Open Enrollment
Open Enrollment for 2027 benefits is October 15–29, 2026.
This is your annual opportunity to enroll in or make changes to these benefits:
- Medical, dental, and vision insurance
- Flexible spending accounts (FSAs)
- Supplemental life insurance
- Supplemental accidental death and dismemberment (AD&D) insurance
- Accident, critical illness, and hospital indemnity insurance
You must log in to UKG Dimensions and complete your benefit elections for 2027 during Open Enrollment, October 15–29, 2026. If you do not submit your elections by October 29, you may lose or experience a delay in benefit coverage. FSA elections do not carry over from year to year, so you must actively elect an FSA if you want one in 2027.
Enrollment Resources
2027 AVMC Benefit Guide
2027 Open Enrollment Presentation
2027 New Hire Presentation
Need Help?
Email humanresources@avmc.org or call one of our team members if you have questions about your benefits or how to enroll:
Mary Lawson-McFadden
Sr. Benefits Specialist
(661) 949-5155
Amy Noriega
Leave/Benefits Specialist
(661) 949-5885
How to Enroll
When you’re ready to enroll or make changes, visit UKG Dimensions and access the My Benefits tab.
Documentation for Dependents
If you’re enrolling dependents, you may need to provide this documentation:
- Marriage certificate
- Birth or adoption certificate
If you’re enrolling in or increasing supplemental life and AD&D insurance coverage for yourself or dependents, you may need to provide Evidence of Insurability.
Additional Step for Recent New Hires
If you’re hired during Open Enrollment, you’ll need to enroll twice: first for the current plan year, then again for 2027.
What’s New and Changing in 2027
Plan Costs
Review the 2027 medical, dental, and vision contributions below. Amounts are per pay period and show both employee and employer contributions.
2027 Medical Rates
AVMC EPO
Benefit Highlights
Tier 1 – AVMC |
Tier 2 – EPO Network |
|---|---|
| Deductible (Individual/Family) None |
Deductible (Individual/Family) $1,000/$2,000 |
| Out-of-Pocket Max (Individual/Individual Within a Family/Family) $1,000/$2,000/$3,000 |
Out-of-Pocket Max (Individual/Individual Within a Family/Family) $4,000/$6,000/$10,000 |
| Primary Care Visit Not Available |
Primary Care Visit $20 copay |
| Specialist Visit Not Available |
Specialist Visit $30 copay |
| Urgent Care Not Available |
Urgent Care $20 copay |
| Emergency Room $100 copay (Waived if admitted) |
Emergency Room $100 copay (Waived if admitted) |
| Lab and Imaging No Charge |
Lab and Imaging Not covered when services are available at AVMC. 30% after deductible |
| Outpatient Surgery No Charge |
Outpatient Surgery Not covered when services are available at AVMC. If services are unavailable at AVMC, member must seek authorization and if approved, 30% after deductible. |
| Inpatient Hospitalization No Charge |
Inpatient Hospitalization Not covered when services are available at AVMC. If services are unavailable at AVMC, member must seek authorization and if approved, 30% after deductible. |
Prescription Drug Benefits: Tier 1 – AVOP |
Prescription Drug Benefits: Tier 2 – ESI Network |
Retail Rx – Up to 30-Day Supply |
Retail Rx – Up to 30-Day Supply |
| Generic $10 copay |
Generic $20 copay |
| Preferred Brand $25 copay |
Preferred Brand $35 copay |
| Non-Preferred Brand $35 copay |
Non-Preferred Brand $50 copay |
| Specialty 15%, up to $250 |
Specialty 20%, up to $250 |
Retail Rx – Up to 90-Day Supply |
Mail-Order Rx – Up to 90-Day Supply |
| Generic $20 copay |
Generic $40 copay |
| Preferred Brand $50 copay |
Preferred Brand $70 copay |
| Non-Preferred Brand $70 copay |
Non-Preferred Brand $100 copay |
| Specialty Not Covered |
Specialty Not covered |
AVMC EPO Plan Cost – SEIU Bargaining Unit Employees
