!--Heatmap Code-->
CityOfPomonawithGoddess
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Slide backgroundSlide thumbnail
Home  //  Government City Departments - 909-620-2311   //  Human Resources - 909-620-2291  //  Volunteer Information  //  Government  //  City Departments  //  Human Resources  //  Compensation & Benefits

Volunteer Information

Open Enrollment

Annual Open Enrollment 2020

Benefits are important; they provide support to you when you need it the most. Getting the most value from your benefits depends on how well you understand your plans and how you use them. Make it a point during the City’s open enrollment period to review your family’s changing needs, evaluate your existing coverage and decide whether to continue with your current choices or make a change. Use the many resources available to make well-informed decisions about your benefits for the coming year. Being proactive now will ensure that you and your family have the coverage you need throughout the year ahead.

 

Do You Need to Do Anything?

• The answer is yes!  Please read below for items you may need to take action on:

• All employees – complete and return a Cafeteria Plan Election. A customized worksheet with your current elections will be distributed on 9/24/20 along with your check stub. If you do not receive these forms, or have misplaced them, you may request a duplicate from Human Resources.

• Employees enrolled in the cash-in-lieu program - complete and return a Waiver of Coverage Form with proof of your alternative group health coverage.

• Employees making changes to their coverage - complete and return the applicable forms available below.

• Employees electing Flexible Spending - complete and return the application forms available below.  You must enroll for this benefit every year;  your election does not carry over to the following year.

• Keep in mind that after the Open Enrollment period, you cannot change your benefit elections during the year unless you have a qualifying life event.

 

Important Dates

This year’s Open Enrollment period will take place as follows:

  • Medical, dental, vision, cafeteria plan: September 21, 2020 through October 16, 2020
  • Flexible spending, Aflac, additional life insurance: through October 31, 2020.
  • Aflac representatives will be available throughout open enrollment to help you with your Aflac ancillary benefit enrollment, will update when schedule is available

The benefits you elect during open enrollment will go into effect January 1, 2021. Keep in mind that after the Open Enrollment period, you cannot change your benefit elections during the year unless you have a qualifying life event.

 

What Should You Know Before You Enroll?

Before you make any decisions, take a moment to read the material in this enrollment guide:

Open Enrollment Guide pdf icon

 

It is also important to be up to date on your rights and responsibilities regarding benefits. Please read these important benefit notices:

Annual Benefit Notices pdf icon

 

Forms

Medical:

HBD12 Health Benefit Plan Enrollment pdf icon

Waiver of Coverage Form pdf icon

Dental and Vision:

Please use the Cafeteria Plan Election Form to make changes to your dental and vision elections.

Cafeteria Plan:

 Cafeteria Plan Election: * Please use the personalized Cafeteria Plan Election Form provided with your paystub on 9/24/20.

Life Insurance:

Standard Life Disability Enrollment Form pdf icon

Standard Medical History Statement pdf icon

Flexible Spending Accounts (Health and Department Care):

TAG Flexible Spending Enrollment Form pdf icon

 

 

 

 
Benefits Resource Center

Benefit Image

  

Welcome to the City's Benefits

Resource Center

 

This website provides you information on all the benefit plans offered by the City of Pomona to its eligible employees. 

The City offers its employees a comprehensive benefits package consisting of Medical, Dental, Life Insurance, Disability Insurance, Retirement, and various Voluntary Plans. There are a number of coverage options to let you personalize your benefits. Review the links below for information about health benefits, retirement, leaves of absence and other benefits.

 

To get started, select the area of interest:

 Life Events – How to Enroll and   Change Benefits

 Benefit Plan Information  Open Enrollment
 Pregnancy Disability Leave  CalPERS Retirement Plans
 Family and Medical Leave

 Planning My Retirement  Leave of Absence without Pay  Catastrophic Leave Donations

 

 Employment After Retirement  

 

 

 

 
Death Benefit Fund Program

Death benefits

The employees of the City of Pomona, by voluntary advance contribution, have established a reserve fund which can be drawn upon following the demise of a fellow employee who, at the time of his/her death, was a participating member of the fund, for the purpose of providing some immediate financial assistance as his/her case dictates.

