2013/2014 Benefits Open Enrollment May 3-May 21, 2013

• 2013-14 Certificated Employees (WPTA) Open Enrollment Packet
  
• 2013-14 Certificated Management, Classified Management, Classified Confidential and Classified Employees Open Enrollment Packet

Benefit Forms

• SIG Enrollment/Change Form
  
• Employee Benefit Selection Form
• Waiver Form
• Availability of Summary Health Information Form
• Life Insurance & Disability Enrollment Form
• Disability ONLY Enrollment Form
• Wells Fargo HSA Enrollment Forms (application, account authorization, beneficiary designation/change)
• HSA Salary Reduction Form
  

Health Savings Account Information

• What is an HSA?
  
• Helping you get more for every healthcare dollar
• Increasing your healthcare buying power at every age and stage
• HSA Road Rules
• Going to the doctor
• Going to the Pharmacy
• Calculating HSA contribution worksheet
  

Flexible Spending Arrangement

• FSA Enrollment Guide
  
• FSA Enrollment Form
• FSA Claim Form
  

SBC Documents

Active Employees

• Kaiser Traditional HMO
  
• Kaiser High Deductible
  
• Health Net HMO
• Health Net High Deductible (2250/4500)
• Health Net High Deductible Mid (1300/2600)
• Delta Dental
• Vision Service Plan

Retiree Under 65

• Kaiser Traditional HMO
  
• Kaiser High Deductible
  
• Health Net HMO
• Health Net High Deductible (2250/4500) in California
• Health Net High Deductible (2250/4500) Out of State
  
• Health Net High Deductible Mid (1300/2600) in California
• Health Net High Deductible Mid (1300/2600) Out of State
• Delta Dental
• Vision Service Plan

Provider Websites

• Flex-Plan Services (section 125 provider)
  
• American Specialty Chiropractic
• Health Net (medical insurance provider)
• Delta Dental (dental insurance provider)
• Kaiser (medical insurance provider)
• OMNI (403b tax deferred compensation plan)
• SIG (Joint Powers Authority; health insurance administrator)
• Standard Insurance (life and disability insurance provider)
  • Life Insurance Certificate
  • Disability Insurance Certificate
• State Teachers Retirement System (STRS)
• Public Employees Retirement System (PERS)
• Vision Service Plan (vision insurance provider)