Employee Benefits
Employee Benefits & Forms
ACA Regulations & Important Guidelines
Preventive Services Covered under the Affordable Care Act
Glossary of Health Coverage and Medical Terms
Premium Assistance Under Medicaid and the Children's Health Insurance Program (CHIP)
Aflac
Aflac is a supplemental insurance that provides an additional layer of financial protection in the event of a serious accident or illness.
Employees can sign up for this service within 30 days of hire, or annually in October, during Open Enrollment for the upcoming year.
City of Chico Dedicated Aflac Website: http://www.aflac.com/chico
Questions? Contact your Aflac representative:
Adam Brubaker
(530) 949-3767
adam@leftoutins.com
CalPERS Retirement
Customer Service: 888-CalPERS (or 888-225-7377)
www.calpers.ca.gov
CalPERS Beneficiary Designation
Planning Your Service Retirement (Pub 1)
Service Retirement Application (Pub 43)
Retirement Allowance Estimate Request (BSD-470)
Local Miscellaneous Benefits (Pub 8)
Local Safety Benefits (Pub 9)
Power of Attorney (Pub 30)
Community Property Guide (Pub 38A)
CalPERS Pension Worksheet
Have you created a “My CalPERS” Account yet? The CalPERS website is a fantastic resource! Members can review their employee and employer contributions and utilize calculators to estimate retirement amounts, as well as access recent forms and publications. Signing up is easy, visit: https://www.calpers.ca.gov/.
Deferred Compensation – Mission Square (Formerly: ICMA-RC)
Another great way to save for retirement – contribute to a Mission Square retirement plan automatically each paycheck!
Video Intro: Get to know your 457 Account
Employees can enroll in Deferred Compensation at any time. Elections and changes are effective the first of the month following the request.
Did you know? CPSA and CPOA members have a 10% match!
Enrolling online is quick and easy!
- Go to www.icmarc.org/selfenroll
- Enter and confirm your Social Security number, then enter the City’s plan number: 307126
- Select your enrollment method:
- Express: enter your personal information and contribution information. Later, through Account Access, you can submit your investment and beneficiary information.
- Comprehensive: enter your personal information, beneficiary information, contribution information, investment allocations, and create a user ID.
- Note: At this time, City employees can only elect dollar amounts and not percentages with ICMA. Please only list dollar amounts.
- Use the print enrollment form feature at the end of your online enrollment process to print the form.
- Provide HR a copy of your enrollment form and complete a copy of the Contribution Change Form in order to initiate your contribution through payroll deductions.
Need additional help? Watch a short video guide to see how easy it can be to enroll online. You can also contact the City’s ICMA-RC representative listed below.
Once you’re enrolled, use the following resources:
- Manage your account online.
- Get tips and tools to help you save and invest — www.icmarc.org/education.
- Review your saving and investing goals with your ICMA-RC representative:
Mark Tomasini
Retirement Plans Specialist
Desk: 1-866-749-5180 | Cell: 202-527-0118 | Email: mtomasini@missionsq.org
Click here to schedule an Appointment with Mark
Extra Forms:
Contribution Change Form
EZ Enroll Online Flyer
Enrollment Form
Beneficiary Designation Form
Direct Rollover Packet
Pre-Retirement Catch Up Form
Withdrawal Packet
Fund Performance Report 02/28/2021
Employee Assistance Plan (MHN)
Customer Service: (800) 322-9707
www.mhn.com
MHN Informational Flyer
MHN Legal Services Flyer
MHN Financial Services Flyer
MHN Evidence of Coverage
Employee Wellness & Extras
The City of Chico provides additional wellness opportunities designed to support staff both at work and at home.
Ergonomics
In an effort to reduce ergonomic issues related to employee workstations and/or working conditions and habits, ergonomic assessments are available to any employee, upon their request, or the request of their supervisor.
Comprehensive ergonomic assessments will be completed by HR, or through a certified consultant. To request an assessment, employees or supervisors must contact HR to arrange an appointment.
