Human Resources Forms Share Print Aflac Accident Advantage Cancer Protectioni Assurance Aflac Choice - Hospital Confinement Indemnity Insurance AFLAC Essentials Schedule - Dental Procedure AFLAC Life Solutions - Term Life Insurance Critical Care Protection Plan Summaries Short-term Disability brochure Basic Flexible Spending Account Participant Enrollment Guide Instructions to Request a Reimbursement Participant Reference Guide - Consumer Driven Accounts CALPERS MEDICAL,DENTAL,VISION AND OPTIONAL LIFE INSURANCE RATES Effective 1/1/2021 CalPERS Website Information for Members from CalPERS YouTube channel Understanding Your Retirement Benefit Options Your Online Service Retirement Application Power of Attorney Medicare and Your Health Benefits Mayor and City Council ($1,594.00 Monthly Allowance w/ Cap) Full-Time and CPT Employees - City Clerk and City Treasurer ($1,594.00 Monthly Allowance w/ Cap) Eligible Part-Time and Temporary Employees ($143.00 Monthly Allowance) Eligible AFSCME Part-Time Employees w/8 years plus ($457.00 Monthly Allowance for Optional Benefits) CPSA and AME Hired After 01-01-18 ($1,594.00 Monthly Allowance w/ Cap) CalPERS Medical, Dental, Vision and Optional Life Insurance Rates - Effective 7/1/2020 Mayor and City Council ($1,594.00 Monthly Allowance w/ Cap) Full-Time and CPT Employees - City Clerk and City Treasurer - ($1,594.00 Monthly Allowance w/ Cap) Eligible Part-Time and Temporary Employees - ($139.00 Monthly Allowance) Eligible AFSCME Part-Time Employees w/8 years plus - ($453.00 Monthly Allowance for Optional Benefits) CPSA and AME Hired After 07-01-18 ($1,594.00 Monthly Allowance w/ Cap) CalPERS: CalPERS Website Forms: https://www.calpers.ca.gov/page/forms-publications CalPERS Long-Term Care: https://www.calperslongtermcare.com/ CIGNA: Cigna EAP Video 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) Colonial Life Colonial Life - Website City of Carson Colonial Life Booklet Colonial Life - Request for Service Form (PDF) Colonial Call Center: Phone: 844-341-8752 Hours: Monday-Friday 9:00 am - 5:00 p.m. PST Saturday appointments are available by appointment only with the hours of 9 am - 12 pm. Please see the appointment scheduler link below, the employees can book appointments on their own. https://coloniallife.rivs.com/32-33-39/ FMLA, CFRA and other Leave Information and Forms FMLA - HR Director Memo CFRA and PDL Leave - HR Director Memo Request for Leave of Absence Form Certification of Health Care Provider - Employees Own Condition Certification of Health Care Provider - Family Member Condition CDFEH - FMLA, CFRA AND PDL - Notice B FMLA - Bonding Leave FFCRA(Families First Coronavirus Response Act) Leave Notice PARS (Public Agency Retirement Services) PARS (Public Agency Retirement Services) Plan Information Sheet PARS Participant Portal Announcement PARS Beneficiary Designation form PARS Plan COVID-19 FAQs PARS - General Information (PDF) PARS - Request for Distribution (Fillable PDF) PARS - Designation of Beneficiary Form (PDF) 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) SUPERIOR VISION: https://superiorvision.com/ OTHERS: LegalShield Legal Protection (PDF) Ameriflex: https://www.myameriflex.com/ VOYA 457 DEFERRED COMPENSATION: https://www.voya.com/ VOYA Financial Eligible Employees New Enrollment New Hires Enroll Plan Number: VFZ972 Verification Code: 114020 Do Something Good for Yourself City of Carson 457 Brochure Overview New Hire Clearance Packets Standard New Hire Packet New! Adults Aquatics New Hire Clearance Packet New! Part-Time Minors New Hire Clearance Packet New! Part-Time / Temp / Sports Officials (Non-Minors) New Hire Clearance Packet New!
701 E Carson Street