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2019 Retiree Open Enrollment Form 

Open enrollment is October 1-26, 2018, for the 2019 plan year. The online Open Enrollment form will be available on this page from October 1 through October 26. After submitting your Open Enrollment elections using the online form, it is recommended you download or print a copy of your submitted form for your records. For questions about retiree open enrollment email Retiree Open Enrollment or call Benefit Services at (916) 808-5665. All open enrollment elections will have a January 1, 2019 effective date.