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Q#1 |
I am getting married soon. Can I add my new spouse and/or stepchild(ren) to my coverage or
do I have to wait until |
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A |
You have 60 days after the date of marriage
to add your spouse and/or stepchild(ren) to your health and/or dental coverage. After
60 days, there is a 90-day waiting period from the date your request is
received in the Benefits Office; or you can add them during the annual open
enrollment period. You must provide a copy of your marriage certificate
as well as your spouse's social security number and sign the appropriate
document(s) prior to the coverage going into effect. |
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Q#2 |
I am expecting a baby soon. Can I add my baby to my
coverage? |
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A |
You have 60 days from the date of birth or
adoption placement (under age 18) to add a child to your medical and/or
dental coverage. After 60 days, you can add the child during the annual
open enrollment period or through a "special enrollment" or
"late enrollment" event. The latter applies to health coverage
only. |
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Q#3 |
My dependent child just turned age 19. Is he/she still
covered? |
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A |
Dependent children may be covered to age 23
as long as they are unmarried, have never been married, and are economically
dependent upon the employee. If disabled, special rules apply.
Please contact Human Resource Services for information. |
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Q#4 |
Can my grandchild or niece/nephew be covered under my health
plan? |
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A |
If the child is under age 18, unmarried,
living in a parent-child relationship and is economically dependent upon the
employee he/she may be covered under the employee's health plan. A
"parent-child" relationship is defined as one in which the employee
has been given the authority and assumed responsibility for raising the child
as their own. The natural parent cannot be living in the same household
as the child. If disabled, special rules apply. The dependent
must be enrolled within 60 days from the date of custody or during the annual
open enrollment period. After 60 days, "special enrollment"
or "late enrollment" criteria may apply. You must contact
Human Resource Services, provide proof of custody and sign the required
documents, including an "Affidavit of Eligibility." |
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Q#5 |
Can my dependent parents be covered? |
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A |
No. Even if totally dependent on the
employee, parents are not eligible for coverage. |
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Q#6 |
I am resigning or my appointment expires at the end of the
month. How long will my benefits coverage be
in effect? |
|
A |
Medical, Dental & Vision coverage is
effective through the end of the following month in which you resign or the
appointment ends. If you work a few days into a pay period, the State
Controller's Office will deduct any required premiums as long as there is
enough net pay to cover that premium. |
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Q#7 |
Can I continue my health benefits if I resign or when my
appointment expires? |
|
A |
Yes. COBRA Continuation Coverage
provides you the option of continuing your medical, dental and/or vision
plans for up to 18 months (or longer in some cases). You would be
responsible for paying the entire premium amount to the carriers, plus a 2%
administrative fee. The provisions of COBRA also apply to dependents
who lose coverage. Please contact the Benefits Office for further
information. |
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Q#8 |
When are the Salary
Reduction Agreements (SRA) required to be in the Benefits Office for
enrollment in Tax-Sheltered Annuities? |
|
A |
You may submit your SRA at any time to the
Benefits Office, however, your first deduction will start on the first of the
2nd month after your submit your SRA. |
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Q#9 |
How many pay periods in a year can an employee contribute to the
Tax-sheltered Annuities? |
|
A |
Twelve pay periods. The first pay period of
the year is December (paycheck received on January 1st) and the last pay
period of the year is November (paycheck received on December 1st). |
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Q#10 |
Can FERP or Retired Annuitant (R/A) employees contribute to the
Tax-sheltered Annuities? |
|
A |
FERP or R/A employees can contribute to the
403(b) account only. |
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Q#11 |
When are the Salary Reduction
Agreements (SRA) for FERP/Retired Annuitant (R/A) required to be in the
Benefits Office for enrollment in Tax-Sheltered annuities 403 (b)? |
|
A |
For the fall quarter, October is the first
pay period FERP or R/A employees can make a contribution. The SRA must be received in the Benefits
Office during the month of September. For the winter quarter, February is the
first pay period FERP or R/A employees can make
