Enrollment Form

Classified Benefits Enrollment Form

2024 Rate Sheets

Effective January 1, 2024 – December 31, 2024

2024 Active UnRep Management/Conf/Supv/UPE/TCS Rate Sheet

2024 SEIU/Teamsters Rate Sheet

2025 Rate Sheet

Effective January 1, 2025 – December 31, 2025

2025 Active UnRep Management/Conf/Supv/UPE/TCS Rate Sheet

2025 SEIU/Teamsters Rate Sheet

Summary of Benefits and Coverage

2025 Employee Benefits Guide – Active Employees & Early Retirees

2025 Employee Benefits Guide – Active Employees & Early Retirees

2025 Summary of Benefits and Coverage - Kaiser HMO

2025 Summary of Benefits and Coverage - Kaiser HSA SBC

2025 Summary of Benefits and Coverage - Western Health Employee Only

2025 Summary of Benefits and Coverage - Western Health Family

Dental Plans

Delta Dental Information

Premier Access Dental Information