Per Payperiod
Employee
Employee Only: $44.17
Employee + 1 Dependent: $97.17
Employee + Family: $132.48
Employer
Employee Only: $343.17
Employee + 1 Dependent: $755.62
Employee + Family: $1,036.93
AVMC EPO Plan Cost – CNA Bargaining Unit and Non-Bargaining Employees
Per Payperiod
Employee
Employee Only: $58.90
Employee + 1 Dependent: $129.57
Employee + Family: $176.64
Employer
Employee Only: $328.45
Employee + 1 Dependent: $723.22
Employee + Family: $992.77
AVMC PPO
Benefit Highlights
Tier 1 – AVMC |
Tier 2 – PPO Network |
Tier 3 – Out-of-Network |
|---|---|---|
| Deductible (Individual/Family) $250/$500 |
Deductible (Individual/Family) $1,200/$2,400 |
Deductible (Individual/Family) $2,400/$4,800 |
| Out-of-Pocket Max (Individual/Individual Within a Family/Family) $1,000/$2,000/$3,000 |
Out-of-Pocket Max (Individual/Individual Within a Family/Family) $3,000/$8,000 |
Out-of-Pocket Max (Individual/Individual Within a Family/Family) $8,000/$12,000/$20,000 |
| Primary Care Visit Not Available |
Primary Care Visit $20 copay |
Primary Care Visit 50% after deductible |
| Specialist Visit Not Available |
Specialist Visit $30 copay |
Specialist Visit 50% after deductible |
| Urgent Care Not Available |
Urgent Care 20% after deductible |
Urgent Care 50% after deductible |
| Emergency Room $100 copay + 20% after deductible |
Emergency Room $100 copay + 20% after deductible |
Emergency Room $100 copay + 20% after deductible |
| Lab and Imaging No charge after deductible |
Lab and Imaging 20% after deductible |
Lab and Imaging 50% after deductible |
| Outpatient Surgery No charge after deductible |
Outpatient Surgery Facility Charge: $500 copay + 20% after deductible Physician/Surgeon: 20% after deductible |
Outpatient Surgery Facility Charge: $500 copay + 50% after deductible Physician/Surgeon: 50% after deductible |
| Inpatient Hospital No charge after deductible |
Inpatient Hospital Facility Charge: $500 copay + 20% after deductible per admit Physician/Surgeon: 20% after deductible |
Inpatient Hospital Facility Charge: $500 copay + 50% after deductible per admit Physician/Surgeon: 50% after deductible |
Prescription Drug Benefits: Tier 1 – AVOP |
Prescription Drug Benefits: Tier 2 – ESI Network |
Prescription Drug Benefits: Tier 3 – OON |
Retail Rx – Up to 30-Day Supply |
Retail Rx – Up to 30-Day Supply |
Retail Rx – Up to 30-Day Supply |
| Generic $10 copay |
Generic $20 copay |
Generic $10 copay + 50% |
| Preferred Brand $25 copay |
Preferred Brand $35 copay |
Preferred Brand $25 copay + 50% |
| Non-Preferred Brand $35 copay |
Non-Preferred Brand $50 copay |
Non-Preferred Brand $40 copay + 50% |
| Specialty 15%, up to $250 |
Specialty 20%, up to $250 |
Specialty Not Covered |
Retail Rx – Up to 90-Day Supply |
Retail & Mail-Order Rx – Up to 90-Day Supply |
90-Day Out-of-Network Rx – Not Covered |
| Generic $20 copay |
Generic $40 copay |
Generic Not covered |
| Preferred Brand $50 copay |
Preferred Brand $70 copay |
Preferred Brand Not covered |
| Non-Preferred Brand $70 copay |
Non-Preferred Brand $100 copay |
Non-Preferred Brand Not covered |
| Specialty Not Covered |
Specialty Not Covered |
Specialty Not covered |
AVMC PPO Plan Cost – SEIU Bargaining Unit Employees
Per Payperiod
Employee
Employee Only: $87.97
Employee + 1 Dependent: $190.28
Employee + Family: $253.93
Employer
Employee Only: $498.57
Employee + 1 Dependent: $1,078.27
Employee + Family: $1,438.95
AVMC PPO Plan Cost – CNA Bargaining Unit and Non-Bargaining Employees
Per Payperiod
Employee
Employee Only: $117.31
Employee + 1 Dependent: $253.72
Employee + Family: $338.57
Employer
Employee Only: $469.24
Employee + 1 Dependent: $1,014.84
Employee + Family: $1,354.31
Kaiser
Benefit Highlights
In-Network
Deductible (Individual/Family)
None
