Retiree Health Benefit Forms

Retiree Health Plan Forms
 TitleOwnerCategoryModified DateSize 
2021 Retiree Guide 20219/15/20211.67 MBDownload
2022 Retiree Annual Enrollment Video 2022 Annual Enrollment9/16/2021UnknownDownload
2022 Retiree Benefit Election Form 20229/15/2021395.99 KBDownload
2022 Retiree Benefit Guide 20229/15/20212.15 MBDownload
Retiree 2021 Benefit Election Form 20219/15/2021359.29 KBDownload

Retiree Annual Enrollment 2022

September 20 - October 15, 2021

The County of Riverside offers an array of health plans to eligible retired employees, including medical plans offered through the CalPERS Health program; and dental and vision plans offered by the County. To be eligible for enrollment in these plans, all of the following conditions must be met:

1. You must retire within 120 days from the date you separate from employment with the County of Riverside;

2. You must receive a retirement allowance from CalPERS; and

3. You must have been eligible for enrollment on the date you separated from the County of Riverside.

The surviving dependent of a retiree may also be eligible. Even if you choose not to enroll in coverage when you retire, if you meet all of the criteria listed above, you are eligible to enroll in coverage during any subsequent Annual Enrollment period. In addition, you are eligible to enroll in a medical plan if you experience a loss of eligibility for other coverage due to a qualifying event and you request enrollment within 60 days of the event that caused you to lose eligibility for coverage.