Health Forms & Booklet

Please Note:

Under the San Diego Municipal Code and the IRS regulations related to Health Reimbursement Accounts, the City of San Diego will only reimburse City retirees for healthcare plan premiums. Fixed indemnity policies and cost sharing plans do not provide for medical treatment and are not reimbursable. If you have any questions about whether a new healthcare plan you are considering is reimbursable, please contact SDCERS at (619) 525-3600 before enrolling in that plan. 


Health Open Enrollment for 2021-2022 took place from June 1 to June 30, 2021.

Booklets containing rates and additional information were mailed on May 24th. You can download an electronic copy and the comparison chart at the bottom of this page. The health providers are the same as last year – so if you are NOT changing your health plan, you do not have to take any action.

The City Retiree Health Open Enrollment Kick-Off and Help Day Events were cancelled this year due to the COVID-19 outbreak. Instead, the San Diego Public Employee Benefit Association (“SDPEBA”) once again held a Virtual Health Fair, which took place June 2, 2021. Also, just like last year, the plan providers recorded video presentations, which you can access here.

CareCounsel is there to help! CareCounsel Member Care Specialists are available for your healthcare inquiries and concerns. You can call them at (888) 227-3334 or e-mail Monday through Friday, 6:30 a.m. to 5:00 p.m. PST. CareCounsel also provides helpful videos on their website that may answer your questions about Medicare, here:

You may send any health-related documents/forms to SDCERS via email, fax, or U.S. mail:

Email: (before sending, please read the important security note below. Also, if you are using an Apple product to send the email, in Mail, please select "Format" and click on "Make Plain Text" - we've received reports of emails not getting through our firewalls if this extra step isn't taken when using an Apple product.)

Mail: SDCERS, Attn. Health Reimbursements, 401 West A Street, Suite 400, San Diego, CA 92101 

Fax: (858) 581-5314 

If you plan to send health forms and other confidential information through email (PDF), read SDCERS' Privacy Policy here.

The Health Insurance Portability and Accountability Act of 1996's (HIPPA) Privacy Rule gives SDCERS who receive health coverage the right to be informed of the privacy practices of their health plans, as well as to be informed of their privacy rights with respect to their personal health information. This notice describes how medical information about you may be used and disclosed and how you can get access to additional information.

Note: These plans are only available to eligible City of San Diego retirees.​

City Retiree Health Booklet

Enrollment Forms

Plan Information

Reimbursement Forms