| Employee Benefits |
Mar 2011 |
| HBD-12A (pdf) |
2010 |
| AFLAC - Benefit Services Request for Reimbursement Form |
Jan 2011 |
| AFLAC - Basic Information (word) |
2011 |
| AFLAC - Flexible Spending Account Participant Resource Guide (pdf) |
2011 |
| Medical Plans (word) |
2011 |
| Dental Claim Form (pdf) |
2010 |
| CalPERS 457 Plan Participant Change Authorization Form (pdf) |
Jan 2011 |
| Salary Reduction Agreement for 403b (word) |
Jan 2012 |
| How to Find a Doctor with PERS Choice, PERS Select, and PERS Care (word) |
2011 |
| Dental Plan Benefit Cost Summary (word) |
2011 |
| Family and Medical Leave Act (FMLA) Policy (word) |
2011 |
| Flexible Benefit Plan Participation Election Form (word) |
2011 |
| AFLAC - Direct Deposit Form (pdf) |
2011 |
| AFLAC - Salary Redirection Agreement (pdf) |
2011 |
| AFLAC - Dental Insurance (pdf) |
2011 |
| AFLAC - Personal Accident Indemnity Plan (pdf) |
2011 |
| AFLAC - Specified Health Event Protection (pdf) |
2011 |
| AFLAC - Personal Cancer Indemnity Insurance (pdf) |
2011 |
| Blue Shield of California Access +HMO Evidence of Coverage Booklet 2012 (pdf) |
2011 |
| Blue Shield of California NetValue HMO Evidence of Coverage Booklet 2012 (pdf) |
2011 |
| CCPN Primary Care Physicians (pdf) |
2011 |
| CCPN San Luis Obispo Specialists (pdf) |
2011 |
| Flexible Benefit Plan Participation Election Form 2012 (word) |
2011 |
| Health Plan Chooser 2012 |
2011 |
| Medical Plan Comparison Sheet - Summary of Covered Services 2012 (pdf) |
2011 |
| Medical Plans and Premiums 2012 (doc) |
2011 |
| Metlife Insurance Enrollment Form (pdf) |
2011 |
| Metlife Statement of Health (pdf) |
2011 |
| PERSChoice Evidence of Coverage Booklet 2012 (pdf) |
2011 |
| PERS Select Evidence of Coverage Booklet 2012 (pdf) |
2011 |
| PERS Choice, PERS Select, & PERS Care - Transition from Medco to CVS Caremark Highlights (pdf) |
2011 |
| Physicians Choice Medical Group of San Luis Obispo Physicians (pdf) |
2011 |
