Active Employee Benefit Rates, Fiscal Year 2021-2022
Full-Time Employee Health Benefits
Medicare Part D 2021-2022 Benefits Overview
Model COBRA Continuation Coverage General Notice
New Health Insurance Marketplace Coverage Options and Your Health Coverage
Directions for Finding COVID Vaccine Providers
Local 1 Co-pay Reimbursement Request Form
United Faculty Co-pay Reimbursement Request Form
Domestic Partner Affidavit
Domestic Partner Termination
Cash Election Form
Change of Personal Information Form
Child Abuse Reporting Statement
Child Abuse Reporting Statement - Penal Codes
Deleting Group Heath Coverage Form
Direct Deposit Authorization Form
Educational Stipend Application
Employees Withholding Allowance Certificate
Employment Eligibility Verification, Form I-9
Medical Examination Report
Oath of Allegience
Personal Information Sheet
Pre-Employment Packet - District Office
Request for Reasonable Accommodation Form - Employee
STRS-PERS Information Supplemental Questionnaire
Transfer of Sick Leave
Universal Benefit Enrollment-Change Form - Active Employees
W-4 2022
Adjunct Faculty Maternity Leave Form
Leave Planning - Check List
Optional Catastrophic Leave Program, Participation Request Form - Local 1
Optional Catastrophic Leave Program, Participation Request Form - Unrepresented Employee Groups
Parental Leave AB2393 Form
Request for Family and Medical Leave Act or Pregnancy Disability Leave
Request to use Optional Catastrophic Leave and Medical Certification Form
Sick Leave Donation Form
DeltaCare USA - Combined Evidence of Coverage and Disclosure Form
DeltaCare USA - Participating Dental Offices
DeltaCare USA - Plan Details
Delta Dental PPO Plan Summary
Part-Time Instructors - Cost of Coverage
Part-Time Instructors - Open Enrollment Memorandum 2021-2022
Part-Time Instructors - Universal Benefit Enrollment-Change Form - Adjunct Faculty
VSP Vision Benefits Summary
Adjunct Professor Retirement Health Benefit Continue or Discontinue Form
Anthem Medicare, Evidence of Coverage, 2020-2021
Anthem Medicare Handbook and Plan Summary, 2020-2021
Anthem Medicare PPO Plan Retiree Co-pay Reimbursement Request Form
Anthem Medicare Preferred, PPO, with Senior Rx Plus - Enrollment Form
Anthem SilverSneakers Information
Employee Retirement Health Benefit Continue or Discontinue Form
Employee Retirement Health Benefit Form
Kaiser Permanente Senior Advantage, HMO, with Part D - Principle Benefits
Kaiser Permanente Senior Advantage (HMO) Form
Kaiser Permanente Senior Advantage Frequently Asked Questions
Kaiser SilverFit Program Information
Medicare Part B Reimbursement Form
Retiree Cash Payment in Lieu of Medical Insurance Election Form
Retiree Enrollment Form - Vision Services and Employee Assistance Voluntary Plan
Retiree Premium Rates 2021-2022
Retiree Surviving Spouse Continue or Discontinue Form
Retiree VSP Benefits Summary
Retirement Checklist - Cal PERS
Retirement Checklist - Cal STRS
Retirement Point Calculator
TruHearing - Hearing Aid Discount Program
24 Hour Fitness Special Rates for CCCSIG Members
Active&Fit Direct Member FAQs
Active&Fit Direct Membership Discount
Anthem - Coronavirus FAQ
Anthem - COVID-19 symptoms - Sydney Care Mobile App
Anthem - Disabled Dependents Form
Anthem - EPO - Plan Details - Evidence of Coverage
Anthem - EPO - Plan Summary 2020-2021
Anthem - IngenioRx Prescription Mail Order Delivery Flyer
Anthem - Live Health Online 2020
Anthem - Live Health Online - COVID-19 ABC
Anthem - Online Evidence of Coverage and Cert of Insurance
Anthem - Online Find a Doctor
Anthem - Online LiveHealth Mobile App Instructions
Anthem - Prescription Home Delivery Information
Anthem - Prescription Home Delivery Order Form
Anthem - Prescription - IngenioRx Transition ABC Client Guide
Anthem - Summary of Benefits, Copayments - Office Visits etc - 2020-2021
Anthem - Summary of Benefits, Copayments - Prescriptions - 2020-2021
Anthem - Travel International Claim Form
Anthem - Travel Outside the US Information
Anthem - Video Visit and Telemedicine
Delta Dental - amplifon Hearing Health Care
Delta Dental - Benefits Summary
Delta Dental - Claim Form
Delta Dental - Cost Estimator
Delta Dental - FAQ and Fees
Delta Dental - Hearing Aid and LASIK Discount
Delta Dental - LASIK Eye Surgery
Delta Dental - Value Added Features
Childcare and Elderly Services Information
Coping with grief after losing someone important to you
