At Your Service

Did you know you can sign up for Accidental Death and Dismemberment Insurance at any time?

Medical Plans
Choosing a Health Plan
Medical Plan rates and structure
Health Pages - Choosing a doctor, checking health plan formularies

Prescription Mail Order Phone Numbers
Mail Order Prescription are ordered in 3 month supplies for the 2 month price
Kaiser 1-888-218-6245
HealthNet 1-800-522-0088
PacifiCare 1-800-565-6223
Blue Cross 1-888-209-7975

Health Care Reimbursement Account HCRA/DepCare
DepCare Plan Description Brochure
HCRA Plan Description Brochure
HCRA List of Eligible Expenses
Flexible Spending Account Calculator
SHPS Website
HCRA/DepCare Forms
HCRA and DepCare Reimbursement Claim Form
SHPS - EFT Agreement Form

Benefit Forms
UPAY 850 - Add new family members, change disability waiting period etc.
UPAY 718 - Change Life Insurance Beneficiaries
UBEN 114 - Change Retirement Beneficiaries
To sign up or change your 403(b) contributions you can use the at your service website
403(b) and DCP Transfer Form
To change your mailing address or tax status you can only use the at your service website.

Contact Numbers
Dental Plan Contacts
Medical Plan Contact Numbers
Miscellaneous Plan Contact Numbers i.e. life insurance, disability, 
Retirement and Savings Contact Numbers
Related Numbers, i.e. IRS, Medicare, ScholarShare
UCOP Customer Service
Benefit Enrollment Information
Benefits of Belonging
Library New Employee Information
Library Staff Handbook 
New Employee Orientation and Checklist
New Faculty and Staff Information & links
Working at UC:  Rules of the road

Plan Description Brochures and Checklists

403(b) Tax-Deferred Plan
Defined Contribution Plan Summary
Dental Plan Summary
DepCare Plan Description Brochure
Disability including Pregnancy Disability Checklist
Family Medical Leave Act Checklist
Family Status Change Checklist
Group Insurance Eligibility
Health Care Facilitator Brochure
HCRA Plan Description Brochure
HR/Benefits Review Newsletters
Leave without Pay Checklist
Legal Plan Summary
Paid Leave Checklist
Pregnancy and Newborn Checklist
Pre-Tax Transportation Program
Termination Employment Benefits
Tip Savings on Insurance Premiums
Your Group Insurance Plans

Retirement & Savings
403(b) Tax-Deferred Plan
403(b) and DCP Transfer Form
Retirement Handbook
Returning to work from Retirement Factsheet
Retirement Investment Funds
Withholding Instructions

Transit
Pre-Tax Transportation Program
Pre-Tax Transit Subsidy

Worker's Compensation:
Emergency File Card
Employees Claim to Worker's Compensation Benefits
Employers Report of Occupational Injury or Illness
Library Worker's Manual
Transitional Work Assignment Agreement
UC Berkeley's Worker's Compensation Forms 
Worker's Compensation Volunteer Form