Personnel Forms

THE BELOW LISTED FORMS ARE AVAILABLE FOR YOUR CONVENIENCE.  

 

 

 

MEDICAL INSURANCE

Health Insurance Change Form

Health Insurance Enrollment Form

LIFE INSURANCE

Life Insurance Enrollment Form

FLEXIBLE SPENDING ACCOUNT

FSA Enrollment Form

 DEFERRED COMPENSATION

Cal-PERS 457 Enrollment Form

Nationwide Enrollment Form

RETIREMENT

Cal-PERS Beneficiary Designation Form

PAYROLL

Change of Name or Address Form

Direct Deposit

Paycheck Designation

WORKER'S COMPENSATION

Physician's Pre-designation

CATASTROPHIC LEAVE

Catastrophic Leave Application

OUTSIDE EMPLOYMENT

Request for Outside Employment

Resources

 

 This page is under construction, please check back soon for updates.                                                                                                        

 

 

Benefits

 

Health benefits are very important.  Tehama County provides a comprehensive and competitive benefit program for our employees.  Below are a list of resources and services for our medical, dental, and vision providers, as well as information regarding additional programs available to eligible employees.  One of the most important factors regarding getting the most value for your benefits is understanding your plans and how to use them.  Please feel free to view and print the attached documents as references.

 

HEALTH

Annual Notice 2018

Benefit Comparison 2018

Summary of EPO Plan 2018

Summary of PPO Plan 2018

2017 EPO Benefit Booklet

2017 PPO Benefit Booklet 

 DENTAL

Delta Dental Summary 2018

VISION

VSP Choices

Vision Summary 2018

EMPLOYEE ASSISTANCE PROGRAM

Employee Assistance Program - ACI

Employee Assistance Program - Compsych

EXPRESS SCRIPTS

2018 Exclusion List

Express Scripts Home Delivery

2018 Preferred Formulary

Express Scripts EPO 2018 Summary

Express Scripts PPO 2018 Summary

LEAVE OF ABSENCE GUIDELINES

CFRA Guide

FMLA Fact Sheet

Department of Labor FMLA Employee Guide

PFL Guide

SDI Guide

LIFE INSURANCE

Life Insurance Summary

WORKER’S COMPENSATION

York Brochure