Open Enrollment - Full Time

Open Enrollment for City employees occurs mid-April through May of every year. Changes submitted become effective July 1, which is the first day of the fiscal year. 

During the Open Enrollment period, all full-time employees are required to submit a Health Insurance Enrollment/Change Form.



Health Insurance Enrollment/Change Form

Kaiser Enrollment Form

Modified Plan and Kaiser Plan Comparison Chart - Effective July 1, 2015

Modified Medical Plan Summary Plan Document

Modified Medical Plan Summary of Benefits and Coverage - Effective July 1, 2015

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


Flexible Spending Accounts

P&A Group Flexible Spending Brochure

P&A Group Parking and Transit Brochure

Direct Deposit Authorization Form

Flexible Spending Account Plan Summary


Health Reimbursement Account (O&M, Fire, & Fire Management Only)

HRA Summary of Benefits and Coverage


Employee Assistance Program (EAP)

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 --- 1/29/2016