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King Fire Update: The King fire which started on September 13th in El Dorado County near Pollock Pines, CA, has grown to more than 18,000 acres and has crossed into Placer County on National Forest lands. More »

Employee Benefits

Open Enrollment 2015

Employee Benefits Information and Open Enrollment Guide

Mandatory Open Enrollment Forms

Benefit - Forms, Brochures, Guides, and Websites

 

Accidental Death & Dismemberment Insurance

Beneficiary Update

CalPERS Health Forms and Guides

CalPERS Health Plan Websites

CalPERS Long Term Health Care

Long Term Care
Select: Long Term Care

CalPERS Service Credit

Deferred Compensation Forms

CalPERS 401k and 457 Plan Comparison Sheet
MassMutual 457 and 401k 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 -Verify Loan Justification prior to Submitting to Personnel
CalPERS 401(k) Loan Justification Form - Loan Justification
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

Dental Insurance

Employee Assistance Program

FSA (Flex Spending Accounts) - WageWorks Forms available next week

Forms will be available next week - please check back

Supplemental Life Insurance

Vision

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