Human Resources Forms


CALPERS MEDICAL,DENTAL,VISION AND OPTIONAL LIFE INSURANCE RATES
Effective Jan. 1, 2019
Mayor and City Council - (PDF)
($1,594.00 Monthly Allowance w/ Cap)
Full-Time and CPT Employees/City Clerk and City Treasurer - (PDF)
($1,594.00 Monthly Allowance w/ Cap)
Eligible Part-Time and Temporary Employees - (PDF)
($136.00 Monthly Allowance)
Eligible AFSCME Part-Time Employees w/8 years plus - (PDF)
($450.00 Monthly Allowance for Optional Benefits)

CalPERS:
CalPERS Website Forms: https://www.calpers.ca.gov/page/forms-publications
CalPERS Long-Term Care: https://www.calperslongtermcare.com/
 
 
PRINCIPAL DENTAL:
https://www.principal.com/providers/dental-providers
Principal Dental Benefits - Dental Expense Coverage (PDF)  
Provider Operations Guide (PDF)  
Principal Dental Access Benifits (PDF)  
 
 
CIGNA:
City of Carson Full Time Employee EAP Brochure (PDF)
City of Carson Full Time Employee EAP Flyer (PDF)
How to Report a Life ADD Claim (PDF)
How to Report an STD LTD Claim (PDF)
Value Add Descriptions Cigna (Life ADD) (DOC)
Group/Association - Short Term Disability Benefits (PDF)
Group Long Term Term Disability (PDF)
 
CIGNA - Group Life Insurance :
Notice of Protection (PDF)
 
 
SUPERIOR VISION:
https://superiorvision.com/
 
VOYA 457 DEFERRED COMPENSATION:
https://www.voya.com/
 
PARS (Public Agency Retirement Services):
PARS - General Information (PDF)
PARS - Request for Distribution (Fillable PDF)
PARS - Designation of Beneficiary Form (PDF)
 
OTHERS:
https://www.coloniallife.com/
LegalShield Legal Protection (PDF)
Colonial Life - Request for Service Form (PDF)
Aflac: https://www.aflac.com/
Ameriflex: https://www.myameriflex.com/
 
MEMOS:
FMLA - California Family Care and Medical Leave Act - Forms
 
New Hire Clearance Packets
1. Adults Aquatics New Hire Clearance Packet (Fillable PDF)
2. Minors Aquatics New Hire Clearance Packet (Fillable PDF)
3. Part-Time Minors New Hire Clearance Packet (Fillable PDF)
4. Part-Time / Temp / Sports Officials (Non-Minors) New Hire Clearance Packet (Fillable PDF)
5. Adults Full-Time / Elected / Appointed New Hire Clearance Packet (PDF) New!
 

City Hall Contact

701 E Carson Street
Carson, CA 90745
(310) 830-7600, 7 AM - 6 PM
Monday - Thursday
24-hour automated: (310) 952-1700

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