contributions. The SRA must be received in the Benefits Office during the month
of January. For the spring quarter,
May is the first pay period FERP or R/A employees
can make contributions. The SRA must
be received by the Benefits Office during the month of April. |
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Q#12 |
When will a FERP
employee's dental coverage change to the Basic Plan? |
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A |
Dental coverage will change to the basic
level on the 1st day of the following month from the end of the last quarter
of FERP assignment. |
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Q#13 |
Does Vision coverage continue when an employee retires? |
|
A |
No, vision coverage will terminate the first
of the month following your separation date. If you would like to continue
your vision coverage, please complete the COBRA notification form you will
receive in the mail following your retirement. |
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Q#14 |
What is the name of our vision plan? |
|
A |
Vision care is administered by Medical Eye
Services (MES). Care and services are provided by members of the The Eye Care Network on behalf of Blue Shield and CPIC
Life. The claim forms and other
information regarding vision is available at the |
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Q#15 |
What is our vision group number? |
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A |
The vision group number is F21426. |
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Q#16 |
What is the group number for Delta Dental
Plan of |
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A |
The Delta Dental Plan group number is 4018. |
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Q#17 |
What is the group number for Delta Care PMI? |
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A |
The Delta Care PMI group number is 02034-0005. |
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Q#18 |
How do I apply for COBRA? |
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A |
If you would like to continue your group
benefits, you may do so by completing the COBRA election form; this form is
available in the Benefits Office. |
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Q#19 |
At what age are my children deleted
from my health benefits (health, dental, and vision)? |
|
A |
Dependent children are covered until the
first day of the month following their 23rd birthday. Example: Their birthday
is September 3rd - their benefits will end on September 30th. |
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Q#20 |
Can I continue to pay for insurance for my
child’s health insurance coverage? |
|
A |
Yes, you may apply for COBRA for your
dependent child. You may continue their insurance for a maximum of thirty-six
(36) months and pay directly to the insurance carrier. |
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Q#21 |
Can I have COBRA premiums deducted from my pay warrant? |
|
A |
No, you will make direct premium payments to the health carrier. |
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Q#22 |
Do I have to wait until I've attended New Employee Orientation
before I can sign up for health benefits? |
|
A |
No, you may enroll in benefits prior to attending the New
Employee Benefits Orientation. |
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Q#23 |
When will my benefits begin? |
|
A |
Your benefits begin the first of the month
following your date of hire as long as the Benefits office received the
Health/Dental/HCRA/DCRA worksheet before the end of the month that you were
hired. Example: Your date of hire was on September 2nd, if Benefits received
your worksheet before September 30th, you can enroll in medical and dental
benefits effective October 1st and all other benefits (vision,
life, etc.) will be effective November 1st. |
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Q#24 |
Can I elect flexcash in lieu of
medical and still enroll in a dental plan? |
|
A |
Yes, if you are eligible for flexcash and elect it, you can still enroll in a dental
plan for you and your eligible dependents, even if you waive your right to
enroll in a health plan. |
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Q#25 |
Do I
have to re-enroll in HCRA (Health Care Reimbursement Account) and DCRA
(Dependent Care Reimbursement Account) every year? |
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A |
Yes, HCRA/DCRA enrollment is good for one
calendar year and you must re-enroll during open enrollment to continue
enrollment for the following calendar year. |
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Q#26 |
I am a
full time lecturer for this quarter.
Do I qualify for benefits? |
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A |
You must have a minimum of two (2)
consecutive quarters appointment on a single contract at .40 (6/15) or
greater in order to be eligible for benefits.
One quarter contract doesn’t qualify you for benefits regardless of
time-base. |
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Q#27 |
I am a
CalPERS member I have questions regarding retirement (CalPERS Members) |
|
A |
Please visit the link below for Frequently
asked questions regarding retirement: |