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
2024 SEIU/Teamsters Over 65 Retiree Rates
2024 SEIU/Teamsters Over 65 50% Retiree Rates
2025 Rate Sheet
Effective January 1, 2025 – December 31, 2025
2025 SEIU/Teamsters Early Retiree Rates
2025 SEIU/Teamsters Early 50% Retiree Rates
2025 SEIU/Teamsters Over 65 Retiree Rates
2025 SEIU/Teamsters Over 65 50% Retiree Rates