Health Benefits

Medical Plan Information 

Miscellaneous Employees

  1. 2019 MISCELLANEOUS MEDICAL RATES
  2. City of Santa Rosa 2019 Benefits Guide
  3. City of Santa Rosa - KAISER - 2019 Benefit Summary
  4. City of Santa Rosa Anthem EPO_2019_09 11 2018_EXT
  5. City of Santa Rosa Anthem PPO 2019
  6. 2019 Teamster Rate Sheet
  7. Plan Comparison Sheet (PDF)
  8. 2019 Teamsters Anthem Blue Cross Premier HMO
  9. 2019 Teamsters Anthem Blue Cross PPO Schedule of Benefits Comparison Chart
  10. 2019 Teamsters Local 856 Benefit Summary Active
  11. City Universal Benefits Enrollment v2018-2
  12. Teamsters Medical Enrollment Form (Rev. 7.1.19)

Public Safety Employees

  1. 2019 CalPERS Fire Health Rates
  2. 2019 CalPERS Health Benefit Summary
  3. 2019 CalPERS Police Health Rates
  4. 2019 CalPERS Summary of Benefits and Coverage Notice
  5. CalPERS Health Benefits Enrollment Form (HBD-12)

Dental Plan Information

Miscellaneous & Safety Employees

  1. 2018 Delta Dental PPO Summary (All Employees Except Unit 8)
  2. 2019 Dental Vision Rates
  3. Unit 8 Dental PPO Buy-Up Plan 03066-01002, 09002
  4. Unit 8 Dental PPO Core Plan 03066-01001, 09001

Vision Plan Information

Miscellaneous & Safety Employees

  1. 2019 Dental Vision Rates
  2. VSP Out of Network Claim Form (PDF)