Division of Human Resources
614 Division Street, MS-23A
Port Orchard, WA,  98366
FAX: 360-337-7187 

Kitsap County Benefits

We are pleased to be able to provide this resource regarding employee benefits!  With convenient links, you'll be able to research information, view benefit summaries, link to carrier websites and download forms.
For further assistance with information found on this page, please contact Human Resources at 360.337.7185.

Welcome information for new employees - This new employee orientation guide provides a brief overview of benefits available to new employees to assist in making decisions and tailoring the choices to specific needs. The information provided below will give more in depth information regarding plans and options available to employees.
Medical Plan Information & Forms
Provider Summary of Benefits and Coverage Enrollment Form Contact Information
Group Health Most County Classic Plan
Most County Value Plan
Deputy Sheriff Guild (DSG)

DSG only
Premera Most County Classic Plan
Most County Value Plan
Deputy Sheriff PPO 1 (DSG)
Deputy Sheriff PPO 2 (DSG)
Most County

DSG only
Dental Plan Information & Forms (all employees)
Provider Summary of Benefits and Coverage Enrollment Form Contact Information
Delta Dental Plan 2/C ($1,000 annual max)
Plan 4/D ($2,000 annual max)
Delta Care
Enrollment form for all dental plans 1-800-554-1907
Willamette Dental Willamette 1-800-359-6019

Miscellaneous Forms and Information

Click here for Dependent Information and Documentation Required to Verify Eligibility
Addition of Dependent Coverage Form
Removal of Dependent Coverage Form

Medical waiver form for Full-time Employees
Medical waiver form for Part-time Employees
Insurance Rates
Employee Groups Rate Sheet

Non-represented Employees
AFSCME 1308 Courthouse Employees
AFSCME 1308-S Courthouse Supervisors
Deputy Prosecuting Attorney Guild
Corrections Sergeants
Teamsters Parks
Teamsters Utilities
911 Employees' Guild
Sheriff's Support Guild

Full Time (.75 - 1.0 FTE)

Part Time (.50 - .70 FTE)

Juvenile Detention Officers Guild
Juvenile Court Employees

Full Time (.85 - 1.0 FTE)
Part Time (.50 - .80 FTE)

Public Works Council (Laborers, Teamsters, Operating Engineers & IAM AW)

Click Here
Deputy Sheriff Guild - Rates effective August 2015 Click Here

Corrections Offices Guild

Click Here

IUPA Sheriff Lieutenants Association

Click Here
Optional Benefits
Benefit Summary of Benefits Forms Contact Information
Flexible Spending Arrangements
2015 Enrollment

2015 Claim Form

Life Insurance VTL Enrollment

AD&D Enrollment

Beneficiary Change
Contact HR for information on your Life Insurance
Travel Assistance Program No enrollment required.  All employees are covered. website
  • Sign up within 30 days of hire or during open enrollment
Contact Suzy O'Brien for appointment 360.620.1514 (cell)

Important Notices

Click here for the following required notices for non-grandfathered plans:

Last Updated:  August 27, 2015
For more information, contact the office at 360.337.7185 orEmail the Personnel Office email the web coordinator.

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