Page 3 - City of Newport City BG- Full Time
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Table of Contents
Open Enrollment Period................................................................................................................................ 3
Dependent Eligibility Verification .................................................................................................................. 4
When You Can Make Changes ....................................................................................................................... 5
2020 CalPERS Basic Medical Plans .............................................................................................................. 7
2020 Monthly Contributions/Premium Rates – Active ................................................................................... 13
Dental ....................................................................................................................................................... 15
Vision ........................................................................................................................................................ 16
Life Insurance ........................................................................................................................................... 17
Disability ................................................................................................................................................... 17
Flexible Spending Account (by Workterra) .................................................................................................... 19
Other Programs .......................................................................................................................................... 20
Plan Contacts ............................................................................................................................................ 21
Required Federal Notice ............................................................................................................................. 22
Medicare Part D Notice: If you (and/or your dependents) have Medicare or will
become eligible for Medicare in the next 12 months, a federal law gives you
more choices about your prescription drug coverage. Please see the Annual
Notices on page 24 for more details.
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