Enrollment

Type	File
PDF	Open Enrollment Form 2024-2025
PDF	Open Enrollment Form 2023-2024
PDF	Open Enrollment Form 2022-2023
PDF	Open Enrollment Guide 2022-2023
PDF	Qualifying Life Event Packet 2023-2024
PDF	Qualifying Life Event Packet 2022-2023
PDF	Qualifying Life Event Packet 2021-2022
PDF	2023-24 New Hire Packet
PDF	2022-23 New Hire Packet
PDF	2021-22 New Hire Packet
PDF	Online Enrollment Instructions
PDF	MBO Enrollment Form 2023-24
PDF	MBO Enrollment Form 2022-23
PDF	MBO Enrollment Form 2021-22
PDF	MBO Enrollment Form 2020-21
PDF	2022-23 MBO Cost Comparison
PDF	2021-22 MBO Cost Comparison
PDF	2020-21 MBO Cost Comparison

Blue Shield of CA

Learn More about Blue Shield of CA Benefits

To view your plan documents and more, visit blueshieldca.com/teamsters1932

Kaiser Permanente Plans

Learn More about Kaiser Benefits

EyeMed

Type	File
PDF	EyeMed Member FAQs
PDF	How to Access & Use Member Web
PDF	How to use EyeMed Member App
PDF	Member Tools

Learn More about EyeMed Benefits

Delta Dental

To learn more, visit our Delta Dental Information page.

Type	File
PDF	PPO-DHMO-Your Smile Your Choice
PDF	Where's My ID Card
PDF	DHMO-8 Tips to Get the Most From Your Plan
PDF	PPO-7 Tips to Get the Most From Your Plan
PDF	PPO-Pre-Treatment Estimate
PDF	PPO-Diagnostic & Preventive Maximum Waiver
PDF	DHMO-Evidence of Coverage

Learn More about Delta Dental Benefits

General Unit

Type	File
PDF	2024-25 Cost Comparison (61-80 hours)
PDF	2024-25 Cost Comparison (41-60 hours)
PDF	2024-25 Cost Comparison (under 40 hours & Recurrent)
PDF	MBO Cost Comparison 2024-25

Preschool Services Division

Type	File
PDF	2024-25 Cost Comparison (9 Month)
PDF	2024-25 Cost Comparison (12 Month)

Fire Auxiliary Unit

Type	File
PDF	2024-25 Cost Comparison (61-80 hours)
PDF	2024-25 Cost Comparison (41-60 hours)
PDF	2024-25 MBO Cost Comparison

Confire Unit

Type	File
PDF	2024-25 Cost Comparison (61-80 hours)
PDF	2024-25 Cost Comparison (41-60 hours)

Plan Comparisons and Policies

Type	File
PDF	2021-22 Plan Comparisons
PDF	Self-Payment Policy

Retiree Plan

Type	File
PDF	Summary Plan Description
PDF	Potential Retiree Flyer
PDF	Announcement Letter
PDF	Retail Services

Newsletters

Type	File
PDF	December 2023 Newsletter
PDF	November 2023 Newsletter
PDF	October 2023 Newsletter
PDF	September 2023 Newsletter