Documents and Forms

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Retirees

Medicare Enrollment Forms

(Required in addition to the County form when enrolling in or switching between a Medicare Plan)

Medicare Disenrollment Forms

(Required in addition to the County form when dis-enrolling from or switching between a Medicare plan) 

Kaiser Permanente (KP)

Sutter Health Plus (SHP)

United HealthCare (UHC)

Western Health Advantage (WHA)

Vision Service Plan (VSP) 

Principal Financial (DENTAL)

Retiree Health Savings Plan (RHSP)