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Open Enrollment November 17, 2014 - December 12, 2014
Deadline: Friday, Decebmer 12, 2014


Open Enrollment Instructions - information for 2/1/2015 - 9/30/2015 coming soon
Benefit Plan Rates - information for 2/1/2015 - 9/30/2015 coming soon

Open Enrollment Sessions

Wednesday, December 3, 2014 @ 11:00 a.m. KTD & IVC Teleconferencing Rooms

Wednesday, December 3, 2014 @ 3:00 p.m. KTD & IVC Teleconferencing Rooms

Thursday, December 4, 2014 @ 12:30 p.m. KTD & IVC Teleconferencing Rooms

Continuing Plans


2/1/2014 to 1/31/2015 – Traditional Plan
7/1/2014 to 1/30/2015 – Deductible HMO Plan

Kaiser's List of Covered Zip Codes for the Northern California Service Area

Delta Dental

Active Employees
Retired Employees


VSP Vision Benefit Summary

New Plans

Blue Shield PPO

SISC Blue Shield of California 100% Plan A / $20.00 Copayment
Summary of Benefits (100% Plan)

SISC Blue Shield of California 80% Plan K / $30.00 Copayment
Summary of Benefits (80% Plan)
Open Enrollment Guide for Blue Shield PPO plans

Open Enrollment Forms

Step 1: Complete Plan Election Form

Step 2: Complete Enrollment Forms

Step 3: Provide Required Dependent Eligibility Information

Other: Complete Agreement to Save Taxes on Premiums (complete Option 3 on this form)

Resources and Contact Information

KAISER – Group #554
Get immediate assistance to your routine questions by calling KP Member Services at 800-464-4000.            

Blue Shield
Contact your Member Services Team at 1-800-642-6155.

Delta Dental
Visit web site:

Call 1-800-877-7195 for details on your vision plan or go to

Self-Insured Schools of California
Visit web site:

Plan Being Discontinued as of July 1, 2014

Health Net

Health Net is being discontinued as of July 1, 2014. It will be replaced with Blue Shield.


Fiscal Services Website
Content Responsible: Peggy Isozaki, Director of Fiscal Services, 415.883.2211 ext. 8160
Technical Contact: Melinda Molloy, Administrative Assistant to the Vice President of College Operations, 415.883.2211 ext. 8101