Retiree Open Enrollment

Retiree Open Enrollment for the plan year 2025 begins Wednesday, October 16, 2024, and ends on Thursday, October 31, 2024.

Retiree Enrollment

The following enrollment options are available. You may do one of the following:

  1. Mail the Enrollment Form [pdf] to:
    菠菜网lol正规平台 Research Foundation
    210 North 4th Street, 3rd Floor
    San José, CA 95112    
  2. Email the form to Jocelyne Peña (jocelyne.pena@4dian8.com). 
  3. Contact Jocelyne Peña by phone (408) 924-1460.

  4. If you provide your email address, you may enroll online via Employee Navigator. Please follow the Employee Navigator Instructions [pdf] to enroll via Navigator.

NO action is needed if you do not wish to make any changes.

Medical Benefits

Pre-65

For 2025, we will offer four plans: Kaiser, EPO, PPO, and HDHP. Other than Kaiser, plans are through Benefit and Risk Management Services (BRMS) with Anthem Network. Please review the Summary of Benefits for each plan below.

You may review the provider directory for the EPO, PPO, and HDHP plans at http://www.anthem.com/find-care/ and use Network: Prudent Buyer PPO/EPO.

Post-65

For 2025, Post-65 retirees, we will be offering the following plans below:

View the provider directory at http://www.anthem.com/ca/find-care/ 
For the prefix, enter “MBL.”

Combination Plan Enrollment

If the retiree and their dependents are currently in combination plan (retiree/dependents one of them is Post-65 and others Pre-65, or vice versa), then the retiree/dependent who is Pre-65 will choose from the above mentioned Pre-65 plan offerings and Post-65 will choose from the Kaiser Advantage or Anthem Advantage plan.

Please note that you cannot combine Kaiser and PPO plans.

Questions?

If you have questions, please contact Jocelyne Peña at (408) 924-1460 or at jocelyne.pena@4dian8.com.