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Valley Water Retirees Information



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 2021 Medicare

February 17, 2021 - March 12, 2021, For an April 1, 2021 effective date 

1. 2021 Information Memo

2. 2021 Open Enrollment Newsletter

3. Go Green! Open Enrollment/Evidence of Coverage Opt-Out Form 

4. 2021 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!

Benefits Information Dental/Vision/Deferred Compensation/ARDE

Blue Shield PPO/HMO Information  Group# W0051426

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

Kaiser Information, Group# 7189


Delta Dental:(for eligible retirees only)

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

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

Deferred Compensation