Welcome to Employee Benefits!  We work hard to ensure our employees good health through our health and welfare benefits. Please scroll through our page to learn more. If you need additional information on any of our health and/or welfare benefits, please call 909.820.7700.

Open Enrollment for employee benefits will run from May 2 through May 27, 2022. This year, employees will not be required to complete the confirmation process and verify dependents. All benefits will be rolled forward, meaning your current benefit selections for FY 21-22 will be moved forward for FY 22-23.  Please review the plan premiums for each plan you have selected, especially if you have an Employee-Out-Of-Pocket share*.

You may make changes to your 2022-2023 benefit plans during Open Enrollment. Employees needing to make changes and/or add/drop dependents should complete the enclosed documents:

• To add/drop dependents – Complete Dependents Add/Drop Sheet
• To make plan changes – Complete Health Plan Change/Enrollment Form

If you are currently enrolled in a Flexible Spending or Dependent Day Care Account, you will need to re-enroll to continue these benefits. Please call Cynthia Goodnick, Aflac Representative, at: (909) 931-4596 (office), (909) 226-8610 (cell) or at Cynthia_Goodnick@us.aflac.com.  You may also call Risk Management at (909) 820-7700 Ext. 2110 to schedule an appointment.

Please feel free to contact Risk Management/Employee Benefits should you have any questions or concerns at (909) 820-7700 Ext. 2110.

*premiums for medical plans change (may increase or decrease) each year, based on plan utilization.

RM 22-004 EMPLOYEE BENEFITS OPEN ENROLLMENT FY 2022-2023

AFLAC RUSD OPEN ENROLLMENT 2022

AFLAC FSA DDC APPLICATION (TAKE CARE FLEX BENEFITS PLAN ENROLLMENT FORM)

UHC HARMONY NETWORK UPDATE

2022-2023 RATE SHEET (CERTIFICATED, MGMT, CONF) FULL TIME

2022-2023 RATE SHEET (CLASSIFIED) FULL TIME EMPLOYEE

2022-2023 ADD-DROP DEPENDENTS FORM

2022-2023 CHANGE ENROLLMENT FORM (CLASSIFIED)

2022-2023 CHANGE ENROLLMENT FORM (CERTIFICATED)

Kaiser Benefits Disclosure Form - Certificated-Management-Confidential

Kaiser Benefits Disclosure Form - Classified

Bulletin No RM-23-009 - Medicare Part D Notice