District Benefits: Retirees

Note: If you need to make changes to your health plan due to a qualifying life event please contact Jim Firth in the Office of People, Culture and Talent at ext. 6101 or benefits@avc.edu.

Classified Retirees

Health Plan Election Form and Health Matrix:

2026-2027 Classified Retiree Health Plan Election Form

Administrators, CMS & Trustee Retirees

Health Plan Election Form and Health Matrix:

2026-2027 CMSA Retiree Health Plan Election Form

Faculty Retirees

Health Plan Election Form and Health Matrix:

2026-2027 Faculty Retiree Health Plan Election Form

SISC:

SISC Forms:

SISC Membership Change Form
SISC III Enrollment Form
SISC Kaiser Enrollment Form
SISC Digital Signature Instructions
SISC HIPPA Notice of Privacy
SISC Cobra Notice
Notice: Medical Insurance Benefits provided to Domestic Partners as Taxable Income

Contact Numbers:

SISC Customer Service Contacts

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District Benefits: Retirees

Classified Retirees

Administrators, CMS & Trustee Retirees

Faculty Retirees

SISC: