Academy Information

Academy Member,

It was a pleasure meeting all of you last week. On behalf of the Ventura County Professional Firefighters Association, we are happy to welcome you as one of our newest members. As mentioned, we would like your Benefits paperwork completed and submitted prior to the start of Academy.  If you are electing VCPFA Medical, Dental, and/or Vision we will need the following forms:

• Blue Shield Enrollment form (include PCP if electing HMO)

Find a Dr. – HMO High and HMO Low plans: www.blueshieldca.com/networkhmo
Find a Dr. – TRIO HMO www.blueshieldca.com/networktriohmo

• (optional) Delta Dental Enrollment form
• (optional) VSP Vision Enrollment formForms may be returned via email to [email protected] or fax (805)484-3512.

If you are enrolling in County of Ventura sponsored Dental (Metlife) and or Vision (MES) plan and you need additional information regarding the plans, please refer to the County of Ventura Benefits website Benefits Plan Handbook, found here: https://hr.ventura.org/benefits.

If you need further assistance with selecting a doctor, or have any additional questions please do not hesitate to reach out or schedule a virtual meeting using the link above.

Below is a checklist that may be helpful in assisting you with the submission of your paperwork.

What do you need to return to VCPFA?
checklist

VCPFA Membership

	VCPFA Membership Form (Green Sheet)
	DUES Deduction Card – $72.48/pay period

Medical Benefits

	County of Ventura Enrollment Form (Form w/ red Box – from Nina) ** If electing to opt-out, opt-out certification and supporting docs required **
	VCPFA Blue Shield Enrollment form

Optional plans

	LTD Enrollment form
	LTD Deduction Card – $13.61/pay period
	Current FCW – Deduction Card to CANCEL LTD (not eligible during academy)
	VCPFA Delta Dental enrollment form
	VCPFA Delta Dental deduction card
	VCPFA VSP Vision enrollment form
	VCPFA VSP Vision deduction card