City of Riverside, California - Human Resources Benefits

:: Open Enrollment

October 29, 2012 - November 16, 2012

It’s Open Enrollment Season! Open Enrollment is the time to select your benefit choices for 2013. The City will be accepting Open Enrollment changes through the Employee Online System from October 29^th through November 16^th, 2012. Be advised that paper enrollment forms will not be accepted. If you do not wish to make any changes to your health and/or dental plans, health opt-out option or to your dependents, your benefits will automatically carry over to the 2013 calendar year and there will be no action needed on your part. To review your current Benefits, log onto the Employee Online system and click on "Benefits Summary". Participation in the Flexible Spending Accounts (Health and Dependent Care) must be renewed for 2013 via the Employee Online System.

The Human Resources Department will be offering Open Enrollment informational sessions and free Flu shots. The complete schedule of informational sessions can be accessed by clicking on the link below:

Schedule of Open Enrollment Informational Sessions

Open Enrollment Benefit Letter

For complete details on the health, vision, and dental benefits for 2013, please utilize the table below.

2013 BENEFIT PLAN SUMMARIES AND RATES

RATE SHEETS
2013 Rate Sheets (effective 1/1/2013)
2012 Rate Sheets (effective until 12/31/2012)

Retiree/Cobra Rate Sheets (effective 1/1/2013) ● 2013 Retiree Rate Sheet ● 2013 Cobra Rate Sheet

MANDATORY NOTICES
COBRA Grandfathered Plans HIPAA Medicaid and the Children’s Health Insurance Program (CHIP) Women’s Health and Cancer Rights Act (WHCRA)




HMO Preferred	HMO Standard	HMO Value
Plan Summary Chiropractic Rider Plan Summary of Benefits & Coverage Glossary of Health Coverage	Plan Summary Chiropractic Rider Plan Summary of Benefits & Coverage Glossary of Health Coverage	Plan Summary Summary of Benefits & Coverage Glossary of Health Coverage

Kaiser Permanente
Retiree Senior Advantage Plans 65+
HMO Preferred	HMO Standard	HMO Value
Plan Summary	Plan Summary	Plan Summary


Anthem Blue Cross Booklet
HMO Preferred	HMO Standard	HMO Value	PPO
Plan Summary Prescription Drugs Chiropractic Rider Plan Summary of Benefits & Coverage	Plan Summary Prescription Drugs Chiropractic Rider Plan Summary of Benefits & Coverage	Plan Summary Prescription Drugs Summary of Benefits & Coverage	Plan Summary Prescription Drugs Summary of Benefits & Coverage

To search for a Primary Care Physician (PCP) or Medical Group, you can log on to Anthem Blue Cross Online-Directory* or contact Anthem Blue Cross at 1-800-227-3613. Under Select a Plan please indicate Blue Cross HMO (California Care)* or Blue Cross PPO

Vision

Vision Service Plan (VSP)

Vision is included in all healthcare options.

Dental Options

Delta Preferred Option (DPO)	DeltaCare PMI/DHMO	Local Dental Advantage
Plan Summary	Plan Summary Provider Directory	Plan Summary Brochure Provider Directory

Flexible Spending Accounts

Enrollment is done through the Employee Online system.

Additional Life Insurance

If You Have Questions...

We encourage you to use on-line resources and toll-free provider numbers to obtain answers to questions from Plan Providers (e.g. Kaiser, Anthem Blue Cross, Delta, Local Advantage, and VSP) directly. You can obtain provider contact information by accessing the Provider Directory page. Specific problems or questions (e.g. billing) that cannot be addressed by the plan providers should be sent via email to citybenefits@riversideca.gov or by calling (951) 826-5639.

Open Enrollment

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QUESTIONS?

Contact the
Human Resources Department

Telephone: (951) 826-5639
Fax: (951) 826-2421
Email: Citybenefits@riversideca.gov

Monday-Friday . . . 8am-5pm PDT