Current Employees

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Open Enrollment: November 1 - November 30

Wellness Program - Smart Health

Dental

Medical

PEBB Benefit Rates

Non-Represented Employees (PDF)
Deputies Association (PDF)
Public Works Union / Association of Adams County Employees (PDF)

Summary of Benefits and Coverage

Find a Medical Provider
Health Plans with a Health Savings Account
Glossary of Medical Coverage Term (PDF)
Medical Plan Comparison Tool
PEBB Website
Certificates of Coverage

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Life Insurance / Long-Term Disability

Symetra Website
Symetra Enrollment (PDF)
MetLife Information - Website
MetLife Enrollment (PDF)
MetLife Optional Coverage Rates (PDF)
Long-Term Disability Website
Long-Term Disability Enrollment Form (PDF)
Long-Term Disability Optional Coverage Rates (PDF)
Long-Term Disability Certificate of Coverage (PDF)

Pension

Department of Retirement Systems
Deferred Compensation Program (Two Programs)

Contribution Rates
Public Employees' Retirement System (PERS) Plan 2
Public Employees' Retirement System (PERS) Plan 3
Law Enforcement Officers' and Fire Fighters' Retirement System(LEOFF) Plans
Public Safety Employees' Retirement System (PSERS) Plan 2
Nearing Retirement?

Forms

W-4 (PDF)
I-9 (PDF)
Direct Deposit

Information (PDF)
Authorization Form (PDF)

Retirement Beneficiary Designation (PDF)
PEBB Premium Surcharge

Help Sheet (PDF)
Change Form (PDF)

PEBB Enrollment_Change Form (PDF)
Medical Insurance Waiver (PDF)
PEBB Dependent Verification (PDF)

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