of Benefits for Medical Carriers
DEPENDENT STATUS CHANGES:
All dependant changes to your health insurance plans must be made within 30 days of a "Qualified Event".
These events include:
- legal guardianship
- legal separation
- over-age dependent deletion
If changes are not made within the 30-day time limit, it is possible that the change may not be made until the next open enrollment period.
The County does not update us on dependent or address information. Please contact the RSA Benefit Office as soon as possible at 951-653-8014.
Worker's Compensation Physician Pre-Designation Form - Fill out and
submit this form to your Chain of Command to ensure you are able to see
your personal physician in case of an injury at work.
Change of Beneficiary
Update your insurance and benefit
beneficiaries regularly (Deferred Comp (County Benefits Office), Private
- birth of a baby
Contact the RSA Benefit Trust office at (951) 653-8014 for forms to
be mailed to you or stop by the benefits trust office
Change of Address
Remember members to change your address with us. Fill out the form below and submit.
"Retiree Assistance Program (RAP)"
Please see 2012 Trust Plan Document section V. (page 4) for Trust's
Retiree Assistance Plan
SHERIFFS' ASSOCIATION BENEFIT TRUST PLAN DOCUMENT
(Restated as of June 13, 2012)
This Plan document outlines the delivery of Benefits to Trust
AGREEMENT OF THE RIVERSIDE SHERIFFS' ASSOCIATION BENEFIT TRUST
(Restated and Adopted May 9,
Change of Address Form
Please fill in each field and submit