Benefits Information
Welcome to the City of Pomona’s, Benefits Division web page. This web site will allow you
access to information on the benefits the City of Pomona offers its eligible employees.
The City of Pomona offers a comprehensive benefits package consisting of Medical, Dental,
Life Insurance, Disability Insurance, Retirement and Voluntary Plans. This site will
provide you with information regarding the City’s health plans, voluntary plans and
retirement.
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Benefit Information Topics
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BENEFIT CONTACT INFORMATION:
Norma Camacho, Human Resources Analyst
Phone- 909-620-2297
Fax- 909-620-2295
E-mail-
norma_camacho@ci.pomona.ca.us
Chris Millard, Risk Manager
Phone- 909-620-2080
Fax- 909-620-2295
E-mail-
chris_millardl@ci.pomona.ca.us
Please click on the following link for important group numbers, phone numbers,
and website addresses.
Websites and Phone Numbers
BENEFIT FORMS:
Benefit Enrollment Information Worksheet-Use for requesting any change to your benefits such as delete or add dependents to medical, dental and/or vision. Also used to request to purchase or increase Voluntary Life Insurance.
Beneficiary Designation Form-City Paid Life Insurance-Use for changing beneficiaries for the City paid Group Life Insurance
Beneficiary Designation Form-Voluntary Life Insurance-Use for changing beneficiaries for the Voluntary Life Insurance
FMLA Policy-Policy includes all required forms
Catastrophic Leave Donation Policy-Policy includes Donation Request Form
CASH IN LIEU OF MEDICAL:
This option allows eligible employees to waive medical insurance in exchange for cash if they can provide Human
Resources with satisfactory proof that they are covered by a medical plan comparable to the City’s medical
insurance.
In 2008 the amounts of the Cash in Lieu of Medical are as follows:
- For General Service, Mid Mgmt/Conf, PPMA and PPOA the amount is $351.77 per month.
- For groups A and B the amount is $448.11 per month.
This amount can be either taken as cash or invested in the City’s Deferred Compensation Program through payroll
deduction. Please contact Human Resources for required documentation.
DEFERRED COMPENSATION:
The City provides all employees the opportunity to enroll in a Section 457 Deferred Compensation plan. Deferred
Compensation allows participants to defer a portion of their salary, pretax for investment purposes. The City
currently offers the following plan: Hartford Life Insurance. Interested employees must
contact the plan representative directly.
Please click on the following link for contact information:
Deferred Compensation Information
DENTAL PLANS:
The City provides eligible employees with the choice between two plans: Delta Dental,
indemnity plan and, Dental Health Services (DHS), a pre-paid dental plan.
The City pays up to seventy-five dollars ($75) per month towards dental insurance for General Service Employees, Mid Mgmt/Conf Group and Executive Management, Pomona Police Managers’ Association and Pomona Police Officers’ Association represented employees.
Please click on the following link for dental plan rate information and plan comparison:
2008 Dental Plan Rates and Comparison
DEPENDENT ELIGIBILITY REQUIREMENTS:
Eligible dependents include the following: Legally married spouses, registered domestic partners, natural children,
adopted children, step children and children of registered domestic partners.
Please click on the following link for detailed information.
Eligible Dependents Defined
DISABILITY INSURANCE:
The City provides eligible employees with fully paid disability insurance. There is a 60-day elimination period.
Please click on the following link for disability insurance coverage amounts bargaining unit or group.
Disability Information by Group
EMPLOYEE ASSISTANCE PROGRAM (EAP):
The City's Employee Assistance Program (EAP) offers free, confidential, professional counseling to employees and their
immediate families. This program provides confidential professional assistance to help employees and their families
resolve problem that affect their personal lives or job performance.
Please click on the following link for more detailed information:
Employee Assistance Program
FLEXIBLE SPENDING ACCOUNT:
The City’s Section 125 Flexible Spending Plan for out-of pocket Health related expenses and Dependent Care cost is
currently administered by American Fidelity. This plan allows employees to redirect a portion of their salaries to
pay for the expenses on a pre-tax basis. American Fidelity also offers voluntary Short Term Disability and Cancer Insurance.
Please contact American Fidelity at 800-365-9180 for additional information.
LIFE INSURANCE- CITY PAID:
The City provides a fully paid group life insurance to all eligible employees. Benefit level is based on bargaining
unit or group.
Please click on the following link for life insurance coverage amounts by bargaining unit or group:
Life Insurance Coverage Amounts by Group
LIFE INSURANCE- VOLUNTARY:
The City provides you the opportunity to purchase Voluntary Life Insurance at a group rate.
Please Click on the following link for additional information including rates.
Voluntary Life Insurance Information and Rates
IMPORTANT ENROLLMENT INFORMATION:
As a new employee or current employee you have certain restrictions regarding enrollment into benefits and making changes to your benefits.
Please click on the following link for detailed information:
Important Enrollment Information
MEDICAL PLANS:
The City of Pomona contracts with the California Public Employees’ Retirement System (CalPERS) for medical
insurance. CalPERS currently offers seven (7) health plans for our eligible employees, three (3)
Health Maintenance Organization (HMO) plans and four (4) Preferred Provider plans.
The City pays up to seven hundred dollars ($700) per month towards medical insurance for General Service Employees, Mid Mgmt/Conf Group and Executive
Management employees, Pomona Police Managers’ Association (PPMA) and Pomona Police Officer’s Association (PPOA) represented employees.
(All regular full-time employees)
Please click on the following links for rate information and plan summaries:
2008 Medical Plan Rates
HMO Summary of Benefits (Kaiser and Blue Shield Accesst and Blue Shield Net Value)
PPO Summary of Benefits (PERSCare, PERS Choice and PERS Select)
MARRIED CITY EMPLOYEES:
An employee married to another City of Pomona employee may combine the City’s contribution for medical
insurance to pay for the cost of medical insurance that exceeds the City’s contribution, currently seven hundred
dollars ($700) per month. Any balance remaining after the City’s contribution will not be reimbursed to the
employee.
Married City employees may also choose to be covered under one spouse’s City insurance plan and the other spouse
may enroll in Cash in Lieu of Medical and receive cash back or invest the money into the City’s Deferred
Compensation Program.
OPEN ENROLLMENT:
Open Enrollment is the period during which eligible employees may request to enroll, change plans, or add eligible
family members who are not currently enrolled. Open Enrollment is held every year, usually in the Fall. The
effective date for Open Enrollment transactions is January 1st of the following year.
RETIREMENT:
The City contracts with the California Public Employees’ Retirement System (CalPERS)
for retirement benefits.
Retirement Information
VISION CARE:
The City contracts with Safeguard Vision to provide a voluntary plan to eligible City employees. Safeguard
provides for one eye exam and standard frames and lenses every 12 months. This is a voluntary plan and is fully
paid by employees.
Please click on the following link for the rate information and plan summary:
2008 Vision Plan Rates and Plan Summary
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