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Active Classified Employees Health Benefit Information
Enrollment Forms
Classified Benefits Enrollment Form
2024 Rate Sheet
Effective January 1, 2024 鈥� December 31, 2024
2024 SEIU/Teamsters Active Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 鈥� December 31, 2025
2025 SEIU/Teamsters Active Rate Sheet
Summary of Benefits and Coverage
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
Classified Long-Term Disability Insurance
Classified Disability Insurance Booklet
Classified Disability Insurance Contract
Dental Plan
Retired Certificated Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheets
Effective January 1, 2024 鈥� December 31, 2024
2024 SCTA Early Retiree Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 鈥� December 31, 2025
2025 SCTA Early Retiree Rate Sheet
Summary of Benefits and Coverages
2025 Summary of Benefits and Coverage - Health Net Seniority Plus
Active Certificated Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheet
Effective January 1, 2024 鈥� December 31, 2024
2025 Rate Sheet
Effective January 1, 2025 鈥� December 31, 2025
Summary of Benefits and Coverages
2025 Summary of Benefits and Coverage - Health Net
2025 Summary of Benefits and Coverage - Kaiser
Dental Plans
Active Mgmt-Unrep.Conf-Supv., UPE, TCS, Teamsters Employees Health Benefit Information
Enrollment Form
Classified Benefits Enrollment Form
2024 Rate Sheets
Effective January 1, 2024 鈥� 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 鈥� December 31, 2025
2025 Active UnRep Management/Conf/Supv/UPE/TCS Rate Sheet
2025 SEIU/Teamsters Rate Sheet
Summary of Benefits and Coverage
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
Premier Access Dental Information
Retired UPE/Mgmt/Supv/Conf/TCS and Teamsters Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheets
Effective January 1, 2024 鈥� December 31, 2024
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet
2024 SEIU/Teamsters Early Retiree Rate Sheet
2024 SEIU/Teamsters Early 50% Retiree Rate Sheet
2024 SEIU/Teamsters Over 65 Retiree Rate Sheet
2024 SEIU/Teamsters Over 65 Retiree 50% Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 鈥� December 31, 2025
2025 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet
2025 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet
Retired Classified Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
Add dependents outside of Open Enrollment
Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage. Employee must complete a new enrollment along with required documentation.
2024 Rate Sheets
Effective January 1, 2024 鈥� December 31, 2024
Health Benefits
All permanent full-time employees are eligible to enroll themselves and their dependents in the health benefit programs. New employees must sign up for health insurance within thirty days of their date of hire to participate. Most employees qualify if they are working 50% or more for the year but benefits vary by bargaining unit so employees should refer to the applicable collective bargaining union contract. Eligible dependents include lawful spouse or registered domestic partner, children under 26 years of age, stepchildren and legally adopted children.
Health Benefits Evidence of Coverage
Health Net
Health Net HMO
2023 Health Net HMO - Evidence of Coverage
2023 Health Net HMO - Summary of Benefits and Coverage
2024 Health Net Summary of Benefits (HMO)
2024 Health Net Summary of Benefits and Coverage (HMO)
Health Net PPO
2023 Health Net PPO - Evidence of Coverage (Restricted)
2023 Health Net PPO - Evidence of Coverage
2023 Health Net PPO - Summary of Benefits and Coverage
2024 Health Net Summary of Benefits and Coverage (PPO)
2024 Health Net Summary of Benefits and Coverage (Restricted PPO)
Health Net Seniority Plus (HMO)
2023 Health Net Seniority Plus (HMO) - Summary of Benefits
Kaiser
2023 Kaiser Chiropractic Benefits
2024 Kaiser Chiropractic Benefits
2024 Kaiser Disclosure Form Amendments for Chiropractic Benefits
2024 Kaiser Medicare - Silver and Fit
2024 Kaiser Disclosure Form Amendments for Chiropractic Benefits
Kaiser Certificated
- 2023 Kaiser KPSA (HMO) Certificated - Evidence of Coverage
- 2023 Kaiser HMO - Benefits Summary
- 2023 Kaiser HMO - Summary of Benefits and Coverage
- 2023 Kaiser Certificated - Chiropractic Services Evidence of Coverage
- 2023 Kaiser HSA - Benefits Summary
- 2023 Kaiser HSA - Summary of Benefits and Coverage
- 2023 Kaiser Certificated - Combined Chiropractic Services and Silver&Fit Healthy Aging and Exercise Program Evidence of Coverage
- 2023 Sutter Health Plus Summit HMO - Benefits and Coverage Matrix
- 2023 Sutter Health Plus Vista HDHP - Benefits and Coverage Matrix
- 2023 Sutter Health Summit HMO - Evidence of Coverage
- 2023 Sutter Health Plus Vista HDHP - Evidence of Coverage
- 2023 Sutter Health Plus Summit HMO - Summary of Benefits and Coverage
- 2023 Sutter Health Plus Visita HDHP - Summary of Benefits and Coverage
- 2023 Western Health Advantage Premier HDHP HMO - Benefits and Coverage Matrix
- 2023 Western Health Advantage Premier HMO - Benefits and Coverage Matrix
- 2023 Western Health Advantage Premier HDHP HMO - Summary of Benefits and Coverage
- 2023 Western Health Advantage Premier HMO - Summary of Benefits
- 2023 Western Health Advantage Rx 10/20/30-2X Copayment Summary
- 2023 Western Health Advantage Travel Coverage
- 2024 Kaiser HMO Certificated - Benefits Summary
- 2024 Kaiser HMO Classified - Benefits Summary
- 2024 Kaiser HSA Classified - Benefits Summary
- 2024 Kaiser KPSA Classified - Benefits Summary
- 2024 Kaiser KPSA Certificated - Benefits Summary
- 2024 Kaiser Certificated HMO - Summary of Benefits and Coverage
- 2024 Kaiser Classified HDHP/HSA - Summary of Benefits and Coverage
- 2024 Kaiser Classified HMO - Summary of Benefits and Coverage
- 2024 Disclosure Form HMO/DHMO/HSA
- 2024 Sutter Health Plus Infertility Services Benefit Rider
- 2024 Sutter Health Plus Chiropractic Schedule of Benefits
- 2024 Sutter Health Plus Vista HDHP - Benefits and Coverage Matrix
- 2024 Sutter Health Plus Summit HMO - Benefits and Coverage Matrix
- 2024 Sutter Health Plus Vista HDHP - Summary of Benefits and Coverage
- 2024 Sutter Health Plus Summit HMO - Summary of Benefits and Coverage
- 2024 Sutter Health Plus - Locations Map
- 2024 Sutter Health Plus Handbook
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