Benefit Forms and Documents
If you are an OE3 health plan member who is retiring, please complete this packet as well.
Termination of El Dorado County Retiree or COBRA Health Benefits
Retirees and COBRA continuation participants can use this form to drop your EAP coverage, drop dental coverage (if you are a retiree), drop a dependent or drop coverage.
Benefit Resource Guide
A printable overview of all El Dorado County employee benefits. Please keep in mind that this is only a summary, and that in case of conflict between this Guide and the official governing documents for each of the programs, the official documents will always govern.
OE3 Enrollment Change Form
This form is for employees in OE3 bargaining units (CR, PR and TC) who wish to enroll in or make changes to their OE3 Health Trust benefit plan. Forms should be returned to Human Resources/Risk Management.
Retiree Health Benefit Contribution Document
This is the official plan document the governs the Retiree Health Benefit Contribution program. Eligibility for this program is defined in the employee's MOU or Salary and Benefits Resolution.
For assistance with your health benefits contact:
Heather Evans, Risk Management Technician