As a State of California retiree or annuitant, you are eligible to enroll in the state's Retiree Vision Program, which is offered through Vision Service Plan (VSP). The Retiree Vision Program provides vision care coverage for you and your eligible dependents.
VSP obtains eligibility information from CalPERS so it is important that you keep your home/mailing address current at all times even if your retirement check is deposited directly to your bank account. This information helps ensure that you receive timely information regarding your state vision benefits that will be mailed to you by CalHR, VSP or CalPERS. Please report address changes to CalPERS at the address below (be sure to include your Social Security number and telephone number):
California Public Employees' Retirement SystemMember Account Management Division
P. O. Box 942715Sacramento, CA 94229-2715
If you are a retired state employee and have any questions regarding your eligibility, contact CalPERS, Member Account Management Division toll free at: 1-888-225-7377.
During open enrollment, eligible retirees may:
If you don't want to make any changes to your coverage, you don't need to do anything. Open enrollment forms must be signed and submitted to VSP at the address on the form, no later than October 30, 2015.
Enrollments and changes made during open enrollment take effect January 1, 2016.
Retirees will be able to choose between two vision plans. The new Retiree Premier Vision Plan with enhanced benefits will be effective January 1, 2016. Plan information and enrollment materials will be mailed to the home/mailing address that you have on file with the State Controller's Office.
During open enrollment, VSP will provide you with 3 ways to enroll:
Visit VSP at http://www.vsp.com/go/stateofcapremier and complete the online enrollment form.
Complete and mail the VSP Enrollment Form you receive in the mail.
Call VSP at (800) 877-7195 and speak to a member services representative.
Once enrolled, you will be required to remain in the program for a minimum of 12 months.
When you retire your personnel office must be provide you with two options: First, under Federal Law, you
MUST be offered COBRA continuation for the state active employee vision coverage
and you must also be given the option to enroll into the Retiree Vision Program. The Retiree Vision Authorization form (CalHR 695) MUST be completed and returned to your personnel office within 60 days of retirement date. If you are a retiring employee who is already in the active Premier vision plan at the time of retirement, then you are eligible to continue your Premier plan for up to 18 months through COBRA. To continue your Premier through COBRA, complete the Premier Vision Enrollment form (CalHR 774), check the New COBRA option and return the completed form to your department's personnel office for processing within 60 days of your retirement date.
Open enrollment is a time set aside each year when eligible employees can enroll, or add/delete family members. The annual open enrollment period for the Retiree Vision Program is usually every September-October. The effective date for actions made during open enrollment will be January 1st of the following year.
The amount deducted from your retirement check each month in 2015 for the Retiree Basic Vision care is:
There are no changes to the Retiree Vision plan premium rates for 2016.
The amount deducted from your retirement check each month in 2016 for the new Retiree Premier Vision care is:
Premier Plan (Only for retiring employees who were already enrolled in Premier prior to retirement)
State of California retirees and annuitants receive open enrollment materials in September for the annual open enrollment period in October.
All current state of California retirees and annuitants receive a VSP mailing including: an announcement letter, a VSP plan brochure including coverage details, premiums, and an enrollment form.
The plan is effective January 1 of the following year.
Annuitants who enroll into the plan during the open enrollment period or within 60 days of the retirement date have continuous benefit coverage year after year.
Annuitants' benefit coverage automatically continues, unless they cancel during an open enrollment period after the minimum 12-month enrollment period has been reached.
No - annuitants must proactively enroll in the VSP plan during open enrollment period.
Retiree Basic Vision benefit coverage is as follows:
Retiree Premier Vision benefit coverage is as follows:
When you choose contacts instead of glasses, your $200 allowance applies to the cost of your eye exam, contacts and the contact lens exam (fitting and evaluation). This exam is in addition to your vision exam to ensure proper fit or contacts.
Average 15% discount from contracted VSP Laser Vision Care facilities.
15% off cost of contact lens exam (fitting and evaluation).
Premiums vary depending on which plan tier the annuitant chooses Annuitants will have three plan tiers to choose from:
The cost of the annuitants' premium is deducted directly from their state retirement warrant. When annuitant is newly enrolled in annuitant plan, the member will automatically receive 2-3 months of direct bills from VSP while PERS is setting up the automatic warrant deductions. VSP directly bills annuitants who have been identified by the state as "direct bill only".
Yes - Eligible dependents may also be covered. Annuitants will need to list dependent information on enrollment form at the time of enrollment.
Annuitants must provide each dependent's name, date of birth, and state the dependent's relationship to the enrolled annuitant. Dependent children age 26 and under are eligible for benefits.
Annuitants who do not enroll during open enrollment are able to enroll during the next open enrollment period.
No. The end of COBRA is considered a permitting event which allows member to enroll in the retiree vision plan within 60 days of the COBRA termination date. Contact CalHR at (916) 322-2858 for more information.
Annuitants may cancel their plan during an annual open enrollment period if they have met their 12-month minimum enrollment period. The cancellation is effective January 1 of the following year. Annuitants may also only cancel their plan coverage during a qualifying COBRA event or a qualifying life change event.
Yes - registered domestic partners are eligible dependents
Yes - registered disabled dependents are eligible
No - only State of California (non-CSU) annuitants and eligible dependents may in enroll in this plan. CSU Retirees, please contact your former benefits office (Chancellor's Office) for additional information and to express interest in obtaining a VSP eye care plan
No - premiums remain the same until through December 31st of the following year
Yes - an annuitant can enroll in the plan and also be enrolled in another vision plan
Annuitants may add dependents after open enrollment only if a family status change (permitting event) as defined by the state has occurred. If a family status change has not occurred, annuitants may add dependents during the next open enrollment period the following year.
No - all annuitants enrolled during the open enrollment period will have continuous benefit coverage.
For convenience, at the end of the 12-month period, all annuitants automatically have their benefit coverage continued unless they specifically elect not to renew during the next open enrollment period.
For convenience and to provide state of CA annuitants with several enrollment options, annuitants may visit
www.vsp.com/go/stateofca to enroll in a VSP plan.
Once the annuitant's benefit coverage becomes effective, they may log-on to vsp.com to view their benefits, check eligibility, and gain access to numerous helpful tools and valuable resources.
No. VSP does not provide cards. To use the plan, the VSP member will select a VSP doctor, make an appointment and tell the doctor you are a VSP member. If retirees/annuitants need help locating a VSP doctor, call VSP toll-free at: 1 (800) 877-7195 or log on to VSP's website at:
The Enrollment I.D. is a unique identifier assigned to each state of CA annuitant during open enrollment. The identifier allows VSP to quickly retrieve the annuitant's information