Benefits Communications

Children's Health Insurance Program (CHIP)

• Children's Health Insurance Program (CHIP) Model Notice

Flexible Spending Account (FSA) Open Enrollment

• 2022 FSA Open Enrollment Memo
• 2022 FSA Open Enrollment Instructions
• Basic CDA – MyCash Account
• Basic CDA – FSA Participant Enrollment Guide
• Basic CDA – Direct Deposit Request Form
• Basic CDA – Reimbursement Request
• Basic CDA – Participant Reference Guide
• Basic CDA – Participant Experience Flyer
• Basic CDA – Medical FSA Election Worksheet

Plan Notices

• 2021 Annual Health Plan Notices
• 2021 Annual Health Plan Notices for Retirees

1095-C Information

Learn more about the annual 1095-C Federal Tax Form that is sent to certain Los Rios employees.