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Benefits Update
Open Enrollment ends October 21, 2009 for Employee Health Benefit Changes. Retired Open Enrollment ends October 21, 2009. Enrollment for Flexible Spending Accounts end November 30, 2009. These changes will be effective January 1, 2010.
If you have any questions, contact Benefits in Human Resources at 714.765.5111. |
Active City Employee Information
During the Open Enrollment period, you may change your various plan enrollments to
become effective January 1, 2010. You may:
- Change to a different medical or dental plan
- Sign up for the $125 Opt Out credit (if eligible)
- Add eligible dependents to your plans
- Enroll in the Flexible Spending or Retired Health Savings Plans
| Open Enrollment Forms |
| Employee Selection Form |
PDF |
| 2010 Employee Health Plan Contributions |
PDF |
| 2010 Open Enrollment Announcement |
PDF |
| 2010 Comparison Chart |
PDF |
| What’s New for 2010 |
PDF |
| 2010 Employee Enrollment Guide |
PDF |
| Flexible Spending Enrollment Form |
PDF |
| Flexible Spending Withdrawal Form |
PDF |
If you would like to download one of the available documents in PDF Format, and don't have Adobe Acrobat on your computer, please download here:  |
Retiree Information
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Forms |
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Retiree Selection Form |
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Calculating Contributions Sheet |
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2010 Open Enrollment Newsletter |
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2010 Comparison Chart |
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2010 Enrollment Guide |
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| If you would like to download one of the available documents in PDF Format, and don't have Adobe Acrobat on your computer, please download here: |
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