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Open Enrollment - Full Time

Open Enrollment for City employees occurs mid-April through May of every year and changes are made consistent with the City's fiscal year. Changes submitted will become effective, July 1, which is the first day of the fiscal year. 

During the Open Enrollment period, all full-time employees are required to submit a Health Insurance Enrollment/Change Form.

 

Medical

Health Insurance Enrollment/Change Form

Kaiser Enrollment Form

Modified Plan and Kaiser Plan Comparison Chart - Effective July 1, 2015

Modified Medical Plan Summary Plan Document

Modified Medical Plan Summary of Benefits and Coverage

Kaiser Permanente DHMO Evidence of Coverage

Kaiser Summary of Benefits and Coverage

OE3 Enrollment Form

OE3 Plan A - D Plan Summary

 

Dental

Delta Dental PPO Benefit Highlights for the following groups:

SPMA

Unrepresented, SCEA, B&C, SPOA, and Water Supervisory

Fire and Fire Management

T&M - O&M

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

Delta Dental Online Access Instructions

 

Vision

VSP Vision Benefits Summary

 

Flexible Spending Accounts

P&A Group Flexible Spending Brochure

P&A Group Parking and Transit Brochure

Direct Deposit Authorization Form

 

Employee Assistance Program (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 --- 4/16/2015