Health Insurance Open Enrollment for Current City of Gilroy Employees
The Open Enrollment period begins Monday, September 10, 2019 and ends on Friday, October 5, 2019.
During open enrollment, you will have the opportunity to make changes to your medical, dental and optional benefits such as vision, voluntary life insurance and AFLAC plans. This is also the time to sign up or re-enroll in the optional 2019 Flexible Spending Account (FSA) program with Discovery Benefits.The effective date for all changes made during the Open Enrollment period will be . All Open Enrollment Forms are provided below.
- 2019 CalPERS Medical Rate Increase
- Guide to myCalPERS Open Enrollment Statement
- 2019 CalPERS Benefit Summary
- Universal Health Benefits (medical, dental, vision) Enrollment form
- AFSCME, Local 101 (General & Supervisory Units)
- Fire, IAFF, Local 2805
- Confidential, Unrepresented Exempt and Council
Cash In Lieu (Medical Waiver): City of Gilroy employees have the option of waiving medical coverage provided that they can show written proof of other health plan coverage. If coverage is waived, the employee will receive the “employee only” tier medical amount in their cafeteria plan allotment. Employees will receive this portion of the allotment, less the required CalPers medical contribution ($136.00 for 2019) and less the required dental premium. Dental coverage cannot be waived. Employees must enroll themselves and their qualified dependent(s) in one of the Delta Dental plans; however enrollment for children can be waived until the age of 4. If an employee is selecting this option for the 2018 plan year, they will need to complete the City of Gilroy Medical Plan Waiver/Cash-In-Lieu form and attach proof of other medical coverage. This form will need to be completed for each plan year as it does not carry over from year to year. If not already enrolled with a City of Gilroy medical plan and do not complete the City of Gilroy Medical Plan Waiver/Cash-In-Lieu form employees will automatically be enrolled in the lowest cost Employee Only medical plan for 2019. Below is the form needed to waive coverage.
Other Forms: Through experience, we found that many employees have outdated information on file that needed to be updated. It is best to update the information before it is needed for an emergency. Below are the forms that can be used to update beneficiary, emergency contact and power of attorney. We are asking employees to update and submit a new Employee Information and Emergency Contact Information form by Friday, October 5, 2018.
- Final Warrant Designation form
- Employee Information and Emergency Contact Information form
- CalPERS Power of Attorney
For additional information or questions please feel free to contact Adriana Contreras at (408) 846-0285 or Shirley Kim at (408) 846-0249.