Open Enrollment FAQ


When is Open Enrollment?

Open Enrollment will take place September 21 -October 16. Changes made during the 2020 Open Enrollment will take effect January 1, 2021.

How do I enroll?

Enrollment form for Medical
Enrollment form for Dental (PPO)
Enrollment form for Dental (HMO)
Enrollment form for Vision
Enrollment form for Principal Life Insurance

Why should I enroll?

If you are looking to make changes to your health, dental, life insurance plans, you will need to submit the appropriate enrollment form. If no action taken, employees will automatically default into your current plan(s). 

What if I opt out of medical coverage?

Employees who would like to continue to waive their medical coverage in 2021 will need to submit an annual Medical Opt Out Form, along with supporting documentation, for the 2021 plan year. 

What is the employer/employee contribution and the 2021 medical premium rates?

2021 Contributions 
2021 Medical Premium Rates 

What are the health plan options for 2021?

Please refer to the 2021 Benefit Guide for detailed information on all the City’s benefit options. 

2021 Benefit Guide

What supporting documentation do I need to enroll my dependents?

To add your spouse or registered domestic partner:

  • Provide a copy of your marriage certificate or Declaration of Domestic Partnership
  • Provide your spouse’s or domestic partners Social Security Number 

To add your children, adopted children, stepchildren, or domestic partners children:

  • Provide a copy of the birth certificate
  • Provide your dependents Social Security Number 

What should I know about dental and vision insurance for 2021? 

  • Dental insurance is 100% employer paid for you and your dependents
  • Vision insurance is only available for sworn safety and executive staff
  • All other employees who do not fall under the above categories receive a $225 vision reimbursement each fiscal year 

When will I see my new medical premium payroll deduction?

All changes made during Open Enrollment will be effective January 1, 2021, and payroll deductions will begin in December 2020. 

Important information to keep in mind:

  • ID cards are issued by the health plan, not CalPERS. If additional ID cards are needed, please contact your health provider directly 
  • Please remember to carefully review your pay stub to ensure the correct health plan premium deduction was made