Who is eligible?

Every regular employee of the City of Pomona filling an authorized and budgeted position on original date of employment or anytime thereafter shall be eligible to participate in the Employees' Death Benefit Fund upon filing an enrollment form. 

Contribution.

Every eligible employee applying for participation in the Fund shall have deducted from their first regular pay check following submission of the application, the sum of twenty dollars ($20.00).  On the first paycheck following the death of a participating employee, ten dollars ($10.00) may be deducted from each participant's paycheck.

Payment from the Fund.

When a death occurs, the Board of Trustees shall be authorized to disburse from the fund an amount equal to ten dollars ($10.00) for each employee who is a member of the Fund at the time of death. Covered retirees shall not be included in the count for purposes of establishing the amount of benefit paid.

The Employees' Death Benefit Fund shall be payable in event of death of a member who is:

  • Currently receiving pay checks, or
  • Retired no longer than six calendar months, or
  • On leave of absence without pay granted by the City due to extended illness for which sick leave with pay and vacation has been exhausted, if certain conditions are met.  

Recipients of the Fund:  It is the policy and intent of the program to make payment to the wife or husband of a participating member, except in cases where an employee is single, separated, or other circumstances exist wherein the above said payment would not serve the intent and purpose of this program.  In such cases, a meeting of the Board of Trustees shall be called immediately to decide the recipient or recipients of the Death Benefit check so that said payment shall best serve the intent and purpose of the program.  The decision of the Board shall be final.

To obtain more information or to enroll, please open the links below: 

To obtain the program's regulations, please click here.

To enroll in this program, please complete the enrollment form by clicking here

 

 
CalPERS Retirement Plans

tn RetirementWhat is CalPERS? 

The City of Pomona contracts with the California Public Employees Retirement System (CalPERS) to provide retirement benefits to all full-time employees.  CalPERS is a 401(a) defined benefit retirement plan which provides lifetime benefits based on a member's years of service, age and compensation.  CalPERS also provides benefits for disability and death, making payments in some cases to survivors and/or beneficiaries of eligible members.  The City also contracts with CalPERS for health benefits.

Retirement Benefits:

Retirements benefits are provided to regular full-time employees immediately upon employment.  The benefit level is as follows: 

New Employees Hired After January 1, 2013:  

Bargaining Unit Benefit Formula Employee Contribution Enhanced Benefits
  • Executive Management
    A-B Employees
  • General Services (PCEA)
  • Mid-Mgmt/Confidential
    (PMMCEA)

 2%@62

 3 year Final Average Salary

 

 At least 50% of the normal cost.

 Currently, new employees'

 contribution is 6.75%.

 Survivors Continuance

 1959 Survivor Benefit

 Military Service Credit

  • Sworn Police (PPOA)
  • Police Mgmt (PPMA)

 2%@57

 3 year Final Average Salary

 50% of the normal cost,
 currently 12.75%.

 

 Survivors  Continuance

 1959 Survivor Benefit

 Military Service Credit

 Credit for unused Sick

Classic Members or Employees Hired as Follows: 

Bargaining Unit Benefit Formula Employee Contribution Enhanced Benefits

Employees hired on or after

August 14, 2011: 

  • Executive Management

     A-B Employees

  • General Services (PCEA)
  • Mid-Mgmt/Confidential (PMMCEA)

 2%@60

 3 year Final Average Salary

 Current employees pay   7%.

 Survivors Continuance

 1959 Survivor Benefit

 Military Service Credit

 Sick Leave Credit

Employees Hired after

November 19, 2010:  

  • Sworn Police (PPOA) 
  • Police Management (PPMA)

 3%55

 Single Highest

 Final AverageSalary

 Current employees pay   9%.

 Survivors Continuance

 1959 Survivor Benefit

 Military Service Credit

 Credit for unused Sick

 Employer Paid Member 

Contribution

Classic Members or Employees Hired as Follows: 

Bargaining Unit Benefit Formula Employee Contribution Enhanced Benefits

Employees hired prior to

August 14, 2011: 

  • Executive Management

     A-B Employees

  • General Services (PCEA)
  • Mid-Mgmt/Confidential (PMMCEA)

 2%@55

 Single Highest

 Final Average Salary

 Current employees pay   7%.

