Modified Benefit Option (MBO) Special Open Enrollment

A Special MBO Open Enrollment for eligible General Unit classifications will be held 

September 23 - October 4, 2019.


The Modified Benefit Option (MBO) provides the following:  

  • A higher salary based on your bargaining unit 
  • Flexible Paid Time Off (PTO) in lieu of separate use-specific leave accruals  
  • The choice of the following medical plan options:
  • Electing the lower-premium, higher deductible Blue Shield Access+, Kaiser Choice HMO and Blue Shield PPO (Bronze Plan) OR
  • Maintaining current medical plan, while receiving a slightly lower Medical Premium Subsidy (MPS)
  • Additionally, your higher salary will be considered as part of the base hourly rate when calculating:
  • Overtime, 
  • County contribution to the Retirement Medical Trust (RMT)*, 
  • Sick leave cash-outs pursuant to RMT Article, 
  • Leave cash-outs, and 
  • Retirement Benefit Amount

* Except for those who are enrolled in the Blue Shield PPO Bronze Plan and FSA, and who receive the County match for FSA.


MBO Informational Meeting Schedule:

Meeting Schedule

How to Enroll in the MBO

Follow these 3 simple steps to enroll in the MBO:


Step 1. Complete the Modified Benefit Option (MBO) Election Form:

     Supervising Attorney (to be used by Supervising Attorneys) OR

     Nurse Supervisory and Management (to be used by employees in the Supervisory Nurses & Mgmt Unit) OR

     Teamsters (except Nurse Supervisory-Management) (MBO eligible classifications except Sup Nurses & Mgmt Unit) 


Step 2. Choose your benefit options:

 If you are satisfied with your current health plan, no other forms are needed other than the MBO Election form.  If you want to make changes to your medical plan elections you will need to complete the following forms (as applicable). 

Premium Deduction Election Form- Required if you chose to enroll in the MBO and are making changes to your medical insurance plan.

Medical Plan Enrollment/Change Form- Required if making changes to your medical insurance to any plan except Blue Shield Bronze PPO plan.

Essential Health Plan Coverage Enrollment /Change Form- (AKA Blue Shield Bronze PPO Plan)- Required if you chose to enroll in the MBO and enroll in the Blue Shield Bronze PPO Plan.


Step 3. Submit your forms by 5pm on Friday, October 4, 2019

Send your completed forms to the Employee Benefits and Services Division (EBSD) in one of the following ways:
In person: 157 W. 5th Street, First Floor, San Bernardino, CA 92415-0440
Scan and e-mail to:

Interoffice mail to: Mail Code – 0440

Fax to: (909) 387-5566


If you have questions regarding this Special Open Enrollment period, please contact:

Jose Mancilla, Benefits Analyst at e-mail: or phone: (909) 387-5578

Khristin Vargas, Benefits Analyst at e-mail: or phone: (909) 387-5812 

You may also contact the EBSD at e-mail: or phone: (909) 387-5787

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157 West Fifth Street, First Floor • San Bernardino, CA 92415-0440 • Phone 909.387.5787 • TTY Users 711 • Fax 909.387.5566