Human Resources Forms Share Print Standard Insurance Company Group Hospital Indemnity Insurance Group Accident Insurance Group Critical Illness Insurance Enrollment and Change Form Basic Flexible Spending Account Participant Enrollment Guide Instructions to Request a Reimbursement Participant Reference Guide - Consumer Driven Accounts Participant Access Instruction MyCash Individual Account Flyer CalPERS Medical, Dental, Vision and Optional Life Insurance Rates - Effective 1/1/2022 Mayor and City Council ($1,594.00 Monthly Allowance w/ Cap) Full-Time, City Clerk and City Treasurer - ($1,594.00 Monthly Allowance w/ Cap) Eligible Part-Time and Temporary Employees - ($149.00 Monthly Allowance) Eligible AFSCME Part-Time Employees w/8 years plus - ($463.00 Monthly Allowance for Optional Benefits) CPSA and AME Hired After 07-01-18 ($1,594.00 Monthly Allowance w/ Cap) CALPERS MEDICAL,DENTAL,VISION AND OPTIONAL LIFE INSURANCE RATES Effective 7/1/2021 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: 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) 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 PARS (Public Agency Retirement Services) Orientation Flyer 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: City of Carson Benefits Contact List (PDF) LegalShield Legal Protection (PDF) 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 Adults Aquatics New Hire Clearance Packet Part-Time Minors New Hire Clearance Packet Part-Time / Temp / Sports Officials (Non-Minors) New Hire Clearance Packet Volunteer Clearance Packets Volunteer Requirements List Discrimination and Harrassment Prevention Policy Volunteer Discrimination and Harassment Prevention Policy Acknowledgement Risk Management - Safety City of Carson COVID-19 Symptom Self-Screening. Click on this link http://bit.ly/scrn19 or scan below QR Code. IIPP Supplement (COVID-19 Exposure Control Plan) IIPP, Supplement Response Plan & Training Acknowledgement Mandated Reporting Overview Mandated Reporter Guidelines Acknowledgement Signature Page
701 E Carson Street