Farm Fresh to You
City of Chico employees are eligible to join a Community Supported Agriculture (CSA) delivery box at a discounted rate!
For more information, and a link to join, read the Farm Fresh to You flyer.
FlightCare Membership
Employees who join the FlightCare Membership Program are not billed for out-of-pocket expenses when FlightCare or a reciprocating emergency air transport service is used. To view information about this program and enroll online, Click Here.
Flu Shot Clinics
The City normally offers a no-cost Flu Shot Clinic each year during Open Enrollment (employees must provide prescription card). Employees who are unable to attend the scheduled Flu Shot Clinic are still able to receive zero-cost Flu Shots at any pharmacy with their prescription card.
Fitness Discounts
Human Resources provides a flyer of local fitness centers. Employees may need to show proof of employment with the City of Chico upon enrollment. Fitness Discounts 2022
Benefits Fair
The City normally holds a Benefits Fair in early October to coincide with the City’s Open Enrollment period. It’s a great way for employees to meet service providers and have their questions answered.
Some of our participating vendors:
- AFLAC
- Anthem Blue Cross
- Carrum Health
- Delta Dental
- EPIC
- Lincoln Financial Life/LTD/STD
- MHN Employee Assistance Program
- Mission Square Deferred Compensation
- Rite Aid Flu Shot Clinic
- Sterling HSA
- VSP Vision
Hero Homebuyer Program
The Hero Homebuyer Credit is designed to help public employees purchase or refinance a home by offering up to $20,000 to cover closing costs and expenses. For more information, visit the Hero Homebuyer Program by Clicking Here.
Lactation Room
A designated lactation room is available, by appointment, on the third-floor of the City’s Municipal Building.
Please contact Human Resources, at x7900, to reserve needed times.
Prescription Savings
Express Scripts Home-Delivery
Employees can utilize Express Scripts home delivery to have a 90-day supply of prescriptions delivered at a lower rate than the 30-day refill cost.
Customer Service: (800) 711-0917
https://www.express-scripts.com/
GoodRX.com
Prescription costs for City of Chico employees are often already low-cost; however, additional savings can be found if employees elect to utilize services such as GoodRX.com.
Water Cooler Locations
Each department has at least one water cooler available, to ensure easy access to fresh water and cut down on bottled water usage within the building.
Group and Voluntary Life
& Short/Long-Term Disability Insurance (Lincoln Financial Group)
All active, full-time, permanent employees working at least 20 hours per week and their eligible spouse and children are eligible for coverages.
Enrollment is available within 30 days of hire, or annually in October, during Open Enrollment for the upcoming year.
Group Life: The City of Chico provides City-paid Group Life Insurance of the annual salary, rounded to the next thousand, for qualified employees.
Voluntary Life: This is in addition to the City-paid Group Life Insurance that is provided to qualified employees at no cost!
Coverages Available:
- Employee: $10,000 increments, up to 5x the employee’s annual earnings, not to exceed $500,000.
- Employee Accidental Death & Dismemberment (AD&D): $10,000 increments, up to 5x the employee’s annual earnings, not to exceed $500,000. Coverage may be purchased regardless of whether or not voluntary life is purchased.
- Spouse: $5,000 increments, up to 100% of employee coverage for voluntary life or AD&D.
- Children, birth – 6 months: $1,000
- Children, 6 months – 19 (or 26 if full-time student): $2,000 increments, not to exceed $10,000.
www.LFG.com
Summary of Life Insurance Benefits
Lincoln Disability One
Lincoln LifeKeys Flyer
Lincoln Travel Connect Flyer
Life Insurance Beneficiary Designation
Short Term Disability Claim Form
Lincoln City Paid Life and AD&D Policy Certificate
Lincoln Voluntary Life Policy Certificate
Lincoln Voluntary AD&D Policy Certificate
Medical, Dental, & Vision Insurance
2023 Active Employee Benefits Guide
Applications/Change Forms
Benefits Application & Change Form - Active Employees
When adding dependents to your benefits, proof of dependent status is required. Please review the Dependent Verification Instructions, for types of proof accepted.
