2026 Health Plans & Rates
2026 Health Plans & Rates
2026 Benefits Annual Open Enrollment
SUSD's 2026 Benefits Annual Open Enrollment ended on October 10, 2025.
The annual benefits open enrollment period was held from September 22, 2025 through October 10, 2025. No further enrollment submissions can be accepted.
Benefit and Cash-in-Lieu changes submitted during open enrollment became effective January 1, 2026. Premium deduction or Cash-in-Lieu changes began with the December 30, 2025 pay warrant.
Open Enrollment Letters
Health Plan Comparison
Review health plan coverage, copays, deductibles, and more.
Health Plans Available by ZIP Code
Some health plans are only available in certain counties. Your home or work ZIP code determines which CalPERS plans are available to you.
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Summarizes copay/deductible and coverage information for each medical plan
- Anthem Select HMO
- Anthem Traditional HMO
- Blue Shield Access+ HMO
- Blue Shield EPO
- Blue Shield Trio HMO
- Kaiser HMO
- PERS Gold PPO
- PERS Platinum PPO
- UnitedHealthcare HMO
- Western Health Advantage HMO
- PORAC PPO (POLICE & POLICE MGT Only)
*Only (3) CalPERS medical plans include access to Sutter Health providers: Anthem Traditional HMO, PERS Platinum PPO & UnitedHealthcare HMO
*Medical Plans with no coverage for a routine annual eye exam: Blue Shield Access+ HMO, Blue Shield Trio HMO, PERS Gold PPO, PERS Platinum PPO & PORAC PPO
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Detailed information on plan coverage, exclusions and how to access services
- Anthem Select HMO
- Anthem Traditional HMO
- Blue Shield Access+ HMO
- Blue Shield EPO
- Blue Shield Trio HMO
- Kaiser HMO
- PERS Gold PPO EOC
- PERS Platinum PPO EOC
- UnitedHealthcare HMO
- Western Health Advantage HMO
- PORAC PPO (POLICE & POLICE MGT Only)
Accessing Health Coverage Outside Your Region Service Area: Generally, only emergency or urgent care services are covered when seeking medical care that is outside your residential service area. However, you should contact your medical insurance carrier (phone number on the back of your insurance card) to review your travel care options. You may also want to review the Evidence of Coverage (EOC) document for your medical plan (see the EOC section listed above) for information on receiving care outside your residential service area.
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2026 Health premium deduction or Cash In Lieu amount changes will occur on the December 30, 2025 pay warrant
- 2026 STA
- 2026 CSEA 318
- 2026 CSEA 821
- 2026 CSEA 885
- 2026 MGT/CONF
- 2026 UNREP
- 2026 SPPA
- 2026 USA
- 2026 SUSU
- 2026 NUHW
- 2026 SPOA
- 2026 BOARD
Registered Domestic Partners - the cost of benefits for an enrolled Domestic Partner and children of the partnership is considered imputed income by the IRS. Imputed income is taxable and would be included in the employee's gross income, subject to Federal tax withholding and payroll taxes. Review the Domestic Partner FAQs for more information.
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To search for in-network health providers within the CalPERS health plans, you will need to navigate to the health plan’s website and perform a provider search. Web links to the health plan/CalPERS websites and contact numbers are provided below.
Health Plan Carrier
Contact Number
1-855-839-4524
1-800-334-5847
1-800-464-4000
1-855-633-4436
1-877-359-3714
1-888-942-7377
1-800-655-6397
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Contact the Benefits Department at 209-933-7026 or send an email to benefits@stocktonusd.net