GENERAL CLASSIFIED BENEFITS INFORMATION

•        Employee Monthly Share of Benefit Cost 2011
•        Insurance Carrier Contact Sheet 2011
•       Classified Enrollment/Change Form 2011 

MEDICAL PLAN INFORMATION

HEALTH NET (www.healthnet.com)

• Instructions: Searching for Providers
• Mail Order Prescriptions – Instructions and Enrollment Form 

HEALTH NET  (HMO) – FULL NETWORK

v     Full Network HMO Plan Summary 

HEALTH NET (HMO) – SILVER NETWORK

v     Silver Network HMO Plan Summary 

KAISER PERMANENTE (www.kaiserpermanente.org)

·        Southern California Kaiser Facility Locations 

KAISER PERMANENTE HMO – HIGH OPTION

v     Kaiser High Option Plan Summary 

KAISER PERMANENTE HMO – LOW OPTION

v     Kaiser Low Option Plan Summary 

DENTAL PLAN INFORMATION

 DELTA DENTAL (www.deltadentalins.com)

DELTA DENTAL PPO (Delta Preferred Option - DPO)

·        Dental Claim Reimbursement Form

v     Delta Dental PPO Plan Summary 

DELTACARE USA (HMO)

v     DeltaCare USA Plan Summary 

 VISION PLAN INFORMATION

MEDICAL EYE SERVICES (MES) (www.mesvision.com)

·        Vision Claim Reimbursement Form

v     Medical Eye Services Plan Summary