Benefits Information

Insurance Rate Sheet 2021
Special District Summary 2021
Covered California Notice
Notice of Privacy Practices
CHIP Notice
Creditable Non Creditable Coverage Notice
SCERS
Employee Assistance Program (EAP)
Understanding Health Savings Accounts (HSAs)
Health Equity HSA Flyer
Health Equity HSA – FAQ Sheet
Optum Bank HSA Flyer
Optum Bank HSA – FAQ sheet

Modern Health — Mental Wellness

Modern Health –NEW!!
Modern Health Demo for SETA
Getting Started With Modern Health Flyer
What is Modern Health? Video
Modern Health – Circles Flyer
What is Modern Health Coaching?
What is Modern Health Therapy?
Modern Health FAQs

Open Enrollment 2022 Forms

2022 Benefits Open Enrollment Flyer
2022 Insurance Rate Sheet
Special District Enrollment Form 2022-fillable
Special District Summary 2022
VOYA Evidence Of Insurability Paper form
VOYA Instructions for Evidence of Insurability
VOYA Beneficiary Form
Health Equity_HSA_Employee_Contribution_Election_Form 2022
Optum HSA Enrollment Form 2022
Delta Dental PPO – SmileWay Wellness Benefit Flyer — NEW!!
457EmployeeEnrollmentForm
ICMA (Mission Square) 457 2021 contribution 0120_W167
ICMA (Mission Square) BeneficiaryDesignationForm
Kaiser SBC 2022 HD HMO
Kaiser SBC 2022 HMO
Sutter SBC 2022 HD HMO
Sutter SBC 2022 HMO
WHA HDHP SBC 2022 EE Only
WHA HDHP SBC 2022 Family
WHA Traditional HMO SBC 2022

Enrollment Forms

Special District Enrollment Form 2021
Optum HSA Employee Contribution Form 2021
Health Equity HSA Employee Contribution Form 2021
VOYA Special District Life Insurance Form
VOYA Beneficiary Form
VOYA Evidence Of Insurability Paper form
VOYA Instructions for Evidence of Insurability

Summary of Benefits and Coverage

Delta Dental PPO Plan Booklet
Delta Dental PPO – SmileWay Wellness Benefit Flyer — NEW!!
Voya Life Insurance Summary-Extra Benefits Summary
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 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