When your sick leave credits that help pay for all or a portion of your retiree health benefit premiums expire, your benefit plans do not terminate. Your enrollment in those plans will continue and you will be responsible for paying the full premium cost. If you wish to terminate any or all of your benefits once your sick leave expires, you will need to complete the Retiree Benefits Change form and return to the Benefits Division. If you decide to continue enrollment, you will need to complete the Electronic Funds Transfer (EFT) form and return to the Benefits Division if you do not have one on file. The full premium cost of your benefit plan(s) will be automatically deducted from your bank account of choice at the end of every month for that month’s benefits.

  • Please note: all changes are effective the first of the following month from when the Benefits Division receives the Retiree Benefits Change form.
  • If you are enrolled in Kaiser Senior Advantage and would like to terminate your coverage, you will need to complete the Kaiser Senior Advantage Group Disenrollment form and return to the Benefits Division along with the Retiree Benefits Change form.