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Retired Classified Employees Health Benefit Information

Enrollment Forms

Enrollment Forms are now located under the Frequently Used Forms page

Add dependents outside of Open Enrollment

Dependents must be added within 30 days of a qualifying event, such as marriage, birth, registered domestic partner or loss of coverage. Employee must complete a new enrollment along with required documentation.

2024 Rate Sheets

Effective January 1, 2024 – December 31, 2024

2024 SEIU/Teamsters Early Retiree Rates

2024 SEIU/Teamsters Early 50% Rates