ending 09/30
  • CY26 Medicare Part D Reimbursement Form Quarter Ending 12/31

2025 Links to submit Medicare Part D Reimbursement Forms online:

  • CY25 Medicare Part D Reimbursement Form Quarter Ending 03/31
  • CY25 Medicare Part D Reimbursement Form Quarter Ending 06/30
  • CY25 Medicare Part D Reimbursement Form Quarter Ending 09/30
  • CY25 Medicare Part D Reimbursement Form Quarter Ending 12/31

2024 Links to submit Medicare Part D Reimbursement Forms online:

  • CY24 Medicare Part D Reimbursement Form Quarter Ending 03/31
  • CY24 Medicare Part D Reimbursement Form Quarter Ending 06/30
  • CY24 Medicare Part D Reimbursement Form Quarter Ending 09/30
  • CY24 Medicare Part D Reimbursement Form Quarter Ending 12/31

 

Benefits InformationDental/Vision/Deferred Compensation/ARDE

Anthem Medicare Preferred (PPO):

Website   https://retireefirst.com/valleywater/

Group#  CA065GRS

Number  408-868-8964 or Toll Free 855-301-8203

Blue Shield PPO/HMO Information:

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

New: Action Required- Blue Shield Mail Order Changing to Amazon effective 1/1/25

Blue Shield Health Plan Documents:

  • 2026 Blue Shield HMO Benefits Summary
  • 2026 Blue Shield HMO SBC
  • 2026 Blue Shield PPO Benefits Summary
  • 2026 Blue Shield Trio HMO SBC
  • 2026 Blue Shield TrioHMO Benefits Summary
  • Blue Shield HMO EOC (Coming Soon)
  • Blue Shield Privacy Notice
  • Blue Shield Hearing Aid Benefit
  • Treatment Cost Estimator
  • Grievance Form
  • HMO Chiropractic and Acupuncture Benefit
  • Prescription Benefits
  • Prescription Mail Order Program
  • 2024 Blue Shield Trio EOC
  • 2024 Blue Shield HMO Access EOC
  • 2024 Blue Shield PPO EOC
  • 2024 Blue Shield Medicare Advantage Summary of Benefits
  • 2024 Blue Shield Medicare Advantage EOC
  • 2024 Blue Shield PPO Plan Summary
  • 2024 Blue Shield Medicare Advantage – Get Started with Silver Sneakers
  • 2024 Blue Shield Medicare Advantage SilverSneakers Step-by-Step Enrollment Instructions
  • 2024 Blue Shield Medicare Advantage SilverSneakers Member Flyer

Kaiser Information:

www.kp.org

Group# 7189

1-800-464-4000

  • 2026 Kaiser HMO 0 Plan Summary
  • 2026 Kaiser HMO 0 SBC
  • 2026 Kaiser HMO 10 Plan Summary
  • 2026 Kaiser HMO 10 SBC
  • 2026 Kaiser KPSA Plan Summary
  • Travel Benefits for Emergencies to non-Kaiser Facility
  • Visiting Members to other Kaiser Regions
  • Kaiser RX Mail Order
  • Kaiser One Pass Gym Discount - Non Medicare Retirees
  • Kaiser One Pass Gym Discount - Medicare Retirees
  • 2024 Kaiser Traditional HMO EOC
  • 2024 Kaiser Senior Advantage KPSA) EOC
  • 2024 Kaiser HMO (Double Covered) EOC
  • 2024 Kaiser HMO Plan Summary
  • 2024 Kaiser HMO (Double Covered) Plan Summary
  • 2024 Kaiser Senior Advantage (KPSA) Plan Summary
  • 2024 Kaiser Amendment Adding Chiropractic & Acupuncture
  • 2024 Kaiser Silver & Fit Program Information

Delta Dental (for eligible retirees only):

  • Delta Dental (EOC)
  • Group# 21266
  • www.deltadentalins.com
  • 1-800-765-6003

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

  • Vision Service Plan (VSP) (EOC)
  • Group# 30102594
  • www.vsp.com
  • 1-800-877-7195

Deferred Compensation:

  • Deferred Compensation Information

ARDE:

  • Association of Retired District Employees (ARDE)
  
  

 

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COM Amazon Easy Sign-up Guide_FINAL.pdf
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2024 SCVWD 7189 -DBL COV HMO EOC.pdf
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2021 SCVWD kaiser-HMO EOC.pdf
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BlueShield_PPO_EOContract2021.pdf
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BlueShield_HMO_EOContract2021.pdf
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ValleyWater2021_Newsletter_Retirees.pdf
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2021SCVWD_Annual_Legal Notice-PartD_Creditable_Coverage.pdf
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2021Retiree_Memo_Under65.pdf
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Sample_Benefits_Verification_Letter.pdf
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FC_1646_Calendar_Year_2020_FILLABLE.pdf
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FC_1646_Calendar_Year_2020.pdf
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2025 Retiree Memo (Under 65).pdf
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Retiree Memo (Current Blue Shield Medicare Advantage Members) .pdf
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Retiree Memo (Medicare Retirees on Blue Shield PPO or Kaiser Senior Advantage) .pdf
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2025 Anthem MAPD FAQ's.pdf
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2025 Anthem Medicare Advantage Plan PPO.pdf
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2025 Blue Shield HMO Benefit Summary Valley Water.pdf
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2025 Blue Shield PPO Benefit Summary Valley Water.pdf
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2025 Blue Shield Trio HMO Benefit Summary Valley Water.pdf
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2025 Kaiser Chiro Benefit Summary Valley Water.pdf
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2025 Kaiser Double Coverage HMO Benefits Summary Valley Water.pdf
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2025 Kaiser -HMO Benefit Summary Valley Water - Active.pdf
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2025 Kaiser Medicare Advantage _KPSA Benefits Summary Valley Water.pdf
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Retiree Benefits Guide
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2026 VW Retiree Benefits Guide
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2026 Retiree Memo (Under 65)
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Kaiser One Pass Gym Discount - Non Medicare Retirees
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KP_Group Medicare-One-Pass-Flyer.pdf
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2026 Retiree Open Enrollment Presentation_all slides.pdf
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2026 VW Retiree Benefits Guide- 2nd Draft.pdf
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