 Survivors Continuance

 1959 Survivor Benefit

 Military Service Credit

 Sick Leave Credit

Employees Hired on or 

before November 18, 2010: 

  • Sworn Police (PPOA) and
  • Police Management (PPMA)

 3%50

 Single Highest

 Final Average Salary

 Current employees pay   9%.

 Survivors Continuance

 1959 Survivor Benefit

 Military Service Credit

 Credit for unused Sick

 Employer Paid Member 

Contribution

 

  • City of Pomona employees do not contribute into Social Security.
  • As a CalPERS member, you will receive an annual statement from CalPERS mailed to your home during the month of November.  The statement covers the period of July 1 through June 30.
  • You can learn more about all of the benefits programs discussed in this section at any time by visiting the CalPERS On-Line Web site https://www.calpers.ca.gov/ or by calling CalPERS at (888) CalPERS or 225-7377. This website provides access to your most current information, you can request an appointment, you can send a secure message to a CalPERS representative, you can enroll in classes or obtain an online retirement estimate. 
 
Voluntary Life Insurance
 vol life
The City provides you the opportunity to purchase additional Voluntary Life Insurance at a group rate through TheStandard Company.
 
As a new employee you may purchase voluntary life insurance up to $100,000 for yourself, $10,000 for your spouse, and $10,000 for your child(ren) without going through medical underwriting (guaranteed issue). Guarantee issue only applies to employees who sign up within the first thirty (30) days from hire date or within 31 days of a family status change (marriage, divorce, birth of child, etc.).  Employees enrolling beyond 30 days require approval from Standard based on a medical history statement.

Schedule of Insurance:

  • Eligible employees can elect multiples of $10,000 from $10,000 to $500,000.
  • Spouse/Domestic Partner can elect multiples of $10,000 from $10,000 to $500,000 (not to exceed 100% of the employee's elected amount).
  • Child(ren) elections can be in the following amounts:  $2,000, $5,000 or $10,000. 
  • Guarantee Issue levels for employees is $100,000.
  • Guarantee Issue levels for Spouse/Domestic Partners and Children is $10,000.
  • Enrolling within 30 days of eligibility and Guarantee Issue levels apply to new dependents (marriage, newborn).
 
Guarantee Issue Amount: The amount of coverage you can obtain with no medical questions or medical exams.  Medical Evidence will be required for late enrollees or to increase amounts of existing coverage.
 

Monthly Cost Per $10,000 of Benefit Amount for Members and Spouses:

Age Tabacco Free Tabacco Use
>30 $     .78 $    1.20
30-34 $     .83 $    1.28
35-39 $   1.08 $    1.69
40-44 $   1.76 $    2.73
45-49 $   3.09 $    4.64
50-54 $   4.76 $    7.15
55-59 $   8.16 $  11.82
60-64 $   9.73 $  14.09
65-69 $  18.69 $  26.16
70-74 $  33.65 $  45.42
75-79 $  50.41 $  65.53
80-89 $  93.15 $116.43
90+ $235.36 $294.08

Child Life Insurance Options, Child Benefit: $2,000 $5,000 $10,000

Cost Per family unit per month: $.18 $.45 $.90

Coverage is available for children from birth through age 20 or to age 25 if a full-time student.

NOTE:  Cost of Spouse and/or dependent coverage cannot exceed the amount of insurance you take for yourself. 

Cost Summary Examples:

Monthly cost for an employee, age 38 (tobacco free), purchasing $50,000 on self; $20,000 on Spouse (age 34, tobacco free); and $5,000 on Child(ren).

Employee = $50,000/10,000 = 5 X $1.08 = $5.40
Spouse*  = $20,000*/10,000 = 2 X $.83 = $1.66
Child(ren) = $5,000 = $0.45
Total Monthly Payroll Deduction: = $7.51

*Amounts above $10,000 are subject to medical underwriting.

 
For the enrollment form, please click here.
 
Scroll Up