2019 Contra Costa County Active Open Enrollment

2019 Open Enrollment will begin on October 15th, 2018 and ends on November 2nd, 2018.

Plan Changes are effective on January 1, 2019

Open enrollment is the time to:
Open Enrollment is available through Employee Self Service (ESS):
NOTE: If no changes are being made for the medical, dental and vision plans, you DO NOT need to take any action.  You will continue to keep your current medical, dental, and vision plans for the 2019 plan year.  We encourage all employees to login to Employee Self Service (ESS) to review their current benefits. Please refer to 2019 rate table for changes in the medical, dental, and vision plan premiums.

Quick Links:
2019 Open Enrollment Guide
2019 Medical, Dental, and Vision Rates
2019 Active Medical Comparison Guide

For complete information about negotiated benefits, please see your applicable Memorandum of Understanding or Management Resolution.

If you would like to make a plan change for 2019, please complete your online enrollment no later than 5:00 PM on November 2, 2018.

Flex Spending Accounts

Per IRS regulation, you must re-enroll in the Health Care Spending Account (HCSA) and/or Dependent Care Assistance Program (DCAP) each Plan Year.
 
In order to enroll in either HCSA or DCAP, you are required to complete your online enrollment by November 2, 2018.

Health Care Spending Account (HCSA): 
*Max 2019 annual contribution $2,650
      
HCSA Guide

Dependent Care Assistance Program (DCAP)
*Max 2019 annual contribution $5,000
DCAP Guide
 
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MEDICAL AND DELTACARE PMI DENTAL (HMO)

Age Limit: 26
Requirements: Upload original certified birth certificate via Employee Self Service (ESS).


Dependent Verification form
 
DELTA PREMIER DENTAL (PPO) AND VISION

Age Limit: 19 - 24
Requirements: Must be a) full-time student, b) receive more than one-half of support from employee and c) unmarried. Upload original certified birth certificate with dependent verification form via Employee Self Service (ESS).



Adding Domestic Partners

Please read the following Domestic Partner Information to see what the  requirements and documentations are to add a domestic partner to your health and/or dental benefits.

Be sure to complete the following forms during your online Open Enrollment.

Declaration of Domestic Partner

IRC Section 152
 

Life Insurance


Life and Accidental Death & Dismemberment (AD&D) Insurance Enrollment 

Evidence of Insurability Instructions

Evidence of Insurability Form
  • must be completed if employee is requesting new or additional coverage
  • must be completed if requesting coverage for dependents

Supplemental Life Insurance Plan Booklet

Monthly Premium Rate sheet