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Retired UPE/Mgmt/Supv/Conf/TCS and Teamsters Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheets
Effective January 1, 2024 鈥� December 31, 2024
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet
2024 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet
2024 SEIU/Teamsters Early Retiree Rate Sheet
2024 SEIU/Teamsters Early 50% Retiree Rate Sheet
2024 SEIU/Teamsters Over 65 Retiree Rate Sheet
2024 SEIU/Teamsters Over 65 Retiree 50% Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 鈥� December 31, 2025
2025 UnRep Management/Supervisor/Confidential/UPE/TCS Early Retiree Rate Sheet
2025 UnRep Management/Supervisor/Confidential/UPE/TCS Over 65 Retiree Rate Sheet
Retired Certificated Employees Health Benefit Information
Enrollment Forms
Enrollment Forms are now located under the Frequently Used Forms page.
2024 Rate Sheets
Effective January 1, 2024 鈥� December 31, 2024
2024 SCTA Early Retiree Rate Sheet
2025 Rate Sheet
Effective January 1, 2025 鈥� December 31, 2025
2025 SCTA Early Retiree Rate Sheet
Summary of Benefits and Coverages
2025 Summary of Benefits and Coverage - Health Net Seniority Plus
- Basic Reimbursement Login Flyer
- Opt Out Bulletin & Reimbursement Request Form 2024
- Dental Dental Information
- Premier Access Dental Information
- 2024 Dental Comparison Sheet
- 2025 Summary of Benefits and Coverage - Health Net Restricted PPO
- 2024-2025 Opt Out Bulletin & Request Form
- Navia Retiree Presentation
- Navia Recurring Expense form
- Opt-out Bulletin 2024-2025
- Read more