Employee Benefits

Select from the list below to get more information about specific benefit plans, access forms, find answers to frequently asked questions (FAQs), and link to provider websites. All documents are formatted as PDFs.

Benefit Plan Contact Numbers
Benefit Plan Group Numbers

Blue Shield

Blue Shield website
Enrollment Form
Membership Change Form
Urgent Care Information

Summary of Benefits | Plan B | 100%
Summary of Benefits | Plan E | 90%
Summary of Benefits | Plan G | 80%

Rates | ASCOE Hired Before 7/1/2011
Rates | ASCOE Hired After 7/1/2011
Rates | Management & Confidential
Rates | ROPTA
Rates | SEIU Working 6+ hours/day
Rates | SEIU Working 5 hours/day

Deferred Compensation

Deferred Compensation FAQ
403(b) Plans FAQ
403(b) Compare website
403(b) Comply brochure
403(b) Comply website
457 Plans FAQ
CalPERS 457 Plan website

Dental

Delta Dental website
Dental Plan FAQ
Evidence of Coverage | Certificated
Evidence of Coverage | Classified & Management

Employee Assistance Program (EAP)

EAP Brochure
EAP Overview
EAP Provider: Community & Family Services Agency (CFSA)

Flex Plan

Flex Plan website
Claim Forms
Enrollment Form: Flexible Spending Health/Dependent Care
Enrollment Form: Premium Only Plan (POP)
Flex Plan FAQ

Kaiser Permanente

Kaiser Permanente website
Enrollment Form
Change Form

Summary of Benefits | Kaiser High | Package 1 | ASCOE
Summary of Benefits | Kaiser Mid Deductible | ASCOE
Summary of Benefits | Kaiser High | Package 1
Summary of Benefits | Kaiser High | Package 2
Summary of Benefits | Kaiser Mid Deductible
Summary of Benefits | Kaiser HDHP with HSA

Plan Comparisons | ASCOE
Plan Comparisons | Management, Confidential, ROPTA and SEIU

Rates | ASCOE Hired Before 7/1/2011
Rates | ASCOE Hired After 7/1/2011
Rates | Management & Confidential
Rates | ROPTA
Rates | SEIU Working 6+ hours/day
Rates | SEIU Working 5 hours/day

Life Insurance

Enrollment Form
Plan Description

Vision

Vision Service Plan (VSP) website
Vision Plan FAQ

Other Information

Abbreviations
Benefit Eligibility
Dependent Coverage FAQ
Health Plan FAQ
Open Enrollment FAQ
What is RESIG?
What is SISC?

Contact

  • Terri Walker,HR Analyst
    (707) 524-2824,