Employee Benefits

Forms

Special District Enrollment Form 2025
County of Sacramento EOI Paper form
VOYA SD Life insurance Change Form 2024
VOYA Beneficiary Form
Optum HSA Enrollment Form 2025
Mission Square 457 Enrollment Form
Health Equity HSA Enrollment Form 2025

Plan documents and information

2024 Special District Benefit Summary
Health Insurance Rate Sheet Effective January 1, 2024
2024 Important Notices
2024 Kaiser HDHP HMO Summary of Benefits and Coverage (SBC)
2024 Kaiser HMO Summary of Benefits and Coverage (SBC)
Sutter 2024 Chiropractic and Acupuncture Benefits Schedule
Sutter 2024 HDHP HMO Benefits and Coverage Matrix (BCM)
Sutter 2024 HDHP HMO Summary of Benefits and Coverage (SBC)
Sutter 2024 HMO Benefits and Coverage Matrix (BCM)
Sutter 2024 HMO Summary of Benefits and Coverage (SBC)
Sutter 2024 Infertility Benefits Rider
Sutter 2024 Notice of Health Plan Changes
WHA 2024 HDHP HMO Employee Only Summary of Benefits and Coverage (SBC)
WHA 2024 HMO Summary of Benefits and Coverage (SBC)
Enhanced VSP (Buy-Up) Plan Info


 

Benefits Information

Covered California Notice
Notice of Privacy Practices
CHIP Notice
Creditable Non Creditable Coverage Notice
Delta Dental PPO – SmileWay Wellness Benefit Flyer — NEW!!
SCERS
Understanding Health Savings Accounts (HSAs)
Health Equity HSA Flyer
Health Equity HSA – FAQ Sheet
Optum Bank HSA Flyer
Optum Bank HSA – FAQ sheet

Concern EAP

Access Concern Online
EAP Demonstration
Concern Employee Orientation
Concern Benefits Summary
Concern New Baby Kit 2023
Concern Parent Coaching
Concern Mindfulness
Concern Legal Services
Concern Financial Services
Observe Chat Connect Introduction
2023 Concern ONLINE Recorded Webinar Schedule 2023 v2

Modern Health EAP — Mental Wellness

Access Modern Health Online
EAP Demonstration
Processing Stressful World Events
Navigating Intense Emotions
Safe Place Visualization
Belly Breathing Meditation
Love and Kindness Meditation
Modern Health –NEW!!
Modern Health Demo for SETA
Safe Place Visualization
Getting Started With Modern Health Flyer
What is Modern Health? Video
Modern Health – Circles Flyer
What is Modern Health Coaching?
What is Modern Health Therapy?
Commitment to DE&I in Your Mental Health Care
Modern Health FAQs

Enrollment Forms

Special District Enrollment Form 2024
Health Equity HSA Enrollment Form 2024
Optum HSA Enrollment Form 2022
VOYA Special District Life Insurance Form
VOYA Beneficiary Form
VOYA Evidence of Insurability Paper form
VOYA Instructions for Evidence of Insurability
RHS enrollment Form

Summary of Benefits and Coverage

Health Insurance Rate Sheet Effective 1/1/2024
2023 Benefits Summary
Delta Dental PPO Plan Booklet
Delta Dental PPO – SmileWay Wellness Benefit Flyer — NEW!!
Voya Life Insurance Summary-Extra Benefits Summary

ICMA 457 Retirement Plan

Mission Square 457 Enrollment/Change Form (2024)
Mission Square 457 Retirement Plan
Mission Square Beneficiary Designation Form
VantageCare Retirement Health Savings Plan – Participant – Brochure
ICMA-RC (Retirement Savings Plan) Website
Video:Who’s in Charge of Your Retirement? Get to Know Your 457 Plan
Video: Get Reimbursed for Health-Care Costs-Your Retirement Health Savings (RHS) Plan
Video: ICMA-RC Will Continue to Work for You
Video: Su Plan De Remuneracion Diferida 457

NEW ICMA FEATURE!!! Quick and Easy Online Mobile Enrollment
Mobile Enrollment Overview for Employees
Online Enrollment at a Glance