Active Employee Benefit Rates 2025-2026
Active Employee Benefits Overview
Retiree Benefits Overview
Domestic Partner Affidavit
Domestic Partner Termination
2025 Form W-4
Cash Election Form
Child Abuse Reporting Statement
Child Abuse Reporting Statement - Penal Codes
Deleting Group Heath Coverage Form
Direct Deposit Authorization Form
Educational Stipend Application
Employee’s 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
DeltaCare and Delta PPO Find A Network Dentist
DeltaCare Benefit Highlights
DeltaCare Evidence of Coverage
Delta PPO Benefit Highlights
Delta PPO Evidence of Coverage
Delta PPO vs DeltaCare
Part-Time Faculty Cost of Coverage 2025-2026
Part-Time Faculty Medical Benefits Affidavit
Part-Time Faculty Open Enrollment Memo Fall 2025
Part-Time Faculty Universal Benefit Enrollment Form
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 Preferred, PPO, with Senior Rx Plus - Enrollment Form
Anthem SilverSneakers Information
Employee Retirement Health Benefit Continue or Discontinue Form
Kaiser Permanente CHIROPRACTIC benefits
Kaiser Permanente Senior Advantage (HMO) Group Medicare Election Form
Kaiser Permanente Senior Advantage (HMO) with Part D
Kaiser Permanente Senior Advantage (HMO) with Part D Evidence of Coverage
Kaiser Permanente Senior Advantage Frequently Asked Questions
Kaiser Senior Advantage Silver&fit Evidence of Coverage.
Kaiser SilverFit Program Information
Kaiser Travel Coverage, Emergency and Urgent Care Away From Home
Retiree Cash Payment in Lieu of Medical Insurance Election Form
Retiree Enrollment Form - Vision Services and Employee Assistance Voluntary Plan
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
Universal Benefit Enrollment/Change Form (Retirees)
Universal Benefit Enrollment/Change Form (Surviving Spouse)
Anthem Active and Fit Direct
Anthem Blue Card Global
Anthem Disabled Dependent
Anthem Discounts
Anthem EPO Benefit Summary
Anthem EPO Evidence of Coverage
Anthem Find a Doctor
Anthem Grievance Form
Anthem International Claim Form
Anthem Maternity Care
Anthem Prescription Home Delivery
Anthem Preventive Care
Anthem Sydney App
Delta Dental Amplifon (Hearing Aids) & Qualsight (LASIK)
Delta Dental Benefit Booklet
Delta Dental Benefit Summary
Delta Dental Cost Estimator
Delta Dental Discounts
Delta Dental Find a Network Dentist
Delta Dental In-Network vs Out-of-Network Benefits
Delta Dental Online Account Setup
Delta Dental PPO vs Premier
Delta Dental Pre-Treatment Estimate
Delta Dental Website Resources
EAP App
EAP Coaching
EAP Counseling
EAP Presentation
Kaiser Chiropractic Evidence of Coverage
Kaiser ClassPass
Kaiser College Care
Kaiser Community Resources
Kaiser Doula Care
Kaiser HMO Benefit Summary
Kaiser HMO Evidence of Coverage
Kaiser Manage Your Health Online
Kaiser Maternity Care
Kaiser Meds App
Kaiser Member Reimbursement Form
Kaiser Mental Health and Addiction Services
Kaiser My Doctor Online App
Kaiser One Pass Affinity Flyer
Kaiser Self-Care Apps
Kaiser Telehealth
Kaiser Travel Coverage
Kaiser Types of Care
Kaiser Wellness Coaching
Navia App
Navia Benefits Card Replacement
Navia Commuter Booklet (GoNavia)
Navia Commuter FAQs (GoNavia)
Navia Commuter Parking Benefit Details (GoNavia)
Navia Commuter Sign-Up Instructions (GoNavia)
Navia Commuter Sign-Up Instructions En Espanol (GoNavia)
Navia Commuter Transit Benefit Details (GoNavia)
Navia Copay Reimbursement - Local 1
Navia Copay Reimbursement - United Faculty
Navia Day Care Booklet
Navia Day Care Claim Form
Navia Day Care Receipt
Navia Direct Deposit Add Online
Navia Direct Deposit Form
Navia Flexible Spending Account Booklet
Navia Flexible Spending Accounts Leftover Dollars
Navia Flexible Spending Accounts Letter of Medical Necessity
Navia Flexible Spending Account Store
Sun Life Additional Life Insurance
Sun Life Assist America Plan Details
Sun Life Basic and Dependent Life Certificate
Sun Life Basic Life Insurance
Sun Life Beneficiary Designation
Sun Life Conversion Application
Sun Life Conversion Flyer
Sun Life Evidence of Insurability Application
Sun Life Evidence of Insurability Employee Guide
Sun Life Evidence of Insurability Employer Cover Page
Sun Life Evidence of Insurability FAQs
Sun Life Evidence of Insurability Online
Sun Life Insurance Waiver
Sun Life Voluntary and Additional Life Certificate
Sun Life Voluntary Life Insurance
VSP Actives Benefit Summary
VSP Essential Medical Eye Care Services
VSP Eyeconic
VSP Find A Provider
VSP Get To Know Your Benefits
VSP Out-of-Network Reimbursement Form
VSP TruHearing
CCCSIG Company Nurse Injury Hotline
CCCSIG Workers Compensation Medical Panels
Pre-designation of Personal Physician
Long Term Disability
Long Term Disability Benefits Claim - Attending Physician
Long Term Disability Benefits Claim - Employee
Long Term Disability Benefits Claim - Employer
Long Term Disability Certificate
Long Term Disability Certificate of Benefits
Long Term Disability Direct Deposit Authorization
