Fullerton, CA
Home MenuBenefits 2023
2023 City Council Rates- 2023 Confidential Rates
- 2023 Executive Rates
- 2023 Federation Rates
- 2023 FFA AND FFMA Out of State Regions Rates
- 2023 FFA and FFMA Region 2 Premium Rates
- 2023 FFA and FFMA Region 3 Premium Rates
- 2023 FFA Vision and Dental Rates
- 2023 FFMA Vision and Dental Rates
- 2023 Management Rates
- 2023 Non Regular Rates
- 2023 Police Dispatch Rates
- 2023 Police Management Rates
- 2023 Police Officers Association Rates
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Annual Notices
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CalPERS Retirement
- CalPERS Beneficiary Form
- CalPERS Benefit Factor Local Misc 2% @ 55
- CalPERS Benefit Factor Local Misc 2% @ 62
- CalPERS Benefit Factor Local Safety 2.7% @ 57
- CalPERS Employment After Retirement Publication 33
- CalPERS FAQS Service Retirement
- CalPERS Local Miscellaneous Benefits Pub 8
- CalPERS Local Safety Benefits Publication 9
- CalPERS New Member Public Agency Guide
- CalPERS Planning Service Retirement Publication 1
- CalPERS Post-retirement Employment Information
- CalPERS Retirement Allowance Request
- CalPERS Service Retirement Election Application
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Dental Plans
- Delta Dental Enrollment Form
- Delta Dental PPO Benefits Summary
- DeltaCare USA HMO Benefits Summary
- Payroll Deduction Authorization Form
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- 2023 Benefits Guide Non-Regular Employee
- 2023 Benefits Guide Regular Employee
- 2023 Benefits Guide Retiree Under 65
- 2023 Benefits Guide Retiree with Medicare
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Enrollment Forms
- CalPERS COBRA Health Enrollment Form
- CalPERS Health Enrollment Form
- Cigna Enrollment Forms
- Delta Dental Enrollment Form
- Igoe FSA Enrollment Form
- Kaiser Enrollment Form
- MissionSquare 2023 - 457 Def Comp Plan Contribution Form
- MissionSquare RHS EnrollChange Form
- Standard Life Insurance Enrollment and Change Form
- VSP Enrollment Form
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MissionSquare Investment 457 Deferred Compensation Plan
- 2022 Winter Bulletin
- Get To Know Your 457 Plan
- MissionSquare 2023 - 457 Def Comp Plan Contribution Form
- MissionSquare Change Form
- MissionSquare/ICMA Loan Package
- MSQ 10 Question Retiree Guide
- MSQ Choose Your Contribution
- MSQ Market Volatility
- MSQ Market Volatility Handout
- MSQ Saving For Retirement
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IGOE Flexible Spending Account (FSA)
- 2023 Flex Enrollment Form
- Active and Fit Direct
- Dependent Care Reimbursement Account Overview Flyer
- Flexible Spending Account Overview
- Igoe Welcome Kit
- Plan Highlights
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MEDICAL PLANS
2023 CalPERS Health Benefit (FFA and FFMA Only)
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2023 Cigna Health Plans
- Cigna Enrollment Forms
- Cigna Full Network HMO Benefits Summary
- Cigna Full Network HMO SBC
- Cigna MVP HMO Benefits Summary
- Cigna MVP HMO SBC
- Cigna PPO Benefits Summary
- Cigna PPO SBC
- Cigna Select Network HMO Benefits Summary
- Cigna Select Network HMO SBC
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2023 Kaiser Permanente HMO
- Kaiser Benefits Summary
- Kaiser Enrollment Form
- Kaiser Senior Advantage Benefits Summary
- Kaiser Summary of Benefits (SBC)
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- 2023 Confidential Retiree Rates
- 2023 Executive Retiree Rates
- 2023 Federation Retiree Rates
- 2023 FFA and FFMA Out of State Region Retiree Rates
- 2023 FFA and FFMA Region 2 Retiree Rates
- 2023 FFA and FFMA Region 3 Retiree Rates
- 2023 FFA Vision and Dental Retiree Rates
- 2023 FFMA Vision Dental Retiree Rates
- 2023 Management Retiree Rates
- 2023 Police Dispatch Retiree Rates
- 2023 Police Management Association Retiree Rates
- 2023 Police Officer Association Retiree Rates
- 2023 Retirees With Medicare Rates
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- Standard Additional Life Coverage Highlights
- Standard Basic Life Insurance
- Standard Basic Life Insurance Class 1
- Standard Basic Life Insurance Class 2
- Standard Basic Life Insurance Class 3
- Standard Basic Life Insurance Class 4
- Standard Death Claim Forms
- Standard Group Policy Agreement
- Standard Life Insurance Enrollment and Change Form
- Standard Long Term Disability
- Standard LTD Claim Packet
- Standard LTD Class 1
- Standard LTD Class 2
- Standard LTD Class 3
- Standard Medical History Statement
- Standard Supplemental Benefits - Accident Summary
- Standard Supplemental Benefits -Critical Illness Summary
- Standard Supplemental Benefits Enrollment Form
- Standard Supplemental Benefits Hospital Indemnity Summary
- Standard Supplemental Life Insurance
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