Medical Benefits

At North Orange County Community College District, we are committed to not only enhancing your well-being but also empowering you to live your healthiest life. We offer a comprehensive range of health benefits designed to support your physical, mental, and emotional wellness.

North Orange Community College District has an agreement with the State of California, Public Employees Retirement System (CalPERS) to participate in the State's health insurance plans. 

NOCCCD Health Plans

There are 11 health plans to choose from: 

  • Two (2) PPO (Preferred Provider Organization) plans; and
  • Nine (9) HMO (Health Maintenance Organization) plans. 

PPO Plans

PERS Platinum/Gold (877) 737-7776

HMO Plans

Pharmacy Services

OptumRx Pharmacy Benefits (855) 505-8110

Some of our HMO Plan providers offer more than one option. For additional information on all of our available plans, please visit the CalPERS Health Benefits website.

The Affordable Care Act (ACA) requires most Americans to have qualifying health insurance called "minimum essential coverage." Under the ACA's individual shared responsibility provision (also known as the "individual mandate"), most Americans must maintain minimum essential coverage. Currently, the individual mandate is still in effect, but the individual penalty has been set to zero.

All of CalPERS' health plans meet the minimum essential coverage requirement.

Dependent Eligibility

Eligible dependents include:

  • Spouse or Registered Domestic Partner
  • Children
  • Children, up to age 26, if the employee has assumed a parent-child relationship and is considered the primary care parent. A CalPERS Affidavit of Parent-Child Relationship must be filed prior to enrollment and updated upon request.
  • Certified disabled dependent child, age 26 and older

When adding dependents to your health plan, you will be required to submit the following:

Dependent TypeRequired Documentation
Spouse
  • Copy of Marriage Certificate
  • Copy of Social Security Card
Registered Domestic Partner
  • Copy of Declaration of Domestic Partnership
  • Copy of Social Security Card
Children (up to age 26)
  • Copy or Birth Certificate/Adoption Papers
  • Copy of Social Security Card
Children (up to age 26) with parent-child relationship
  • CalPERS Affidavit of Parent-Child Relationship
  • Copy of Birth Certificate
  • Copy of Social Security Card
Certified disabled dependent children, age 26 and older
  • Copy of Birth Certificate
  • Copy of Social Security Card
  • Disability Dependent Forms will be required by CalPERS


 

Opportunities for Enrollment or Making Mid-Year Changes

Eligible employees can enroll or make mid-year changes to their health plans in any of the following situations given timely submission of required documentation to the Human Resources – Benefits Office within the specified timeframe. 

As a new hire, the earliest coverage effective date for eligible employees is the first of the month following receipt of their enrollment materials to the Benefits Office if received within 60 days from date of hire.
A 90-day waiting period is required if the enrollment request is received more than 60 days after the date of hire.
 

If an eligible employee experiences a qualified status change or event, they can enroll and/or make mid-year changes to their health plan given timely submission of all required materials to the Human Resources - District Benefits Office within 60 days of their qualified status change and/or event. If an employee misses the 60-day window, the next opportunity to submit health plan changes will be during the District’s annual Open Enrollment. Qualified status changes may include:

  • Marriage or registration of a domestic partner
  • Divorce or legal separation from a spouse
  • Birth, adoption, placement for adoption, or legal guardianship of a child
  • Death of a spouse/domestic partner or a child
  • Child's loss of eligibility due to age
  • You or your spouse has a change in employment status that results in gaining or losing eligibility for benefits coverage. You must submit proof of gain or loss of coverage.
  • Full-time/part-time employment status change resulting in an insurance eligibility change
  • Commencement of or return from an unpaid leave of absence
  • Change for an individual eligible for Medicare or Medicaid
  • Qualified Medical Child Support Order/National Medical Support Notice

 

Each year between mid-September to mid-October, NOCCCD conducts Open Enrollment for all benefit eligible employees, to enroll, change, and/or waive their health plans.  All changes requested during Open Enrollment take effect on January 1st of the next plan year.