Coping with loss when someone in the workplace dies
EAP Detailed Plan Description
EAP Employee Assistance Program Information
EAP Financial Services
EAP Guide to Accessing the Employee Assistance Program - MHN
EAP Identity Theft Information
EAP Legal Services Information
EAP Member Website Information
EAP Plan Summary - English
EAP Plan Summary - Spanish
EAP Student Assistance Program
CBIZ formerly Pension Dynamics transition
Flexible Spending Online Enrollment 2021 Instructions
Section 125 Flexible Benefit Plan Claim Form
Section 125 Flexible Benefit Plan Election Form
Section 125 Flexible Benefit Plan Employee Handbook 2021 and After
Section 132 PreTax Commuter Expense Program Employee Handbook 2021 and After
Kaiser 3 ways to stay healthy this season
Kaiser Bienestar de la mente y el cuerpo
Kaiser Chiropractic Benefits
Kaiser Chiropractic Services Amendment 2020-2021
Kaiser Claim for Emergency Services
Kaiser Cold, flu, or COVID-19: Know the symptoms
Kaiser Connect with a Wellness Coach
Kaiser Discounts
Kaiser Explore Healthy Resources
Kaiser Flu Shot Information
Kaiser How to Practice Mindful Meditation
Kaiser List of Facilities
Kaiser Locating Services
Kaiser Manage Your Health, Online Anytime
Kaiser Medicare 101: Understanding the Basics
Kaiser Mental Health and Wellness Services
Kaiser Mind-Body Wellness
Kaiser Mind-Body Wellness Resources
Kaiser Mindfulness Before Sleep
Kaiser My Doctor Online App
Kaiser My KP Meds App
Kaiser Permanente Traditional HMO Plan, Evidence of Coverage
Kaiser Principal Benefits for Traditional HMO Plan 2020-2021
Kaiser Special Open Enrollment Rights for Certain Individuals
Kaiser The Mind-Body Connection
Kaiser Travel Coverage, Emergency and Urgent Care Away From Home
Kaiser Vaccines - What they are and how they can save your life
Kaiser Value Added Benefits Presentation
Kaiser Video Visit and Telemedicine
Kaiser Visiting Member Program
Employer-Paid Long-Term Disability Insurance
Evidence of Insurability Application - Health Questionnaire
Evidence of Insurability Cover Page
Life and Accidental Death and Dismemberment (AD&D)
Optional Life Insurance - Electing Plan 1
Optional Life Insurance - Electing Plan 2
Sun Life Additional Optional Life Enrollment Form plus EOI
Sun Life Beneficiary Designation Form
Sun Life Emergency Travel Assistance Services
Sun Life Evidence of Insurability How to Submit EOI Online
Sun Life Expatriate Coverage, FAQs
Sun Life Expatriate Coverage Form
Sun Life Expatriate Coverage Information
Sun Life Group Enrollment Form
Sun Life Group Life Conversion Employee Kit
Sun Life Group Life Insurance Details
Sun Life Long-Term Disability Claim Packet - Attending Physician
Sun Life Long-Term Disability Claim Packet - Claimant
Sun Life Long-Term Disability Claim Packet - Employer
Sun Life Long-Time Disability Details
Sun Life Notice of Group Life Conversion
Sun Life Optional Life Enrollment Form
Sun Life Refusal of Non-Contributory Group Coverage Waiver
Sun Life SecurAssist Enrollment Information and Procedures
VSP Benefits Summary
VSP Enrollment Form
VSP Essential Medical Eye Care Services
VSP Member Reimbursement Form
VSP Providers
VSP TruHearing
CalPERS Address Change Authorization
CalPERS - Beneficiary Designation form
CalPERS Disability Retirement Election Application
CalPERS How to Register for my CalPERS
CalPERS On-line Guide to Downloading CalPERS Retirement Documents to Begin the Retirement Process
CalPERS Special Power of Attorney
CalPERS What You Need to Know About Your CalPERS School Benefits
CalPERS Workshop Enrollment Instructions
CalSTRS Address Change Request
CalSTRS-CalPERS Questionnaire
CalSTRS One-Time Death Benefit Recipient Form
CalSTRS Recipient Designation Information, One-Time Death Benefit, Cash Balance Lump-Sum Payment
CalSTRS Register to Access, Manage Personal Information
403-b and 457 Plan Vendor List
CalPERS Supplemental Income 457 Plan
CalPERS Supplemental Income 457 Plan - Beneficiary Form
CalPERS Supplemental Income 457 Plan - Employee New Enrollment Form
CalPERS Supplemental Income 457 Plan - Enrollment Kit
CalSTRS 403-b Enrollment Form
CalSTRS Loan Request
Easy Steps for Tax Sheltered Annuities - New Accounts and Rollovers
Meet Your CalPERS 457 Account Manager
Payroll Deduction Authorization Form
CCCSIG Company Nurse Injury Hotline
CCCSIG Workers Compensation Medical Panels
Pre-designation of Personal Physician
