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Open Enrollment

Open Enrollment for City employees occurs in May of every year based on the City's fiscal year. 


During the Open Enrollment period, all full-time employees are required to submit one of two forms:

  • Health Insurance Enrollment/Change Form
  • Medical Insurance Opt Out Form

Links to Open Enrollment forms and documents are below and also available on the City's intranet.


Open Enrollment Cover Letter



Health Insurance Enrollment/Change Form

Opt Out Form

Modified Plan and Kaiser Plan Comparison Chart

Modified Medical Plan Summary Plan Document

Modified Medical Plan Summary of Benefits and Coverage

Kaiser Permanente DHMO Evidence of Coverage

Kaiser Summary of Benefits and Coverage

OE3 Enrollment Form

OE3 Plan A - D Plan Summary




Delta Dental PPO Benefit Highlights for the following groups:


Unrepresented, SCEA, B&C, SPOA, and Water Supervisory

Fire and Fire Management

T&M - O&M

Delta Dental DHMO Plan Network Information (DeltaCare USA)

Delta Dental DHMO Plan Document (DeltaCare USA)

Dental Plans Comparison Chart: Delta Dental PPO and DeltaCare USA

Delta Dental Online Access Instructions



VSP Vision Benefits Summary



Contact American Fidelity directly for more information at (800) 437-1011.



IBH: EAP/WorkLife Services Flyer


Registered Domestic Partner

COS Certified Statement of Eligibility of RDP




External Links

There are currently no external links.



This City of Stockton web page last reviewed on --- 3/19/2015