Benefits Information

Insurance Rate Sheet 2021
Special District Summary 2021
Covered California Notice 2021
Notice of Privacy Practices
CHIP Notice
Creditable Non Creditable Coverage Notice
Waiver Form – Special District – Fillable
SCERS
Employee Assistance Program (EAP)
Understanding Health Savings Accounts (HSAs)

Enrollment Forms

Special District Enrollment Form 2021
Optum HSA Employee Contribution Form 2021
Health Equity HSA Employee Contribution Form 2021
SETA Life Insurance
SD Prudential EOI Short Form
SETA Life Insurance Beneficiary Designation Form

Summary of Benefits and Coverage

Kaiser HMO SBC 2021
Kaiser HDHP SBC 2021  
Sutter HDHP SBC 2021
Sutter HMO SBC 2021
WHA HDHP HMO SBC 2021 – Self Only
WHA HDHP SBC 2021 – Family
WHA HMO SBC 2021

ICMA 457 Retirement Plan

ICMA 457 Retirement Plan
ICMA 457 Contribution Change Form
ICMA-RC (Retirement Savings Plan) Website
Video:Who’s in Charge of Your Retirement? Get to Know Your 457 Plan
Video: Get Reimbursed for Health-Care Costs-Your Retirement Health Savings (RHS) Plan
Video: ICMA-RC Will Continue to Work for You
Video: Su Plan De Remuneracion Diferida 457

NEW ICMA FEATURE!!! Quick and Easy Online Mobile Enrollment
Mobile Enrollment Overview for Employees
Online Enrollment at a Glance