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 of California website
Account Change Form
Claim Form
International Claim Form
Urgent Care/Emergency Room Information
Enrollment Form
Plan Comparisons
Plan B | 100%
Plan E | 90%
Plan G | 80%
Rates | AFT
Rates | ASCOE Hired Before 7/1/2011
Rates | ASCOE Hired After 7/1/2011
Rates | Management & Confidential
Rates | ROPTA
Rates | SEIU
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
Evidence of Coverage | Retirees
Employee Assistance Program (EAP)
EAP Brochure
EAP Overview
EAP Videos
Flex Plan
Flex Plan website
Claim Forms
Enrollment Form: Flexible Spending Health/Dependent Care
Enrollment Form: Premium Only Plan (POP)
Flex Plan Brochure
Flex Plan FAQ
Kaiser Permanente
Kaiser Permanente website
Kaiser Permanente Prospective Member website
Enrollment Form
Change Form
Plan Comparisons | AFT and ASCOE
Plan Comparisons | Management, Confidential, ROPTA and SEIU
Rates | AFT
Rates | ASCOE Hired Before 7/1/2011
Rates | ASCOE Hired After 7/1/2011
Rates | Management & Confidential
Rates | ROPTA
Rates | SEIU
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
- Marlene Moore, Human Resources Analyst, Benefits
(707) 524-2679, - Terri Walker, Human Resources Analyst, Leaves
(707) 524-2824,