
PLEASE NOTE: The links on this page open in a new window & the majority are PDFs.
Flyer – WPA Benefits Resource Library
Eligibility Information
To be eligible to enroll in your employer’s benefit plans, you must be a full time W-2 employee working 30 or more hours a week for the company and satisfy the new hire probation period.
Please refer to the Probation Calendar below and contact the person responsible at your employer for your company benefits. Also refer to the enrollment guidelines in the next section.
1st of the month after 30 days (FOMA-30D)
Enrollment Guidelines
Please read the Enrollment Guidelines to learn when you can come on the plan,
add dependents and make other changes.
Health Plan Enrollment Guidelines
Premium Charts
Premium & Payroll Deduction Charts – HMOs 12-2025
Premium & Payroll Deduction Charts – PPOs Out of State 12-2025
Premiums & Payroll Deduction Charts – PPOs in Calif 12-2025
- Monthly Premiums
- Employer Benefit Allowance
- Payroll Deductions Shown per pay period
- Deciphering Payroll Deductions under ACA
Note: Out of state employees select from the PPO options.
Cafeteria Plan
Your Cafeteria “Section 125” Pre-Tax Premium plan allows payroll deductions to be taken “off the top line” before taxes are calculated ~ saving from 25% to 40% depending on your personal tax bracket.
Example of Cafeteria Plan Savings
Compliance Corner
Notices and Disclosures
Glossary of Health Coverage Terms
COBRA Center
Your Group is Subject to Cal COBRA
The Initial Notice should be provided to the employee AND spouse (if covered) within 90 days of becoming covered. One notice to the home is allowed if both live at the same address but it must be addressed to both parties.
Please contact your employer for more information.
Help & Support
| PLAN DEPARTMENTS | PHONE/MEMBER SERVICES | PLAN/POLICY # |
|---|---|---|
| Blue Shield HMO Members | 1-888-319-5999 1-855-664-5577 (TRIO) |
W0013050 |
| Blue Shield PPO Members | 1-888-256-3650 | W0013050 |
Life Path Advisors
|
1-866-543-3728 | W0013050 |
| Guardian DPPO Dental Members | 1-800-541-7846 | G-652626 |
| American Funds Retirement Plan | ||
| Wayco Insurance Services, Inc. (Broker) | 1-951-699-6000 x10 | john@wayco.com |
Medical Plan
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| Health Plans at at a Glance | New Member Enrollment Form | Blue Shield |
| Existing Member Subscriber Change Form | ||
| HMOs For California Employees: | Termination Form (Employer) | |
| HMO Platinum Access+ | ||
| HMO Platinum Trio | ||
| HMO Gold 500 Access+ | ||
| HMO Gold 500 Trio | ||
| BSC HMO Network Comparison | ||
| PPOs For Calif & Out of State Employees: | ||
| PPO Bronze Savings Plan 5700 Tandem | PPO Bronze Savings Plan 5700 CA Full | The Bronze PPO HSA Option Info |
| PPO Gold 750 Tandem | PPO Gold 750 CA Full | |
| PPO Platinum 0/10 Tandem | PPO Platinum 0/10 CA Full | |
| Pediatric D & V Infographic | ||
| Pediatric Dental & Vision FAQs | ||
| Blue Card FAQ (For PPO members traveling or living outside California) |
Dental Plan
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| DPPO Plan Summary of Benefits | Enrollment/Change Form | Guardian Website |
| DPPO KIT | Employer Term and Change Report | |
| DPPO Plan Certificate | Dental Digital ID Card | |
Life Insurance
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| Life Insurance Benefit Highlights | Same as Medical section above | Same as Medical section above |
| Beneficiary Change Form |
Retirement Plan
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| See your employer for 401k Enrollment Kit | See your employer. | American Funds Retirement Website |
Vision Plan
| BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
|---|---|---|
| Blue Shield Vision Plan | Use Blue Shield forms in Medical Section above. | Blue Shield Website |
| BSC EyeMed Network Overview |

