You can now securely submit your 2023 Open Enrollment choices online using our new MemberDirect portal:
Enroll Online
You may also print the form below, complete it by hand, and mail it to Retirement Services:
Download & Print Enrollment Form
Once you complete your form, please mail it to:Office of Retirement ServicesATTN: Open Enrollment1737 North First Street, Suite 600San Jose, CA 95112
For online Open Enrollment please log in to MemberDirect
Download Open Enrollment Form
2025 Open Enrollment (OE) is coming! During the month of November, all retirees eligible for health care insurance may make changes to their insurance enrollment and re-enroll in in-lieu. Remember that you must re-enroll in health-in-lieu and dental in-lieu annually as those elections do not roll over. For members with dependents under age 24, Open Enrollment is the time you can add your dependent children to your medical, dental and/or vision coverage (some coverage is available until age 26). Members who previously submitted full time student confirmations, and your dependent remains under the age of 26, you may need to re-enroll your dependents.
Additional 2025 Open Enrollment information will be posted no later than November 1st.