Medicare Retiree Plans
To Make Changes
If you are interested in switching providers, or removing dependents, please complete the forms for the providers you choose (available 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 are satisfied with your health coverage and do not want to make any changes, your current elections will roll over into 2023, at the new plan rates. For your convenience, below is a summary of plan rates for 2023. You will not need to complete any enrollment forms if you are not making any changes.
Open enrollment is your opportunity to review and make changes to your medical, dental, and vision plans. During Open Enrollment you can add, delete, or change plans, or add/remove dependents from your coverage. To help navigate through Open Enrollment, we have included several frequently asked questions for your review.
-
Document
The Shops will continue to offer medical plan benefits as we did last year. These plans include Kaiser Permanente Senior Advantage HMO and Anthem Medicare PPO.
Please note that plan options are limited to where you reside. For example, the PPO plan 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. As a friendly reminder, please also note that in order to participate in one of the retiree medical plans, you will need to be enrolled in Medicare Part A and B.
Your plan options are:
Kaiser
-
Document
-
Kaiser Senior Advantage Plan requires triplicate enrollment form. Please contact our Human Resources office to get the enrollment information.
Anthem Medicare PPO
-
Document
-
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
-
Document
Delta Dental PPO
-
Document
Delta Dental Resources
-
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.
-
Document
-
VSP Enrollment Form (PDF)
