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
Plan Comparisons | ASCOE
Plan Comparisons | Management, Confidential, ROPTA and SEIU
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 | CTETA
Rates | SEIU Working 6+ hours/day
Rates | SEIU Working 5 hours/day
Deferred Compensation
Deferred Compensation FAQ
403(b) Plan Annual Notice - 2017-18
403(b) Comply brochure
403(b) Compare website
403(b) Comply website
403(b) Plans FAQ
403(b) Website enrollment guide - 2016-17
457 Plan website
457 Plans FAQ
Dental
Delta Dental website
Dental Plan FAQ
Evidence of Coverage | Certificated
Evidence of Coverage | Classified & Management
Employee Assistance Program (EAP)
EAP Overview
Anthem EAP Website
Flex Plan
Flex Plan website
Claim Forms
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
Kaiser Mid Deductible
Summary of Benefits | Kaiser HDHP with HSA
Rates | ASCOE Hired Before 7/1/2011
Rates | ASCOE Hired After 7/1/2011
Rates | Management & Confidential
Rates | CTETA
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
What is RESIG?
What is SISC?
Accessibility Notice
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