You and your dependents may be eligible for state-sponsored dental insurance, available from one of several dental plans. Eligible employees may enroll in a dental plan within the first 60 days of employment or eligibility or during the annual open enrollment period. Changes in coverage are also permitted during open enrollment.
Your collective bargaining designation determines which plans are available to you. The state pays all or part of your premium, depending on the plan you select and the number of dependents you wish to cover.
If you are in Bargaining Units 1, 3, 4, 5, 9, 10, 11, 12, 13, 14, 15, 20, and 21 and have dental coverage through another source, such as your spouse, you may choose to receive cash in lieu of the state's dental benefit. This additional cash is treated as taxable income. You may enroll in this "cash option" when you are hired, during the annual open enrollment, or when you experience a permitting event which makes you newly eligible. The cash option is also available in lieu of health benefits.
If you are in Bargaining Units 2, 7, 8, 16, 17, 18, 19, or an excluded employee, you can receive cash in lieu of health benefits, or in lieu of health and dental combined, but you cannot receive cash in lieu of just dental benefits.
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During Open Enrollment, eligible employees may:
Enroll in a dental plan.
Change dental plans.
Add or delete dependents.
If you don't want to make any changes to your Dental coverage, you don't need to do anything. Open enrollment forms must be signed and submitted to your personnel office no later than October 9, 2015. Enrollments and changes made during open enrollment are effective January 1, 2016.
2016 Dental Benefits Handbook for Active Employees | 2016 Dental Benefits Handbook for Active Employees - Text Only (RTF)
Dental Plan Enrollment Authorization - STD 692
Please see Dental Open Enrollment Frequently Asked Questions for more information.
Employee plus one dependent:
Employee plus two or more dependents
Dental Plan Direct Payment Authorization - STD 696
Affidavit for Economic Dependent Children - CalHR 025
Affidavit for Domestic Partners (Claimed as Economic Dependents) - CalHR 680
Additional forms and templates available to personnel staff on HR Net.