Human Resources Forms
Please Note: We have moved forms more suitable only to staff/faculty to the wiki. If you don't see a form you are looking for, please check there.
For questions regarding benefits or leave of absence please contact Marcela Navarro at mnavarro@sbccd.edu or (909) 388-6945.
Employee Assistance Program “EAP” FAQ
2024-2025 Benefits
- Anthem Blue Cross EAP
- Anthem California Care "Classic" HMO
- Beneficiary Designation
- Benefit Enrollment Form and Rates
- Anthem California Care “Premier” HMO
- Anthem Blue Cross PPO 100
- Anthem Blue Cross PPO 90
- Anthem PPO Part Time Faculty Plan Summary
- Delta Dental - PPO Plan Summary
- DeltaCare USA - Plan Summary
- Enrollment Guide
- EyeMed - Plan Summary
- Kaiser - $10 Plan Summary
- Kaiser - $30 Plan Summary
- Vol. Life & AD&D Insurance
- SBCCD Educational Partnerships
- Medical PPO cost-share information and estimates
American Fidelity
- American Fidelity - Accident Plan
- American Fidelity - Brochure
- American Fidelity - Cancer Plan
- American Fidelity - Disability Plan
Leave of Absence Information
PSLF (Public Service Loan Forgiveness)
PSLF (Public Service Loan Forgiveness): Is a program offered to people who work in public service in federal, state, tribal, or local government, or for a non-profit organization. To be considered for PSLF, you must make 120 qualifying monthly payments under an accepted repayment plan for your Direct Loans and work full-time for an eligible employer. SBCCD is an eligible employer which allows you to submit PSLF verifications forms.
Where do you submit these forms to? PSLF forms can be sent via email to humanresources@sbccd.edu.