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A Division of the Cheif Executive Office


1010 10th Street
Modesto, CA 95354
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Mon - Fri: 8am - 5pm
Closed Weekends & Holidays

Employee Benefits - Forms and Documents

Welcome to Employee Benefits Forms. Below is a list of online forms and documents for all Health Insurance, Deferred Comp, Flexible Spending Accounts, etc.

Health Insurance Forms and Documents

Health Insurance Information after Termination or Retirement

Medical Plan Information

Prescription Pharmacy Network

Health Savings Account - OPTUM

Dental Plan Information- Delta Dental

Vision Plan Information- VSP

Life Insurance and Long Term Disability- Voya/ReliaStar

Voluntary Benefits- Voya/ReliaStar

Accident Insurance

Critical Illness Insurance

Manhattan Life (formerly Humana)

Flexible Spending Accounts- P & A Group

Deferred Compensation- Mass Mutual

PARS- Public Agency Retirement System


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