RETIREE HEALTH BENEFIT INFORMATION AND REQUIRED NOTICES
Plan Year:  July 1, 2021 – June 30, 2022

2021 City of Rohnert Park Retiree Open Enrollment Packet and Required Notices

2021 Open Enrollment Form
2021 United American (formerly Transamerica) -REMIF- Enrollment Kit
2021 Open Enrollment Memo for Retirees under 65
Kaiser $20 copay Retiree Benefit Summary 21 22
Kaiser $20 copay Retiree Summary of Benefits and Coverage 21 22
Kaiser $40 copay Retiree Benefit Summary 21 22
Kaiser $1400 High Deductible HSA Retiree Summary of Benefits and Coverage 21 22
2021 Kaiser Permanente Senior Advantage Benefit Summary
2020 Kaiser Side by Side Benefits Comparison
2020 Kaiser Chiropractic Benefit Summary

REMIF (Anthem Blue Cross Network) EPO 250 Summary of Benefits 21 22
REMIF (Anthem Blue Cross Network) EPO 250 Summary of Benefits and Coverage 21 22
REMIF (Anthem Blue Cross Network) EPO 500 Summary of Benefits 21 22
REMIF (Anthem Blue Cross Network) EPO 500 Summary of Benefits and Coverage 21 22
REMIF (Anthem Blue Cross Network) PPO 500 Summary of Benefits 21 22
REMIF (Anthem Blue Cross Network) PPO 500 Summary of Benefits and Coverage 21 22
REMIF (Anthem Blue Cross Network) HSA 1400 Summary of Benefits 21 22
REMIF (Anthem Blue Cross Network) HSA 1400 Summary of Benefits and Coverage 21 22
REMIF Out of State (Anthem Blue Cross Network) PPO 250 Blue Card Summary of Benefits 21 22
REMIF Out of State (Anthem Blue Cross Network) PPO 250 Blue Card Summary of Benefits and Coverage 21 22
REMIF (Anthem Blue Cross Network) Side By Side Benefits Comparison 21 22

Sutter HMO $25 ML27 Benefits Summary 21 22
Sutter HMO $25 ML27 Summary of Benefits and Coverage 21 22
Sutter HMO 500 ML20 Benefits Summary 21 22
Sutter HMO 500 ML20 Summary of Benefits and Coverage 21 22
Sutter HSA HD08 Benefits Summary 21 22
Sutter HSA HD08 Summary of Benefits and Coverage 21 22
Sutter Great Coverage Book 21 22
Sutter Enrollment Form