Enrollment Guide & Forms - 2025
The information presented in this Benefits Enrollment Guide will help you make decisions about which plans are best for you. It is not a complete description of all plans. In case of any discrepancies between the information in this Benefits Enrollment Guide and the plan documents and contracts, the plan documents and contracts will prevail. For more details, refer to your plan booklets or contact a benefits specialist at (714) 835-3355.
This Benefits Enrollment Guide presents information on benefits that are administered by the Orange County Employees Association Health & Welfare Trust. Some of the benefits outlined are available to employees in County bargaining units represented by the Orange County Employees Association (OCEA) without regard to whether the employees are members of OCEA and without any payroll deductions. They represent benefits that were negotiated by OCEA for all regular employees in those units. Other benefits outlined are available only to OCEA members, by way of payroll deductions.
Information regarding your benefit enrollment guide, Plan descriptions, and Details of supplemental insurances
2025 Benefits Enrollment Guide
2025 Enrollment Forms
H&W Benefits Enrollment Form DocuSign - H&W Benefits Enrollment Form Supplemental Benefits Enrollment Form Dental & Vision DocuSign - Supplemental Benefits Enrollment Form Dental & Vision Supplemental Benefits Enrollment Form Life & Disability DocuSign - Supplemental Benefits Enrollment Form Life & Disability Accident Insurance Enrollment Form DocuSign - Accident Insurance Enrollment Form Critical Illness & Hospital Indemnity Insurance Enrollment Form DocuSign - Critical Illness & Hospital Indemnity Insurance Enrollment Form
Other Forms
OCEA Membership Application Disability Form Beneficiary Designation/Change Form Medical History Statement Instructions Medical History Statement
DeltaCAre USA Benefits Information
OCEA Buy Up Plan CAM49 CAM49 — Description of Benefits and Copays OCEA Basic Plan CAM50 CAM50 — Description of Benefits and CopaysProvider Directory Plan Benefit Highlights - Option 1A Plan Benefit Highlights - Option A+ Plan Benefit Highlights - Option 3A Pre-Treatment Estimate Why Get Dental Implants
Vision Service Plan Information
VSP Information & Benefits Summary Provider directory
Additional Plan Information
Accident Insurance Critical Illness Insurance Hospital Indemnity Insurance
OCERS Forms
Retiree payroll deduction authorization Docusign - Retiree payroll deduction authorization
