New Hire Benefits Enrollment Package

Documents

START HERE - Benefit Enrollment Package Overview (PDF)

Employee Benefits Record Form REQUIRED FORM (PDF)

CalPERS Beneficiary Designation Form REQUIRED FORM (PDF)

2019 Benefits Guide - Full-time & Permanent Part-time (PDF)

2019 Medical Plan Rates - Full-Time (PDF)

2019 Medical Plan Rates-Permanent Part-Time (PDF)

2020 Medical Plan Rates - Full Time (PDF)

2020 Medical Plan Rates - Permanent Part-Time (PDF)

457 Deferred Compensation Enrollment Form (PDF)

Commuter Benefits Program (PDF)

Commuter Benefit Summary Plan Description (PDF)

FSA Enrollment Form (PDF)

FSA Enrollment Form 2020 (PDF)

FSA Summary Plan Description (PDF)

Medical Waiver Premium Plan - Cash In Lieu (PDF)

Voluntary Life Insurance Enrollment Form (PDF)

2019 CalPERS Summary of Benefits and Coverage Notice (PDF)