To report an emergency in progress, call 911.
Deferred Compensation Open Enrollment Forms
Placer County offers two voluntary deferred compensation programs under IRS Code 457 and 401(k) through MassMutual and CalPERS/VOYA. These plans allow you to set aside additional money for retirement on a pre-tax basis with a minimum contribution of $10 per pay period.
Richard Berg firstname.lastname@example.org
David McCray email@example.com
CalPERS 401k New Enrollment Form
CalPERS 457 Beneficiary Change Form
CalPERS 457 New Enrollment Requires Beneficiary Form
MassMutual 401k New Enrollment with Beneficiary Form
MassMutual 457 New Enrollment with Beneficiary Form
Health Open Enrollment Forms
Placer County provides group health insurance through HMOs (Health Maintenance Organizations) and PPOs (Preferred Provider Organizations).
HMOs generally pay 100% of the cost of care after a co-payment, but require you to use in-network providers and have your care coordinated through a designated Primary Care Physician.
Anthem Blue Cross (Select & Traditional)
(855) 839-4524 www.anthem.com/ca/calpers/HMO
Blue Shield Access+
(800) 334-5847 www.blueshieldca.com/calpers
Health Net SmatCare
(888) 926-4921 www.healthnet.com/calpers
(800) 464-4000 www.kp.org/calpers
(877) 359-3714 www.uhc.com/calpers
Western Health Advantage
PPOs generally pay a percentage of the cost of care after co-pay and deductible requirements are met. The services of in-network providers are paid at a higher percentage than out-of-network providers.
PERSCare / PERS Choice / PERS Select
(877) 737-7776 www.anthem.com/ca/calpers
PORAC (DSA/Safety Mgmt Only)
(800) 937-6722 www.porac.org
2018 Health Benefit Summary
Affidavit of Parent Child Relationship
CalPERS Declaration of Health Form
CalPERS Physician Selection Form
CalPERS Zip Code Election Form