Opt Outs
Opt-out is available for those employees who have other medical coverage in place.
Medical Opt-Out Form & Certification of Other Coverage
Individuals who previously opted out will need to re-verify during Open Enrollment. HR will contact you individually to arrange renewed documentation.
Anthem Blue Cross Medical Insurance
Anthem Customer Service
Customer Service: (800) 967-3015
www.anthem.com/ca/EIAHealth
| Plan | Summary of Benefits & Coverage (SBC) |
| EPO | EPO SBC |
| HDHP | HDHP SBC |
| PPO 80/20 | PPO 80/20 SBC |
| PPO 90/10 | PPO 90/10 SBC |
Anthem Blue Cross General Information
How to Find a Provider Instructions
Anthem Claim Form
Take Care of Yourself - Preventative Services
Anthem Special Services Flyers
Anthem Live Health Online Flyer
Anthem Temporary ID Card Instructions
Anthem Blue Cross Online Resources
Anthem Blue Cross Drug Formulary
Anthem Specialty Pharmacy (HDHP)
Express Scripts
Customer Service: (800) 711-0917
https://www.express-scripts.com/
Medco Frequently Asked Questions
Medco Mail Order Form
Medco Claim Form
Sterling Health Savings Account (HSA)
Customer Service: (800) 617-4729
CustomerService@SterlingHSA.com
www.SterlingHSA.com
2021 Sterling Enrollment Form
Sterling HSA Salary Redirection Form (Payroll Change Form)
Sterling Change Of Account Form
Delta Dental Insurance
Customer Service: (800) 765-6003
www.deltadentalins.com
Delta Dental SBC
Find a Network Dentist
Delta Dental Dentist Directory
Delta Dental Informational Flyers
Delta Claim Form
Where's My Dental ID Card?
VSP Vision Insurance
Customer Service: (800) 877-7195
https://www.vsp.com/
VSP Vision SBC
Where's my VSP ID Card? Plus other FAQs.
VSP Member Accounts Online
VSP Schedule of Benefits
VSP Primary Eyecare
Exclusive VSP Rebates & Special Offers
VSP Tru Hearing member Discount
VSP Out Of Network Claim Form
Carrum Health
Customer Service: (888) 855-7806
my.carrumhealth.com/EIAHealth
Carrum Flyer
Carrum What to Expect
Carrum Frequently Asked Questions
Modifying Elections & Open Enrollment
After medical, dental, vision, and flexible spending account elections are made, Internal Revenue Service (IRS) regulations generally permit changing those elections only during the next open enrollment (October of each year). However, if you experience a “qualifying event” during the year you may change certain benefit plan elections mid-year. The Human Resources & Risk Management Office must be notified of a qualifying event within 30 days of the event in order to make changes to your elections. No exceptions to the 30 day notification deadline are permitted.
Open Enrollment
Held annually during the month of October.
During Open Enrollment, employees can:
- add or delete dependents from Medical, Dental and Vision or choose a new Medical plan;
- enroll in, increase or drop Voluntary Life Insurance;
- enroll/re-enroll in a Section 125 Medical or Dependent Care Flexible Spending Account (FSA);
- enroll in, or change, AFLAC coverages.
NOTE: If you do not wish to change your benefits or re-enroll in an FSA, no action is required during Open Enrollment.
ScholarShare 529 College Savings Program
Why save for college with ScolarShare529?
A 529 is one of the best ways to save for higher education. ScholarShare 529 benefits include:
- 100% tax-free growth can mean more money for higher education.
- Low fees that ensure your savings primarily go toward education costs.
- Parent-owned 529 accounts have less impact on financial aid eligibility than other saving methods.
- Tax-free withdrawals for qualified higher education expenses, like tuition, room and board, books, computers, and more.
