Documents

Benefits Documents

Use these guides to maximize your benefits.

The forms below are designed to be used digitally. Click here for instructions on how to download the forms to your computer so that they are fillable. If you have never electronically signed a document, click here for instructions. Be sure to email your completed form to your department's benefits representative.

Change/Enrollment Forms:

Enrollment Forms:

Claim Forms

File a reimbursement claim using the appropriate form below, or online through your plan account.

Vision out-of-network reimbursement: Log into your account at VSP.com.

Policies

These policies answer commonly asked questions about benefits eligibility, benefits exceptions, and enrollment deadline exceptions. See your department's Benefits Representative to talk about your situation and how to apply these Exceptions to it.

Rates

Find plan rates, including premium costs and health benefits coverage values to cover a non-IRS tax dependent.

Rate Tables

Deferred Compensation Documents