Retiree Benefits Resources Library

Retiree Plan Information

SDSU Foundation Health VEBA Plan For Post Retirement Health Care Benefits   (PDF Format, 338 KB)*

Benefit Summaries and Information - Dental

• Cigna Dental DHMO Benefits Summary   (PDF Format, 308 KB)*
• Cigna Dental PPO Benefits Summary   (PDF Format, 280 KB)*
• Cigna Dental PPO Benefits Summary (for Texas employees)   (PDF Format, 279 KB)*
• Cigna Dental PPO Benefits Summary (for Mississippi employees)   (PDF Format, 280 KB)*
• Cigna Dental DHMO SBC   (PDF Format, 231 KB)*
• Cigna Dental PPO SBC   (PDF Format, 171 KB)*
• Cigna Find a Provider   (PDF Format, 608 KB)*

Early Retirees (under 65) Benefit Summaries and Information - Medical

• Cigna Medical HMO Select Network Summary of Benefits   (PDF Format, 588 KB)*
• Cigna Medical HMO Full Network Summary of Benefits (CA)   (PDF Format, 588 KB)*
• Cigna Medical HMO Full Network Summary of Benefits (FL)   (PDF Format, 147 KB)*
• Cigna Medical PPO Summary of Benefits   (PDF Format, 598 KB)*
• Cigna Medical HMO Select Network SBC   (PDF Format, 684 KB)*
• Cigna Medical HMO Full Network SBC   (PDF Format, 684 KB)*
• Cigna Medical HMO Full Network SBC - Florida   (PDF Format, 147 KB)*
• Cigna Medical PPO SBC   (PDF Format, 704 KB)*
• Cigna - How to access your Digital ID Card   (PDF Format, 785 KB)*
• Cigna - FAQs about Digital ID Cards   (PDF Format, 741 KB)*
• SBC Uniform Glossary   (PDF Format, 90 KB)*
• Cigna Select Network Find a Provider   (PDF Format, 307 KB)*
• Cigna Find a Doctor in Our Directory   (PDF Format, 534 KB)*
• Cigna Find a Doctor in Our Directory - Spanish   (PDF Format, 82 KB)*
• Kaiser HMO Summary (Northern CA Employees)   (PDF Format, 85 KB)*
• Kaiser HMO Summary (Southern CA Employees)   (PDF Format, 84 KB)*
• Kaiser HMO Chiropractic Benefit   (PDF Format, 154 KB)*
• Kaiser Medical HMO Northern CA SBC   (PDF Format, 1,147 KB)*
• Kaiser Medical HMO Southern CA SBC   (PDF Format, 1,147 KB)*
• Kaiser Center for Healthy Living   (PDF Format, 98 KB)*
• Kaiser Choose Healthy Program   (PDF Format, 4,641 KB)*
• Kaiser Active & Fit Direct Program   (PDF Format, 238 KB)*
• Kaiser Support your Health with Complimentary Care   (PDF Format, 118 KB)*

Retirees (over 65) Benefit Summaries and Information - Medical

• Kaiser Senior Advantage (HMO) Summary (Northern CA)   (PDF Format, 100 KB)*
• Kaiser Senior Advantage (HMO) Summary (Southern CA)   (PDF Format, 99 KB)*
• Kaiser One Pass Fitness Program   (PDF Format, 623 KB)*

Enrollment Forms

• Benefits Enrollment/Change Form - Retirees   (PDF Format, 455 KB)*

ACH Debit Payment Option

• ACH Withdrawal Authorization Agreement for Retiree Insurance Premiums    (Web Form to submit through Adobe Sign)*
• ACH Withdrawal Authorization Agreement for Retiree Insurance Premiums   (To complete and mail to SDSURF, PDF Format, 931 KB)*

Medicare Part D Notice

• Medicare Part D   (PDF Format, 122 KB)*

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