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Health Benefits Evidence of Coverage

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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.

2023 Rate Sheets

Effective January 1, 2023 - December 31, 2023

2023 SEIU Early 50% Rates

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October 2023 Employee Health Benefits Open Enrollment
All Benefit Eligible Employees

Open Enrollment Dates: October 16 – October 29, 2023

Effective Dates: January 1, 2024 – December 31, 2024 Plan Year

Open Enrollment is your annual opportunity to review and make changes to your benefits. During Open Enrollment, you can: