Early Retiree Plans
To Make Changes
If you are interested in switching providers, or adding/removing dependents, please complete the forms for the providers you choose (available in our Human Resources Office or in the links below) and the Open Enrollment Form(PDF) and return them to Human Resources by Friday, October 21, 2022 before 4:00PM.
To Keep Existing Coverage
If you decide that you do not want to make any changes, your 2022 coverage will roll over to 2023, at the new plan rates. For your convenience, the summary of plan rates for 2023 is linked below. You will not need to complete any forms if you are not making any changes.
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Document
Open Enrollment is your opportunity to review and make changes to your medical, dental, and vision plans. During Open Enrollment you can delete or change plans, or remove dependents from your coverage. To help navigate through Open Enrollment, we have included several frequently asked questions for your review.
- Memo and FAQs for Early Retirees (PDF)
- 2022 Annual Notices (PDF)
The Shops offer Kaiser HMO, Anthem HMO & HMO Select and Anthem PPO. Please note that plan options are limited to where you reside. For example, the PPO plans options are available to retirees in every state. However, HMO plan options are only available to retirees residing in Southern California, as the network is limited to this area.
Your plan options are:
Kaiser
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Document
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Kaiser Enrollment Form (PDF, non-fillable)
Anthem HMO Select
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Document
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Anthem Enrollment Form (PDF, non-fillable)
Anthem HMO Traditional
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Document
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Anthem Enrollment Form (PDF, non -fillable)
Anthem PPO
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Document
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Anthem Enrollment Form (PDF, non-fillable)
The Shops will continue to offer the same dental plan benefits as we did last year. Our plan of choice is Delta Dental.
Delta Dental HMO
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Document
Delta Dental PPO
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Document
Delta Dental Resources
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Find a Dentist (PDF)
The Shops will continue to offer the same vision plan benefits as we did last year. Our plan of choice is VSP.
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Document
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VSP Enrollment Form (PDF)
