City Provided Benefits (Full-Time Employees)

Download a list City provided benefits for full-time employees.

CalPERS - Medical Benefits

Eligibility begins the first of the month following your hire date. You pay a monthly employee contribution based on your Bargaining Unit’s MOU. CalPERS offers a variety of medical plans for the Bay Area. Open Enrollment is held each fall to allow members to make medical plan changes.

CalPERS Eligibility & Enrollment
CalPERS Plans & Rate
2024 Memo for Health Benefits
CalPERS Health Program Guide
CalPERS Health Benefit Summary
CalPERS Health Benefits Enrollment Form
CalPERS Guide to Choosing a Health Plan
CalPERS Summary of Benefits & Coverage Notice

Employee Notice of Health Insurance Marketplace

Delta - Dental Benefits

Dental Benefits, for you and your eligible family members, are paid for by the City of Petaluma. Eligibility begins the first of the month following your hire date. Open Enrollment is held each fall to allow members to enroll in or cancel their dental benefits.

City of Petaluma Group # with Delta: 21966

Dental Benefits Summary
Delta Dental Benefit Summary Brochure
Delta Dental Enrollment/Change Form
Delta Dental Resources at Your Fingertips
Delta Dental Claim Form
Delta Dental Make the Most of Your Dental Benefits

MetLife - Vision Benefits

Vision Benefits, for you and your eligible family members, are paid for by the City of Petaluma.  Eligibility begins the first of the month following your hire date. Open Enrollment is held each fall to allow members to enroll in or cancel their vision benefits.  The vision network is VSP.

Vision Benefit Summary
MetLife Vision Enrollment/Change Form
MetLife Vision Claim Form
MetLife How to Register on MyBenefits
MetLife MyBenefits Mobile App
MetLife Find a Vision Provider

Cash-In-Lieu - Medical Cash Back

Taxable “opt out” amount, if the employee declines medical coverage under the City of Petaluma’s group health plan because the employee has coverage under a spouse’s or parent’s health coverage.

Cash-In-Lieu Enrollment and Cancellation Form

New York Life - Basic Life and Accident Insurance

Basic Term Life and Basic Personal Accident Insurance are paid for by the City of Petaluma. Eligibility begins on your hire date. For specific amounts of coverage, please refer to the benefit summaries linked below.

New York Life- Basic Life and Accident Benefit Summaries

New York Life- Basic Life Insurance Beneficiary Form

New York Life - Long Term Disability Insurance

Long Term Disability Insurance is paid for by the City of Petaluma. Based on eligibility, this plan pays a benefit of up to 60% of your monthly covered earnings. You must be disabled for 60 days before benefits may be payable, and you must file a claim to being the process.

New York Life- Long Term Disability Brochure

New York Life- How to File a LTD Claim

New York Life- LTD FAQ's

 

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