As a State of California retiree, you are eligible to enroll in the state's Retiree Vision Program, which is offered through Vision Service Plan (VSP). The Retiree Vision Program provides vision care coverage for you and your eligible dependents.
VSP obtains eligibility information from CalPERS therefore it is important that you keep your home/mailing address current at all times, even if your retirement check is deposited directly to your bank account. An accurate mailing address ensures that you receive timely information regarding your state vision benefits that CalHR and VSP mails to you. Please report address changes to CalPERS at the address below (be sure to include your Social Security number and telephone number):
California Public Employees' Retirement SystemMember Account Management Division
P. O. Box 942715Sacramento, CA 94229-2715
If you are a retired state employee and have any questions regarding your eligibility, contact CalPERS' Member Account Management Division toll free at: (888) 225-7377.
During Open Enrollment, VSP will provide you with three ways to enroll:
1. Visit VSP at stateofcaretiree.vspforme.com and complete the online enrollment form.
2. Complete and mail the VSP enrollment form you receive in the mail to:
Vision Service Plan Attn: Client Services - Mailstop 422 P.O. Box 997100 Sacramento, CA 95899-7100
3. Call VSP at (800) 877-7195 and speak to a member services representative.
Once enrolled, you will be required to remain in the program for a minimum of 12 months.
When you retire, your personnel office must provide you with two options: First, under Federal Law, you
MUST be offered COBRA continuation for the state active employee vision coverage
and you must also be given the option to enroll into the Retiree Vision Program. As a retiree, you have the option to enroll in the Basic Plan or the Premier Plan. If you are a retiring employee who is already in the active Premier Vision Plan at the time of retirement, then you are eligible to continue your Premier Plan for up to 18 months through COBRA. The Retiree Vision Authorization form (CalHR 695) MUST be completed and returned to your personnel office within 60 days of retirement date. Retiree Vision enrollment forms are sent directly to VSP at:
Vision Service Plan (VSP)Attn: Client Services - Mailstop 422P.O. Box 997100Sacramento, CA 95899-7100
Premier Plan (only for retiring employees who were already enrolled in Premier prior to retirement)
*Selecting a VSP network doctor assures direct payment to the doctor and guarantees quality services and eyewear.
If you have any additional questions regarding the state's Retiree Vision Program, please contact VSP at (800) 877-7195.
Open enrollment is a time set aside each year when eligible retirees can enroll, or add/delete family members. The annual open enrollment period for the Retiree Vision Program is usually every September-October. The effective date for actions made during open enrollment will be January 1st of the following year.
Not for Open Enrollment Use!
Retiree Vision Plan Enrollment - CalHR 695 - Only to be used for newly eligible retirees or permitting events. VSP sends a unique enrollment form in the mail just prior to Open Enrollment.
State of California retirees receive open enrollment materials in September for the annual open enrollment period.
All current State of California retirees receive a VSP mailing including: an announcement letter, a VSP plan brochure including coverage details, premiums, and an enrollment form.
During open enrollment, retirees may enroll by choosing one of these three convenient options:
The plan is effective January 1 of the following year.
Retirees who enroll into the plan during the open enrollment period or within 60 days of the retirement date have continuous benefit coverage year after year.
Retirees' benefit coverage automatically continues, unless they cancel during an open enrollment period after the minimum 12-month enrollment period has been reached.
No–retirees must proactively enroll in the VSP plan during the open enrollment period, or within 60 days of retirement.
Retiree Basic Vision benefit coverage is as follows:
Premiums vary depending on which plan tier the retiree chooses. Retirees will have three plan tiers to choose from:
Retiree Premier Vision benefit coverage is as follows:
The cost of the retirees' premium is deducted directly from their state retirement warrant. When the retiree is newly enrolled in the retiree plan, the member will automatically receive 2-3 months of direct bills from VSP while CalPERS is setting up the automatic warrant deductions. VSP directly bills retirees who have been identified by the state as "direct bill only."
Yes–Eligible dependents may also be covered. Retirees will need to list dependent information on the enrollment form at the time of enrollment. Dependent
children under the age of 26 are eligible for benefits.
Retirees must provide each dependent's name, date of birth, and state the dependent's relationship to the enrolled retiree.
Retirees who do not enroll during open enrollment are able to enroll during the next open enrollment period.
No. The end of COBRA is considered a permitting event which allows the member to enroll in the Retiree Vision Plan within 60 days of the COBRA termination date. Contact CalHR at
email@example.com for more information.
Retirees may cancel their plan during an annual open enrollment period if they have met their 12-month minimum enrollment period. The cancellation is effective January 1 of the following year. Retirees may also only cancel their plan coverage during a qualifying COBRA event or a qualifying life change event.
Yes–registered domestic partners are eligible dependents.
Yes–registered disabled dependents are eligible.
No–only State of California (non-CSU) retirees and eligible dependents may enroll in these plans. CSU Retirees, please contact your former benefits office (Chancellor's Office) for additional information and to express interest in obtaining a VSP eye care plan.
No–premiums remain the same until through December 31 of the following year.
Yes–a retiree can enroll in the plan and also be enrolled in another vision plan.
Retirees may add dependents after open enrollment only if a family status change (permitting event) as defined by the state has occurred. If a family status change has not occurred, retirees may add dependents during the next open enrollment period the following year.
No–all retirees enrolled during the open enrollment period will have continuous benefit coverage.
For convenience, at the end of the 12-month period, all retirees automatically have their benefit coverage continued unless they specifically elect not to renew during the next open enrollment period.
For convenience and to provide State of California retirees with several enrollment options, retirees may visit stateofcaretiree.vspforme.com during Open Enrollment to enroll in a VSP plan.
Once the retiree's benefit coverage becomes effective, they may log-on to stateofcaretiree.vspforme.com to view their benefits, check eligibility, and gain access to numerous helpful tools and valuable resources.
No. VSP does not provide cards. To use the plan, the VSP member will select a VSP doctor, make an appointment and tell the doctor you are a VSP member. If retirees need help locating a VSP doctor, call VSP toll-free at: (800) 877-7195 or log on to VSP's website at: stateofcaretiree.vspforme.com.
The Enrollment I.D. is a unique identifier assigned to each State of California retiree during open enrollment. The identifier allows VSP to quickly retrieve the retiree's information.