Open Enrollment Health Plans and Prorations

What is open enrollment?

Open Enrollment is the time when you can: 
1. Switch Health Insurances 
2. Add/Drop Dependents without a qualifying event

When is open enrollment?

The Open Enrollment period is the month of September. The effective date for any changes is October 1.

If you do not know which medical plan you are currently enrolled in, please call CVT Customer Service at 1-800-288-9870

Please note: Medical premiums for Anthem Blue Cross PPO and Kaiser plans have increased slightly from last year. You will need to decide whether you want to keep your current plan or change to a different plan. The new rates will apply beginning with the October 31 paychecks.

Benefit rates and summaries can be viewed by clicking the Benefit Plan Information selection from the left (blue) menu based on your bargaining unit. 

Please Download & Complete Below Forms ONLY IF you are changing your benefit options or beneficiary designation. 
Submit forms to Human Resources by: 
September 20, 2021

If you have any questions, please call Beth Shepard at (707) 792-4716 or Rochelle Gregori at (707)792-4720 Fax:
 (707) 792-4585,  or District Office Walk-in.  Thank you!

CVT Benefit Enrollment Form 
For initial enrollment and ALL plan changes

Kaiser Enrollment Form - For Kaiser selected plans, in addition to the CVT form

CVT MetLife Beneficiary Designation Form - For beneficiary changes ONLY

Predesignation of Personal Physician Form- Optional for all employees, must be approved by personal physician


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