Retiree Information

SISC Open Enrollment begins July 1 - August 6, 2021 any plan changes will be effective October 1, 2021 - September 30, 2022

SISC Benefit Plans

Medicare Age Eligible (Classified, Auxiliary, and Management Retirees)

- Medical Plans
  HMO Medical Plans and Enrollment Forms
  
  2020-21
  PPO Medical Plans and Enrollment Forms
  Prescription Coverage
  - Navitus Medicare Rx Information
  Additional Information
  - HIPAA Notice of Privacy Practices
- Dental Plans (Optional)
  HMO Plan
  - Delta Care HMO Benefits Summary
  PPO Plans
  - Delta Dental PPO 1500 Benefits Summary
  - Delta Dental PPO Unlimited Benefits Summary
- Vision Plan (Optional)
  - VSP Signature Plan C

Classified and Auxiliary Retirees - Non Medicare Age Eligible

- Medical Plans
  HMO Medical Plans and Enrollment Forms
  
  2020-21
  2021-22
  PPO Medical Plans and Enrollment Forms
  
  2020-21
  2021-22
  Prescription Coverage
  - Navitus Medicare Rx Information
  Additional Information
  - HIPAA Notice of Privacy Practices
- Dental Plans (Optional)
  HMO Plan
  - Delta Care HMO Benefits Summary
  PPO Plans
  - Delta Dental PPO 1500 Benefits Summary
  - Delta Dental PPO Unlimited Benefits Summary
- Vision Plan (Optional)
  2020-21
  - VSP Signature Plan C
  2021-22
  - VSP Signature Plan C

Confidential and Management Retirees - Non Medicare Age Eligible

- Medical Plans
  HMO Medical Plans and Enrollment Forms
  
  2020-21
  2021-22
  PPO Medical Plans and Enrollment Forms
  
  2020-21
  2021-22
  Prescription Coverage
  - Navitus Medicare Rx Information
  Additional Information
  - HIPAA Notice of Privacy Practices
- Dental Plans (Optional)
  HMO Plan
  - Delta Care HMO Benefits Summary
  PPO Plans
  - Delta Dental PPO 1500 Benefits Summary
  - Delta Dental PPO Unlimited Benefits Summary
- Vision Plan (Optional)
  2020-21
  - VSP Signature Plan C
  2021-22
  - VSP Signature Plan C