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Personnel Kiosk

for Employees and the Public

 

JOBS - Job Opportunity Broadcast System

JOBS

Apply for a Job

Frequently asked questions- How to apply for a job? 

Job Benefits 

Job Classification Specs 

Job Compensation Webpage 

Public Agency Eligibility List – application package

Benefit - Forms, Brochures, Guides, and Websites

Employee Benefits Information and Open Enrollment Guide

Mandatory Open Enrollment Forms

Accidental Death & Dismemberment Insurance

Accidental Death and Dismemberment Form

Accidental Death and Dismemberment Insurance Plan Brochure

Beneficiary Update

Accidental Death and Dismemberment form

CalPERS Retirement Beneficiary Designation Form

CalPERS 457 Beneficiary Change Form

Designation of Beneficiary for Pay Distribution Form

ING ReliaStar Life Beneficiary Designation Form

MassMutual 401k and 457 Spousal Consent Form

MassMutual 401k Beneficiary Change Form

MassMutual 457 Beneficiary Change Form

CalPERS Health Forms and Guides

Affidavit of Parent Child Relationship

CalPERS Declaration of Health Form

CalPERS Health Benefit Summary

CalPERS Health Enrollment Form

CalPERS Health Program Guide

CalPERS Medicare Enroll Guide

CalPERS Physician Selection Form

CalPERS Summary of Benefit Coverage (SBC’s)-2013

CalPERS Summary of Benefit Coverage (SBC’s)-2014

CalPERS Zip Code Election Form

CalPERS Health Plan Websites

HMO's

Anthem Tradition/Select

Blue Shield Access & Net Value

Kaiser Permanente

United Health Care

PPO

PERSCare/Choice/Select

Select: For members > Then to: Health Benefits Program

PORAC PPO

CalPERS Long Term Health Care

Long Term Care

Select: Long Term Care

CalPERS Service Credit

CalPERS Service Credit booklet

CalPERS Service Credit Cost Calculator

Deferred Compensation Forms

CalPERS 401k and 457 Plan Comparison Sheet

CalPERS Forms

Enrollment/Changes
CalPERS 401(k) Account Transfer - Contact Personnel
CalPERS 401(k) Contribution Change Form
CalPERS 401k New Enrollment with Beneficiary Form
CalPERS 457 Account Transfer - Contact Personnel
CalPERS 457 Contribution Change Form
CalPERS 457 New Enrollment form requires Beneficiary Form

Beneficiary changes
CalPERS 401(k) Beneficiary Change Form
CalPERS 457 Beneficiary Change Form

Hardships/Withdrawals
CalPERS 401(k) Loan Application/Spousal Consent
CalPERS 401(k) Loan Justification Form – No Spousal Consent
CalPERS 401(k) Distribution - Contact Personnel
CalPERS 457 Emergency Withdrawal Request - Contact Personnel
CalPERS 457 In-Service Withdrawal Request - Contact Personnel
CalPERS Hardship Distribution Request - Contact Personnel

MassMutual Forms

Enrollment/Changes
MassMutual 401(k) Contribution Change Form
MassMutual 401k New Enrollment with Beneficiary Form
MassMutual 401(k) Installment Payment Change Request Form - Contact Personnel
MassMutual 401(k) Death Benefit Request - Contact Personnel
MassMutual 401(k) and 457 Spousal Consent Form
MassMutual 457 Contribution Change Form
MassMutual 457 New Enrollment with Beneficiary Form
MassMutual 457 Pre-Retirement Catch-Up Form - Contact Personnel
MassMutual Rollover Submission Form - Contact Personnel

Beneficiary changes
MassMutual 401(k) Beneficiary Form
MassMutual 457 Beneficiary Form
MassMutual 401k and 457 Spousal Consent Form

Hardships/Withdrawals
MassMutual 401(k) Loan - Contact Personnel
MassMutual Benefit payment request - Contact Personnel
MassMutual In Service Withdrawal Request - Contact Personnel
MassMutual Installment Payment Request - Contact Personnel
MassMutual Withdrawal Form - Contact Personnel

Deferred Compensation Websites

CalPERS Deferred Compensation website

-Then select: CalPERS Investments (457 only)

MassMutual - Deferred Compensation website

Placer County Deferred Compensation Committee website

Dental Insurance

Delta Dental

User ID/Password required

Dental Evidence Of Coverage

DSA Dental Plan

Management and Confidential Dental Plan

PPEO Dental Plan

Employee Assistance Program

Your Employee Assistance Program

Employee Assistance Program - Benefit Summary

Financial Services

Legal Services

Members Website

FSA (Flex Spending Accounts) - WageWorks Dependent Care Forms Medical Reimbursement and Tahoe Rural Health Subsidy

Tahoe HRA Form

Supplemental Life Insurance

ING ReliaStar Life Beneficiary Designation

ING ReliaStar Life Change Form

ING ReliaStar Life Insurance Application

Vision

VSP - Vision website

User ID/Password may be required

Vision Out of Network Reimbursement Form

VSP Evidence of Coverage and Disclosure Form

VSP Summary Brochure

Placer County Public Website

ACORN login - for county employees only

 

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