- Eligible for use at most schools nationwide and many abroad – undergraduate and graduate programs, community colleges and trade schools.
- Overseen by the ScholarShare Investment Board, an agency of the State of California.
Questions?
Click Here to schedule a time to meet with our designated rep, Adal Padilla.
Adal Padilla
(628) 231-6519
Adalberto.Padilla@tiaa.org
Forms:
529 Brochure
529 Guide
529 Enrollment Guide
Section 125 Flexible Benefits Program (beginning 1/1/2023, Sterling Administration will act as the City’s FSA administrator)
Flexible Spending Accounts are part of Section 125, established by the IRS. Section 125 allows employees to set aside money for future medical and child care costs on a pre-tax basis.
Employees can enroll in a Medical FSA or a Limited Purpose FSA (Dental & Vision Only), and/or a Dependent Care FSA.
Enrollment is available within 30 days of hire, or annually in October, during Open Enrollment for the upcoming year.
Make reimbursements and payments even easier – use the app
FOR PLAN YEAR 2022:
BASIC PACIFIC (must submit 2022 claims no later than 3/31/2023)
Customer Service: (800) 574-5448
customerservice@basicpacific.com
www.basicpacific.com
Flexible Spending Account Calculator
FOR PLAN YEAR 2023:
Sterling Administration
Customer Service:
email:
www.
2021 FSA Enrollment Form & Worksheet
FSA Medical Information
FSA Dependent Care Information
FSA - Consumer Driven Account (CDA) Information
Section 125 Summary Plan Description
Flexible Spending Accounts MUST be re-elected annually, during Open Enrollment.
Returning Forms to HR
If you complete paper copies, please don’t email items containing social security numbers – it’s too risky. Instead:
- Put them in an interoffice envelope and send them to HR.
- Or, scan the item to the secure HR Scan Drive by using the closest copier:
- Scan your proxy card
- Press Scan > Scan to HR. (Note a slight variation for PD copiers: Scan & Send > One-Touch > HR Scans – you may have to follow the down-pointing arrow/bottom right if there’s an extensive list.)
- Your document will magically appear in a scan folder on our end and will be acknowledged by an HR staff person within a short period of time (watch your email for a confirmation). Hold on to your originals until you receive confirmation; otherwise, no need to send the originals to HR.
Still need assistance?
Retiree/COBRA Benefits
Plan Information
2023 Retiree & COBRA Benefit Guide
The City is contracted with Workterra for Retiree and COBRA insurance administration. Retirees or COBRA participants wishing to make a change must contact Workterra directly at: 888-327-2770.
Turning 65?
Medicare is effective the first of the month your birthday falls in.
Retirees turning 65 within the next year do not need to make an Open Enrollment Election change in anticipation of the eventual Medicare status. Turning 65 is a “qualifying event” and the change can be made within 30 days of your birthday. Retirees can either:
- Drop the City’s Retiree coverage, or
- Retain the City’s coverage to use as a secondary insurance (premiums will change depending on selection).
NOTE: If you drop the City’s Retiree coverage, your dependents cannot stay on the insurance. They will transition to COBRA coverage, which is a limited-term benefit.
For more information about Medicare and coordinating benefits, follow this helpful link.
Once you have reviewed options and made your choice, contact Workterra at 888-327-2770 to request the change.
Quick Summary
Core Benefits Available
| CalPERS Retirement | Medical (4 plan options) |
| 457 Deferred Compensation | Dental + Orthodontic Benefit |
| Short Term Disability | Vision |
| Long Term Disability | Flexible Spending Account |
| Employee Assistance Program |
Group & Voluntary Life Insurance |
Time Off Benefits
| Vacation | Sick Leave |
| Paid Holidays | Military Leave |
| Bereavement Leave | Jury Duty Leave |
| Personal Time Off/ Management Leave* |
Maternity/Paternity Leave |
*Eligibility Depends on bargaining unit and position.