Application for City of Bakersfield Employees Only.

Open enrollment is now closed for your agency.  Please come back during August 2011 for open enrollment.

Application for the employees of the County of Kern, Kern Superior Courts, Kern Water Agency, and San Joaquin Valley Air Pollution District.

Open enrollment is now closed for your agency.  Please visit our site again in August 2011 for open enrollment.

Applications for Taft Union High School District Employees.

Open enrollment has now closed for your agency.  Please visit our site in August 2011 for the open enrollment.

Application for all other agencies represented by SEIU Local 521 in Kings, Monterrey, San Benito, San Mateo, Santa Clara, and Santa Cruz counties and SEIU  Local 521 agencies within these counties.

Open Enrollment: May 1 through June 30, 2011.

Note:  Please fill in all non-medical information completely, including start date with agency, and sign and date the application at the bottom.  If requesting more than $100,000 please fill out the health information.  If including insurance for spouse/domestic partner please have them sign and date the application also.  Thank you!

Application open to all agency members all the time.