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County of Santa Cruz
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EMPLOYEE BENEFITS
125 Pre-Tax Programs
Benefits Home
Health Plans
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125 Pre-Tax Programs
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Contact
Phone:
831-454-2241
Email:
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Flexible Spending Account (FSA-PayFlex)
FSA Election Change Form (PDF)
FSA Election Change Form (Docusign)
2023 FSA Enrollment Form (PDF)
2023 FSA Enrollment Form (DocuSign)
FSA Information
FSA Grace Period and Filing a Claim
PayFlex Website
PayFlex Card Flyer
PayFlex Claim (FSA) Reimbursement Form
IRS 969 Website to Tax Favored Health Plans
D-Care (Dependent Care)
2023 D-Care Enrollment Form (PDF)
2023 D-Care Enrollment Form (DocuSign)
D-Care Change Form (PDF)
D-Care Change Form (DocuSign)
D-Care Reimbursement Claim Form
D-Care FAQs
H-Care
2023 H-Care Enrollment Form (PDF)
2023 H-Care Enrollment Form (DocuSign)
457 Deferred Compensation (MissionSquare Retirement)
457 Express Enrollment Packet
Deferred Compensation Beneficiary Designation Form
457 Deferred Compensation Deduction Form
457 Deferred Compensation Deduction Form
(DocuSign)
Deferred Compensation Election of Deferral Packet
457 Deferred Compensation FAQs
MissionSquare Retirement Website
MissionSquare Retirement Transition FAQs
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