City of Glendale, CA
Home MenuBenefits - Retirees
Benefits Guide & Rates
Forms
- City Retirement Forms
- Benefit Waiver of Coverage Form
- Personal Data Change Form
- Separation Notice
- BCC EFT Retiree Enrollment Form
- Anthem BC Enrollment Form
- Kaiser Enrollment Form
- Guardian Dental Enrollment Form
- VSP Retiree Vision Enrollment Form
- VOYA Initial Retiree Life Enrollment (Under 65 – Mgmt & Exec Only)
- Alliant Individual Solutions
- Alliant Medicare Solutions
- Retiree Plan Contact List 2025-2026
MissionSquare RHSP Forms - Meritain