City logo and web banner

Open Enrollment

Open Enrollment for City employees for Fiscal Year 2014/2015 is May 1 to May 29, 2014.  

 

During the Open Enrollment period, all full-time employees are required to submit one of two forms:

  • Health Care Enrollment
  • Change Form or Opt-Out Form

Links to Open Enrollment forms and documents are below and also available on the City's intranet.

 

Open Enrollment Cover Letter

 

Medical

Health Insurance Enrollment/Change Form

Opt Out Form

Modified/Kaiser Plans Comparison Chart

Modified Medical Plan Summary Plan Document

Kaiser Permanente Enrollment Form

Kaiser High Deductible Plan Summary

Operating Engineers Enrollment Form

OE3 Plan A - D Plan Summary

OE3 Plan Kaiser A Plan Summary

OE3 Plan Kaiser B Plan Summary

 

Dental

Delta Dental PPO Benefit Highlights for the following groups:

SPMA

SPOA/Water Supervisory

Fire and Fire Management

T&M - O&M

Unrep, Law, SCEA and B&C

Delta Dental DHMO Plan Network Information (DeltaCare USA)

Delta Dental DHMO Plan Document (DeltaCare USA)

Dental Plans Comparison Chart: Delta Dental PPO and DeltaCare USA

 

Vision

Vision Service Plan(VSP) Vision Benefits Summary

 

FLEXIBLE SPENDING ACCOUNTS

Section 125

 

EAP

IBH: EAP/WorkLife Services Flyer

 

Registered Domestic Partner

COS Certified Statement of Eligibility of RDP

 

 

 

External Links


There are currently no external links.

This City of Stockton web page last reviewed on --- 4/30/2014