Health Benefits

Miscellaneous Employee Plans


  1. 2018 EPO Plan
  2. 2018 Kaiser HMO Plan
  3. 2018 Miscellaneous Medical Rates
  4. 2018 PPO Plan
  5. City of Santa Rosa 2018 Benefits Guide
  6. FSA & DCAP Claim Form (PDF)
  7. Plan Comparison Sheet (PDF)
  8. Universal Benefits Enrollment Form (PDF)

Public Safety Employee Plans


  1. 2018 CalPERS Fire Health Rates
  2. 2018 CalPERS Police Health Rates
  3. 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. 2018 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. 2018 Dental-Vision Rates
  2. 2018 VSP Plan
  3. VSP Out of Network Claim Form (PDF)