Open Enrollment
August 1-26, 2022
Open enrollment packets for medical health benefits are organized by bargaining unit and can be accessed below. Each packet contains a cover letter with instructions, descriptions of the Blue Shield and Kaiser Permanente plan options, rates, enrollment forms, and required notices. Please download the packet for your bargaining unit.
Download your 2022 open enrollment packet
ASCOE
SEIU
Management - Confidential
Board
- Open Enrollment 2022 Packet (coming soon)
- 2022 Existing Member Change Form (fillable docx)
- 2022 Kaiser Enrollment Form (pdf)
- 2022 Blue Shield Enrollment Form (pdf)
- 2022 WABE Enrollment Form (pdf)
To continue your current coverage
If you don’t want to make any changes to your coverage, you do not need to submit any paperwork. No action is required!
To change your coverage
To change medical plans or plan providers, please refer to the instructions in your enrollment packet above, and then submit it to the Human Resources department. All completed forms must be received in Human Resources by Friday, August 26, 2022 at 4:30 p.m.
Having trouble accessing your packet?
If you are unable to download or access your packet, you can pick up a copy or receive assistance from Human Resources. Please contact Diane Perkiss at 707-524-2824 or email her at dperkiss@scoe.org.
Summary of benefits and coverage
All issuers of health insurance are required to provide consumers with clear, consistent, and comparable information about their health plan benefits and coverage via a Summary of Benefits and Coverage. These documents are provided below for the plans that SCOE offers its employees.
Blue Shield
Summary of Benefits | Plan B | 100%
Summary of Benefits | Plan E | 90%
Summary of Benefits | Plan G | 80 %
WABE (Waiver of Anchor Bronze) Plan Summary
Kaiser Permanente
Summary of Benefits | Kaiser High | Package 1 with Vision | ASCOE Only
Summary of Benefits | Kaiser MID High Deductible with Vision | ASCOE Only
Summary of Benefits | Kaiser High | Package 1
Summary of Benefits | Kaiser High | Package 2
Summary of Benefits | Kaiser High MID High Deductible
Summary of Benefits | Kaiser HDHP with HSA