Original Signatures Required on Forms - Do not fax or email.
Add/Remove Dependent(s) To/From Your Health Plans
You will need to complete a Health Benefits Change form if you wish to add/remove dependent(s) from your health plans. Supporting documentation will be required. A completed Health Benefits change form must be received by Health and Wellness within 30 days of a permitting event, unless otherwise noted in the Health Benefits Eligibility Policy.
Change Beneficiary on the County-Paid Life Insurance
You will need to complete a new Beneficiary form, if you wish to change your beneficiary on the County-Paid Life Insurance. Kern County will always use the most recent dated Life Insurance Beneficiary from on file.
Submit a Reimbursement from your Flexible Spending Account
You will need to complete a Flexible Spending Account Claim form, if you wish to submit a reimbursement to your Medical or Dependent Care Flexible Spending Account.
You can also submit claims online: Administrative Solutions Member Portal