Open Enrollment
OPEN ENROLLMENT for Plan Year 2025
September 15, 2025 - October 10, 2025
- NVC 2026 Medical Premiums & Out-of-Pocket
- Dental Rate Sheet
- Vision Rate Sheet
- Please note we are awaiting updated vision comparisons as the frame allotment has increased from $175 to $200
- 2026 CalPERS Medical Rate Sheet
- 2025 CalPERS Medical Rate Sheet (for comparison)
Basic Plan Changes
Health Maintenance Oganization (HMO)
| Health Plan | Changes |
|---|---|
| Blue Shield Access+ | Expansion into Monterey County1 |
| Blue Shield Trio | Exits Monterey County |
Benefit Design Changes
PERS Gold
| Benefit | Changes |
|---|---|
| Value-Based Insurance Design (VBID) | Will continue with deductible in-patient credits of up to $500 for completing preventive care activities, while adding the following activities: participation in the Diabetes Prevention Program, if eligible, as well as depression or anxiety screening. |
Effective January 1, 2026, CVS Caremark will replace OptumRx as the new pharmacy benefits manager (PBM) for these CalPERS health plans:
Basic Plans
- Anthem Blue Cross Traditional
- Anthem Blue Cross Select
- Health Net Salud y Más
- PERS Gold Basic
- PERS Platinum Basic
- Sharp Health Plan Performance Plus
- UnitedHealthcare SignatureValue Alliance
- UnitedHealthcare SignatureValue Harmony
- Western Health Advantage
OPEN ENROLLMENT
|
During Open Enrollment, You Can:
Changes made during Open Enrollment will take effect January 1, 2026. |
MEDICAL PLANS
Dental coverage is offered through Delta Dental of California. Nearly 94% of California's dentists are Delta dentists, so there's a good chance that yours is too. The plan is incentive based to encourage regular visits.
2026 Vision Service Plan (VSP) Change
The allowance for vision frames and contact lenses will increase from $175.00 to $200.00 effective January 1, 2026.
- www.vsp.com
- VSP Plan Summary -- NOTE NEEDS TO BE UPDATED ONCE RECEIVE REVISED SHEET
Vision coverage is offered through Vision Service Plan (VSP).
Voluntary benefit plans are offered at our worksite through the Colonial Supplemental Insurance Company.
Flexible Spending Accounts are offered through Basic Pacific.
Appointments available via telephone or webinar enrollment (computer/internet required), whichever you prefer to enroll in both Colonial Life and/or Basic Pacific Plans.
You can now use BenefitBridge to review your current health and welfare benefit elections and enroll or make changes to your current health plans during open enrollment.
For information on how to register, login, and access BenefitBridge, please contact Jennifer Hinson at jennifer.hinson@napavalley.edu or 707-256-7106.
For questions regarding the contents of this webpage, please contact HR@napavalley.edu
KNOW YOUR BENEFITS: Employee benefits are summarized above. The Patient Protection and Affordable Care Act (PPACA) 2010HR3590, or Affordable Care Act (ACA) for short, is the health care reform law in America and is often called by its nickname "Obamacare."
The Individual Mandate requires most Americans to have "minimum essential coverage" health insurance or pay a penalty when they file their federal income tax return. If you don't have health insurace through a job, Medicaid, the Children's Health Insurance Program (CHIP), or another source that provides coverage, the Health Insurance Marketplace can help you get covered. Please contact the Department of Human Resources to find out if you are eligible for an employer sponsored health plan or visit www.healthcare.gov or www.coveredca.com to learn more about purchasing a plan from the health exchange.