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Quick Links
Current Job Openings
Job & Salary Info
Health Benefits
Benefits Forms
Memoranda of Understanding
Compensation Summaries
Civil Service Rules
Employees' University
Equal Opportunity Office
Commission for Women
 

 

Santa Barbara County Employee Flexible Benefits Plan

2009 Open Enrollment - Nov. 3 to Nov. 21

This year's open enrollment includes all Flexible Benefits and Health Insurance plan options. This second enrollment period for health insurance is being offered so that both the flexible benefits and health insurance plans will run on the same calendar plan year.

All current health insurance enrollments or enrollment changes you make this open enrollment will be effective from January 1 to December 31, 2009. Changes to your health or flexible benefits coverage during the 2009 year can only be made if you have a "qualifying change in status" during the new calendar plan year.

 
Flexible Benefits Plan Options – the cafeteria style benefits described in the Flex Benefits Plan Announcement allow you to use pre-tax salary to pay for certain health, life, accident and the health care and dependent care spending accounts.
Flex Benefits Plan Announcement - all options listed here
Enrollment Form
  Meeting Schedule
  Info Sheet on Health Savings Accounts
  Claims Reimbursement Process
  Change in Status Form - see Rules for Mid-Year Health & Flex Changes
  Dependent Eligibility Chart
  Link: 2008 Flexible Benefits Plan for use until 12/31/08
   
Health Insurance Benefits Options – For a description of the medical, dental and vision options available to you, see the 2008 Health Benefits Summary posted on the Health Benefits webpage. There are no changes to the plan choices, coverage or premium amounts for January 2009.. If you do not make any changes to your current plan choices, they will remain in effect until January 2010. Because the health plan year is now on a calendar year, there will be no health insurance open enrollment period again until November 2009.
  Medical, Dental, Vision Plan Information and Forms

Forms

Claim Form - Claims are filed with ADP FlexDirect, please go to https://www.flexdirect.adp.com to get more info on filing your flexible spending claims. See FSA Forms on home page

    Health Care FSA Claim Form
    Dependent Care FSA Claim Form Updated Form
Medical and Dental Expenses
  Qualifying & Non-Qualifying Expenses Under Health Care Reimbursement Account
  Reimbursable & Non-reimbursable Over-the-Counter Medicine
  Healthcare Flexible Spending Worksheet
Child and Dependent Care Expenses
  Child Care & Dependent Care Flexible Spending Worksheet
  I.R.S. Pub 503 - Child and Dependent Care Expenses
Optional Life Insurance
  Program Description & Enroll Form
  Beneficiary Form
  Non-Smoking Certification Form
Personal Accident Insurance
  Program Description & Enroll Form
  Beneficiary Form
    AIG Conversion Form (upon separation of employment)

 

 

 
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