San Diego Unified School District

Welcome to Retiree Benefits!

Click below for our comprehensive guide to San Diego Unified School District's health benefit plans for district retirees. The guide includes eligibility and enrollment information for health plans, life insurance and retirement savings plans. The 2021 guide will be posted soon.

2020 Retiree Benefits Information Guide

Retiree Medical and Dental Plan Rates

• 2021 Open Enrollment Letter to District Retirees
• 2021 Retiree Under 65 Medical Rates
• 2021 Retiree Medicare and Split Rates
• 2021 Retiree Dental Rates

• 2020 Retiree Under 65 Medical Rates
• 2020 Retiree Medicare and Split Rates
• 2020 Retiree Dental Rates

HealthInvest HRA Resources

• HealthInvest HRA Plan Benefits Brochure
• HealthInvest Summary Plan Description
• HealthInvest Medical Care Expenses
• HealthInvest Investment Fund Overview
• HealthInvest How to File a Claim

Retiree Medical Fund "Subsidy" by Bargaining Unit (Attachment H - 2020)

• SDEA
• OSS
• OTBS
• PARA
• AASD
• Non-Represented Managers / Confidentials

Enrollment/Plan Change Forms

• Benefits Enrollment/Change Form (Non-Medicare Plans Only) - Medical and/or Dental
• 2020 Kaiser Permanente Senior Advantage Group Enrollment Form (Jan to Dec 2020)
• 2021 Kaiser Permanente Senior Advantage Group Enrollment Form (Jan to Dec 2021)
• 2020 United Healthcare Medicare Advantage HMO Enrollment Form (can also be used for Jan to Mar 2021 enrollments)
• 2020 United Healthcare Medicare Advantage PPO Enrollment Form (can also be used for Jan to Mar 2021 enrollments)

• Disenrollment Form - Kaiser Permanente Senior Advantage Plan
• Disenrollment Form - UnitedHealthcare Medicare Advantage HMO/PPO
• Cancellation Notice for Self-Pay Health and Life Insurance

Summary of Benefits: Under Age 65 Medical Plans

• 2021 Medical Plan Overview
• 2020 Medical Plan Overview
• Medical Plans with Deductibles - Comparison Flyer

• Kaiser HMO - Summary of Benefits
• UnitedHealthcare HMO Network 1 - Summary of Benefits
• UnitedHealthcare HMO Network 2 - Summary of Benefits
• UnitedHealthcare SignatureValue Alliance HMO - Summary of Benefits
• UnitedHealthcare Journey-Harmony HMO - Summary of Benefits
• UMR/Nexus ACO Select Plus PPO - Summary of Benefits

Summary of Benefits: Medicare-Eligible Medical Plans

• Medicare Plan Comparison

• Kaiser Permanente Senior Advantage (KPSA)
• UnitedHealthcare Medicare Advantage HMO
• UnitedHealthcare Medicare Advantage PPO

Summary of Benefits: Dental Plans (All Ages)

• Dental Plan Comparison

• Delta Dental PPO
• Delta Dental HMO (DeltaCare USA)
• Western Dental HMO

Medicare Resources:

• Medicare and You eBook (2020) - Official U.S. Medicare Handbook
• Medicare 101 Presentation (presented by Kaiser Permanente)
• Link to Medicare website: www.medicare.gov