Health & Welfare
Forms
Useful Links
Plans
Anthem Blue Cross
Useful Links
Kaiser HMO
Benefits
Actives
Documents
- Anthem Blue Cross PPO Plan - Summary of Benefits
- Anthem Blue Cross Travel Assistance
- Anthem Cooking Suggestions
- Anthem Fitness Tips
- BaySport Health Coaching Program
- BaySport Nutrition Coaching
- BaySport Wellness Program
- Calm Promotional - English
- Calm Promotional - Spanish
- Dental Benefit Highlights
- Dental Evidence of Coverage
- Dental Online Services
- Disability Income
- Discounts through Anthem
- Group Life Insurance (MetLife)
- Health Reimbursement Account (HRA)
- HRA Eligible Reimbursement Items
- HRA Overview
- HRA Summary
- Kaiser Chiropractic Benefits
- Kaiser Permanente Mindfulness and Self-Care Resources
- Kaiser Summary of Benefits
- My Strength Flyer NCAL
- Self-Care - English
- Self-Care - Spanish
- SmileWay Wellness Program
- Smoking Cessation Program
- 2023 Summary Plan Description
- Vision Benefits Summary
- VSP at your fingertips
- VSP Grievance Process Notice
Useful Links
Retirees
Documents
- Anthem Blue Cross PPO Plan for Early Retirees (non-Medicare) - Summary of Benefits
- Blue Shield of CA Medicare Supplement Plan - Summary of Benefits
- Calm Promotional - English
- Calm Promotional - Spanish
- Eligibility Rules for Retirees
- Hartford Summary of Coverage
- Kaiser Permanente HMO Plan for Early Retirees (non-Medicare) - Chiropractic Benefits
- Kaiser Permanente HMO Plan for Early Retirees (non-Medicare) - Summary of Benefits
- Kaiser Permanente Mindfulness and Self-Care Resources
- Kaiser Permanente Senior Advantage (HMO) with Part D - Chiropractic Benefits
- Kaiser Permanente Senior Advantage (HMO) with Part D - Summary of Benefits
- My Strength Flyer NCAL
- Retiree Medical Benefits Rates
- Self-Care - English
- Self-Care - Spanish
Useful Links
Apprentices
Forms
Useful Links
Pension
Forms
- Beneficiary Card
- California State Tax Withholding Form
- Change of Address
- Election Form – Age 70 ½
- Electronic Deposit Form (For Retiree Pension Payments only)
- Federal Pension Withholding Form (2022 W4P)
- NEBF IBEW Pension Benefit Fund Comparison
- Rollover Elections - Married
- Rollover Elections - Single
- Sample Qualified Domestic Relations Order
- Termination of Employment Application
- Application for Health Coverage as a Retiree
- Loan Application 2024
- Retirement Application 2024