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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

2025 SEIU/Teamsters Early Retiree Rate Sheet

2025 SEIU/Teamsters Early 50% Retiree Rate Sheet

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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

2024 SCTA Over 65 Rate Sheet

2025 Rate Sheet

Effective January 1, 2025 鈥� December 31, 2025

2025 SCTA Early Retiree Rate Sheet

2025 SCTA Over 65 Rate Sheet

Summary of Benefits and Coverages

2025 Summary of Benefits and Coverage - Health Net Seniority Plus

2025 Summary of Benefits and Coverage - Health Net HMO

2025 Summary of Benefits and Coverage - Health Net PPO