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Human Resources

  


MEDICAL BENEFITS

 

 
 

2021 MISC Cash-in-Lieu Form


Medical 2021 Plan Rates

CalPERS POA Rates

FIRE Employees

FT Employees

PT Employees

PT (hired after 01.01.2015)

Rent Control

2020 MISC Cash-in-Lieu Form

Medical 2020 Plan Rates

CalPERS POA Rates

FIRE Employees

FT Employees

PT Employees

PT (hired after 01.01.2015)

Rent Control


Regular or probationary employees may select a medical plan from the options provided by the City.  Switching between plans is only allowed during an annual open enrollment period, with an effective date of January of the following calendar year.

NOTE:  Enrolled dependents may be covered under medical plans until age 26, regardless of student, marital or IRS-dependent status.

 For Miscellaneous Employees and
 Santa Monica Firefighters Assoc. 
(Local 1109): 
 

For Santa Monica Police Officers Assoc. Members:

 BLUE SHIELD 

www.blueshieldca.com
(855) 829-3566
7:00 AM-7:00 PM (Monday-Friday)

CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM (CalPERS)

www.calpers.ca.gov 
(888) 225-7377

CalPERS
Health Benefit Services Division
P.O. Box 942714
Sacramento, CA 94229-2714

2021

Summary of Benefits Coverage (SBC)

Blue Shield Access HMO

Blue Shield PPO HDHP

Blue Shield PPO

Blue Shield Trio HMO

 

2020

Summary of Benefits Coverage (SBC)

Blue Shield TRIO HMO

Blue Shield Access HMO

Blue Shield PPO

Blue Shield PPO (HDHP)

CalPERS Forms

CalPERS Enrollment Form

CalPERS Enrollment Form Instructions

CalPERS Domestic Partner Affidavit

How to Access and Register for CalPERS



Evidence of Coverage (EOC)

Blue Shield TRIO HMO

Blue Shield Access HMO

Blue Shield PPO

Blue Shield PPO (HDHP)



Health Equity

(877) 857-6810

Email: memberservices@healthequity.com

Investing Your HSA Brochure

Winning with an HSA Brochure



Resources

Find a Doctor

Member Registration Online

Prescription Drug List

Teladoc

TRIO Network flyer

Domestic Affidavit

Away from Home Care

Mobile App


www.kaiserpermanente.org


Kaiser Customer Service (for benefit questions):  (800) 464-4000


PacFed Member Assistance- Kaiser Plan Administrator (for eligibility & benefit issues): (800) 753-0222

2021 Documents

2021 POA Cash-In-Lieu Form

2021 SBC Notice

2021 Health Benefit Summary

2021 CalPERS Open Enrollment Newsletter


2020 Documents

2020 POA Cash-In-Lieu Form

2020 SBC Notice

CalPERS Health Benefit Summary 2020

2020 CalPERS Open Enrollment Newsletter
































 

2021

Summary of Benefits and Coverage

2020

Summary of Benefits and Coverage

Kaiser Evidence of Coverage

 

Form and Resources

Transgender Care Coverage

Kaiser Enrollment Form

Waiver Form

Domestic Partner Affidavit

Mobile App

Online Account

Telehealth

MyStrength App

Calm App

 

 

 

 

 

 
 

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City of Santa Monica © 2021

200 Santa Monica Pier, Suite J, Santa Monica, CA 90401