Documents and Forms

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Current Employees

Kaiser Permanente (KP)

Sutter Health Plus (SHP)

  • Western Health Advantage (WHA) 
  • Vision Service Plan (VSP) 

    Health Savings Accounts (HSA)

    Flexible Spending Accounts (FSA)

    Delta Dental (Dental)

    Life Insurance

    Critical Illness

    Retiree Health Savings Plan (RHSP)

    529 College Savings Plan

    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)

    Long-Term Care