–20-21 Employee Benefits Program (Sonoma County)
–20-21 Employee Benefits Program (Mendocino and Lake Counties)
–USleb: Free Mobile Benefits App
–Medicare Prescription Drug Coverage 2019
–2014 Health Reimbursement Arrangement Welcome Packet
-Participant Quick Start Guide
–Submit Your Claim Receipt (Open in Google Chrome-
There are a few ways to get reimbursed:
• Follow the hyperlink on the first page of the Welcome Packet. You will fill out your info, and attach scanned copies of your receipts.
• Print and fill out the second page (it can be mailed or faxed, but faxing should have the quickest turnaround.)
• Download the EBS app.
Logging in the first time will be your first initial, last name, and last 4 of your ssn.
ALL FORMS (Alphabetical)
–Employment Application Form
–Employee Benefits Program (Sonoma County)
–Employee Benefits Program (Mendocino and Lake Counties)
–Employee Complaint Form
–Employee Expense Reimbursement Form
–Exempt Exception Form