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Open Enrollment

Open Enrollment for City employees ioccurs in May of every year based on the City's fiscal year. 


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

  • Health Insurance Enrollment/Change Form
  • Medical Insurance Opt Out Form

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


Open Enrollment Cover Letter



Health Insurance Enrollment/Change Form

Opt Out Form

Modified/Kaiser Plans Comparison Chart

Modified Medical Plan Summary Plan Document

Kaiser Permanente DHMO Evidence of Coverage

Operating Engineers Enrollment Form

OE3 Plan A - D Plan Summary

OE3 Plan Kaiser B Plan Summary



Delta Dental PPO Benefit Highlights for the following groups:


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 Service Plan(VSP) Vision Benefits Summary



You can contact American Fidelity directly for more information at (800) 437-1011.



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 --- 10/30/2014