RETIREE HEALTH BENEFIT INFORMATION AND REQUIRED NOTICES
Plan Year:  July 1, 2022 – June 30, 2023

Medicare Eligible: Supplemental Medical Plans to Medicare
Group Election Form KPSA [fillable]  - (must reside within a Kaiser CA designated zip code)
Kaiser Permanente Senior Advantage Benefit Summary
United American Enrollment Kit (reside within and outside of CA)
United American Summary of Benefits

2022 Open Enrollment Memo for Retirees under age 65

Open Enrollment Packet
HealthComp Open Enrollment/Change form
Sutter Enrollment Form (must also complete the HealthComp Enrollment/Change form) 
Benefits Contact Information

Kaiser HMO $20 Benefit Summary
Kaiser HMO $20 Summary of Benefits and Coverage
Kaiser HMO $40 Benefit Summary
Kaiser HMO $40 Summary of Benefits and Coverage
Kaiser HSA $1400 Benefit Summary
Kaiser HSA $1400 Summary of Benefits and Coverage

CA residents:
REMIFExpress Scripts - Pharmacy Benefits
REMIFAnthem Blue Cross - Find a Doctor Instructions.pdf
REMIF (Anthem Blue Cross) EPO 250 Benefits Summary
REMIF (Anthem Blue Cross) EPO 250 Summary of Benefits and Coverage
REMIF (Anthem Blue Cross) EPO 500 Benefits Summary.
REMIF (Anthem Blue Cross) EPO 500 Summary of Benefits and Coverage
REMIF (Anthem Blue Cross) PPO 500 Benefits Summary
REMIF (Anthem Blue Cross) PPO 500 Summary of Benefits and Coverage
REMIF (Anthem Blue Cross) HSA 1400 Benefits Summary
REMIF (Anthem Blue Cross) 1400 HSA Summary of Benefits and Coverage

Sutter Health Plan Great Coverage Book
Sutter Pharmacy Flyer
Sutter Chiropractic and Acupuncture Schedule of Benefits
Sutter HMO $25 ML27 Benefits Summary.pdf
Sutter HMO $25 ML27 Summary of Benefits and Coverage
Sutter HMO 500 ML20 Benefits Summary
Sutter HMO 500 ML20 Summary of Benefits and Coverage
Sutter HSA HD08 Benefits Summary
Sutter HSA HD08 Summary of Benefits and Coverage.

Retirees that reside outside of CA:
REMIF PPO 250 Blue Card - 
REMIF (Blue Cross) PPO 250 Blue Card
REMIF (Anthem Blue Cross) 250 Blue Card Summary of Benefits and Coverage
REMIF - Express Scripts - Pharmacy Benefits