Plan Features & Documents

Summary Plan Descriptions

• 2018 ENGLISH
  
• 2018 SPANISH
  

Summary of Benefits and Coverage

• July 1, 2018 to June 30, 2019 - English
• July 1, 2018 to June 30, 2019 - Resumen de Prestaciones y Cobertura
  

Forms

• 401k Election Form
  
• Beneficiary Designation Form
  
• Change of Address Form
• Claim Form
• Dependent Children Information - English
• Dependent Children Information - Spanish
  
• HIPAA Authorization Form
  
• Regional District Retirement Plan Summary - English
  
• Regional District Retirement Plan Summary - Plan De Retiro
  
• Reciprocal
  
• RDC Enrollment Form - English and Spanish