print logo
Main Content Anchor

Retiree Dental Benefits

CalPERS maintains the dental benefit enrollment records for all state retirees, processes retirees' dental enrollments, and submits eligibility information to the appropriate dental plan.

It is important that you maintain your address current to help ensure you receive timely information about your sponsored dental benefits. Report address changes to CalPERS at the address below (be sure to include your Social Security number and telephone number):

California Public Employees' Retirement System
Health Account Management Division
P. O. Box 942715
Sacramento, CA 94229-2715

If you are a retired state employee and have any questions regarding your eligibility, contact CalPERS, Health Account Management Division toll free at: (888) 225-7377/ TTY (877) 249-7442. 

Open Enrollment is September 9 through October 4, 2019

During Open Enrollment, eligible retirees may:

  • Enroll in a dental plan
  • Change plans
  • Add or delete dependents from your coverage, or cancel your enrollment.

You do not need to take any action if you want to keep the same plan and coverage.

Enrollments and changes made during Open Enrollment are effective January 1, 2020. 

Changes for 2020

2020 Plan Information

 2019 Plan Information

How to Enroll or Make Changes During Open Enrollment

Contact CalPERS by phone, or complete and submit the Retiree Dental Plan Enrollment - Change Request to CalPERS directly.

By Phone:

Phone requests must be made to CalPERS between September 9, 2019–October 4, 2019. Representatives are available Monday through Friday, 8:00 a.m.–5:00 p.m. Pacific Standard Time. When you call, be prepared to provide the information listed below under "Required Information for Open Enrollment Requests."

CalPERS contact numbers for open enrollment:

Voice:   (888) CalPERS or (888) 225-7377

TTY:     (916) 795-3240

FAX:     (800) 959-6545

Required Information for Open Enrollment Requests

New enrollments or dental plan changes:

  • Your name and Social Security Number.
  • Your date of birth.
  • Name of the plan you wish to enroll in or change to.
  • If changing plans, the name of your current plan.
  • Your home phone number (optional).

Adding dependents to your dental plan:

  • Your name, date of birth, and Social Security Number.
  • Name, Social Security Number, and birth date of the dependent(s) being added.
  • If you are adding a spouse, name, date of birth, and social security number, and a copy of your marriage certificate.
  • If you are adding a registered domestic partner, you must provide a copy of the Secretary of state's required filing documents and provide your partner's Social Security Number. 
  •  If adding children (natural-born, adopted, placement for adoption, step, or registered domestic partner's children), you must provide a birth certificate, adoption certificate, and court order.
  • If adding children in a parent-child relationship with you, an Affidavit of Parent-Child Relationship (CalHR 025), along with required documents.

 Deleting dependents from your dental plan:

  • Your name, date of birth, and Social Security Number.
  • Name, Social Security Number, and birth date of the dependent(s) being deleted.
  • If deleting a dependent, his or her relationship to you.

 For dental coverage cancellations:

  • Your name, date of birth, and Social Security Number.
  • Name, Social Security Number, and birth date of the dependent(s) being deleted.
  • If deleting a dependent, his or her relationship to you.

By Mail:

Retiree Dental Plan Enrollment - Change Request (686) must be postmarked between September 9 – October 4, 2019.  Requests postmarked after October 4, 2019, or submitted to CalHR will be returned unprocessed. Submit the Retiree Dental Plan Enrollment - Change Request (686) to:

California Public Employees' Retirement System

Health Account Management Division

Post Office Box 942715

Sacramento, California 94229-2715

Forms

Open Enrollment Frequently Asked Questions 

Important Reminders

  • If you have children up to age 26, they are eligible for dependent coverage with the Retiree Dental and Vision Programs.

Comparison of Benefits and Covered Services

How to Enroll or Make Changes Outside of Open Enrollment

Once you are enrolled, you cannot make changes until the next annual open enrollment unless you experience a change in family or employment status normally referred to as a qualified "permitting event." Permitting events include, but are not limited to:

  • Marriage or registered domestic partnership.
  • Birth, adoption, or gaining legal custody of a child. 
  • Loss or gain of eligibility due to family employment changes. 
  • Divorce or termination of registered domestic partnership.
  • Death of an eligible family member.

When a permitting event occurs, you will need to contact CalPERS within 60 days of when the permitting event occurred. Enrollment changes must be consistent with your permitting event. You will be required to provide the date of the family status change.

Note: If you need to delete a dependent from coverage because he or she becomes ineligible, you must take this action as soon as possible. Do not wait for open enrollment, as you will be liable for any costs incurred by this person after he or she ceases to be eligible.

Any allowable changes made during the year become effective the first day of the month following the date CalPERS receives your request.

Contact CalPERS at (888) 225-7377 / TTY (877) 249-7442, to enroll or make changes to your retiree dental coverage.

  Updated: 8/13/2019
One Column Page
Link Back to Top