Benefits Documents

Showing 221 documents.

2019 Moda Performance SBC (Spanish) (505.32 KB)

Posted on Monday, October 8, 2018

2019 COBRA Costs FOPPO, DSA, IUOE, Prosecuting Attorneys (18.98 KB)

Posted on Friday, October 5, 2018

2019 COBRA Costs JCSS, ONA, IBEW, Physicians (17.56 KB)

Posted on Friday, October 5, 2018

2019 COBRA Open Enrollment Form - Local 88, MCCDA, Non-Represented (179.12 KB)

Posted on Friday, October 5, 2018

Guide to DCAP (173.2 KB)

Posted on Monday, September 24, 2018

Guide to MERP (130.27 KB)

Posted on Monday, September 24, 2018

TriMet Sticker Distribution Schedule 2018 (35.75 KB)

Posted on Tuesday, August 21, 2018

Life Insurance Policy (235.15 KB)

Posted on Friday, March 9, 2018

Long Term Disability Insurance Policy (185.53 KB)

Posted on Friday, March 9, 2018

Optional Short Term Disability Policy (150.55 KB)

Posted on Friday, March 9, 2018

Short Term Disability Policy - County paid (143.96 KB)

Posted on Friday, March 9, 2018

Affidavit of Marriage-Domestic Partnership (325.8 KB)

Posted on Monday, January 22, 2018

Life Insurance Beneficiary Form - $2,000 Plan (294.81 KB)

Posted on Monday, January 22, 2018

Life Insurance Beneficiary Form - $5,000 Plan (200.76 KB)

Posted on Monday, January 22, 2018

Retiree Medical & Dental Change Form for DSA/Civil Deputy, FOPPO, IUOE, MCCDA and Prosecuting Attorneys (201.29 KB)

Posted on Monday, January 22, 2018

Retiree Medical & Dental Change Form for Local 88, Non-Represented, ONA, IBEW, JCSS, Painters and Physicians (220.02 KB)

Posted on Monday, January 22, 2018

RR EFT Authorization (215.57 KB)

Posted on Thursday, January 11, 2018

Change Form (Fill-in) MCCDA, DSA/CD, FOPPO, IUOE, Prosecuting Attorneys (739.87 KB)

Posted on Tuesday, December 5, 2017

Change Form - Local 88, JCSS, IBEW, ONA, Painters, Physicians, Non-Represented (742.02 KB)

Posted on Tuesday, December 5, 2017

NH Med-Den Enrollment Form Pref-Perf (754.84 KB)

Posted on Monday, December 4, 2017

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