Enrollment Information

Ventura County Schools Business Services Authority Health & Welfare Enrollment

VCSBSA offers a benefit package to eligible employees. Benefits may differ by number of hours worked, classification and/or bargaining unit. Health benefit selections are made for new hires during the hiring process and for active employees during open enrollment.


Upcoming 2018-2019 Plan Year                     Registration for Open Enrollment Workshop


Active Employee Retired Employees

2018-19 Employee Benefit Guide <65 Plan Comparisons 2018-19 Medical Plan Election 

2018-19 Plan Election Form 65+ Plan Comparisons 2018-19 Dental Plan Election

Enrollment Forms  65+ Retiree Consolidation & EGWP 2018-19 Vision Plan Election

Life Insurance Enrollment Forms

VCSBSA provides JPA paid life insurance to eligible employees.   

Group Life Enrollment Form (JPA Paid)


For, Voluntary employee-paid life insurance plans offered through Mutual of Omaha, use the forms below.

Voluntary Term Life Enrollment Form (Employee Paid)

Voluntary Term Life Booklet

Voluntary Life Benefit Summary

Voluntary Life Summary of Coverage

Voluntary Life Evidence of Insurability

2017-2018 Plan Year


Open Enrollment Brochure Plan Year 2017-2018

Plan Election Form Plan Year 2017-2018

2017-2018 Plan Year Changes


2016-2017 Plan Year


Open Enrollment Brochure Plan Year 2016-2017

Plan Election Form Plan Year 2016-2017

Dependent Eligibility Form