Election Booklet Enrollment Forms Important: Forms are not fillable. County must receive a copy of a)enrollment form, b)disclosure form and c)beneficiary designation in order to enroll participants in the plan. Note that forms are included in this Enrollment Form booklet (after cover letter).
Enrollment Forms for Mass Mutual can be mailed to:
Contra Costa County, Employee Benefits Service Unit, 5th Floor, Martinez, CA 94553
or fax to (925) 335-1798
Hardship Withdrawal: Submit forms directly to Mass Mutual. Do not send to Employee Benefits Service Unit