Out-of-Pocket Max (Individual/Family)
$3,500 /$7,000
Primary Care Visit
$30 copay
Specialist Visit
$50 copay
Urgent Care
$30 copay
Emergency Room
$350 copay
Retail Rx (Up to 30-Day Supply)
Generic
$15 copay
Brand Name
$35 copay
Specialty
30% up to $250 copay
Mail-Order Rx (Up to 90-Day Supply)
Generic
$30 copay
Brand Name
$70 copay
Kaiser Plan Cost – SEIU Bargaining Unit Employees
Per Payperiod
Employee
Employee Only: $52.79
Employee + 1 Dependent: $116.14
Employee + Family: $158.37
Employer
Employee Only: $275.10
Employee + 1 Dependent: $605.21
Employee + Family: $825.29
Kaiser Plan Cost – CNA Bargaining Unit and Non-Bargaining Employees
Per Payperiod
Employee
Employee Only: $70.50
Employee + 1 Dependent: $155.09
Employee + Family: $211.49
Employer
Employee Only: $257.39
Employee + 1 Dependent: $566.26
Employee + Family: $772.17
2027 Dental Rates
Delta DPPO
Delta DPPO Plan Cost – SEIU Bargaining Unit Employees
Per Payperiod
Employee
Employee Only: $3.16
Employee + 1 Dependent: $5.76
Employee + Family: $9.78
Employer
Employee Only: $17.91
Employee + 1 Dependent: $32.57
Employee + Family: $55.44
Delta DPPO Plan Cost – CNA Bargaining Unit and Non-Bargaining Employees
Per Payperiod
Employee
Employee Only: $4.22
Employee + 1 Dependent: $7.67
Employee + Family: $13.04
Employer
Employee Only: $16.85
Employee + 1 Dependent: $30.66
Employee + Family: $52.18
Delta DHMO
Delta DHMO Plan Cost – SEIU Bargaining Unit Employees
Per Payperiod
Employee
Employee Only: $1.49
Employee + 1 Dependent: $2.45
Employee + Family: $3.62
Employer
Employee Only: $8.42
Employee + 1 Dependent: $13.90
Employee + Family: $20.55
Delta DHMO Plan Cost – CNA Bargaining Unit and Non-Bargaining Employees
Per Payperiod
Employee
Employee Only: $1.98
Employee + 1 Dependent: $3.27
Employee + Family: $4.84
Employer
Employee Only: $7.92
Employee + 1 Dependent: $13.08
Employee + Family: $19.33
2027 Vision Rates
VSP PPO
VSP PPO Plan Cost – SEIU Bargaining Unit Employees
Per Payperiod
Employee
Employee Only: $0.36
Employee + 1 Dependent: $0.72
Employee + Family: $1.16
Employer
Employee Only: $2.05
Employee + 1 Dependent: $4.11
Employee + Family: $6.61
VSP PPO Plan Cost – CNA Bargaining Unit and Non-Bargaining Employees
Per Payperiod
Employee
Employee Only: $0.48
Employee + 1 Dependent: $0.96
Employee + Family: $1.56
Employer
Employee Only: $1.93
Employee + 1 Dependent: $3.87
Employee + Family: $6.22
Contribution Limits
Flexible Spending Accounts (FSA)
In 2027, you can contribute up to:
- Health Care or Limited Purpose FSA – $3,400 ($680 rollover limit to the next year)
- Dependent Care FSA – $7,500
The 2027 Health Care FSA contribution and rollover limits are pending IRS announcement. AVMC will update these amounts once the IRS releases the 2027 limits.
No change to EPO employee deduction rates
EPO employee contributions will remain at 2026 levels for 2027.
2027 Medical Plan Changes
- PPO: Tier 2 and Tier 3 deductibles and out-of-pocket maximums are increasing for 2027.
- EPO: For facility-based services available at AVMC, members must use an AVMC facility to receive Tier 1 benefits. Eligible AVMC facility charges for outpatient surgery and inpatient hospitalization have $0 member cost share. Professional services remain Tier 2.
- EPO and PPO members will continue to enjoy lower out-of-pocket costs for eligible prescriptions filled at AVOP Pharmacy.
Ready to enroll?
Before you enroll, see what’s new and changing for the next plan year. There may be changes that are important to you.
You must log in to UKG Dimensions and submit your benefit elections for 2027 by the deadline above. If you do not submit elections, you may lose or experience a delay in benefit coverage. FSA elections do not carry over from year to year, so you must elect an FSA if you want one in 2027.
