Vision Benefits - CalHR

​Vision Program for Active State Employees

If you're a permanent State Employee working half-time or more, you're eligible for the State's Vision Program. You may receive an eye examination, lenses and a frame once every calendar year.
 
Represented employees in Bargaining Unit 6 have vision coverage through their union trust fund and are not eligible to enroll in the state's vision program unless otherwise designated by the state as eligible for this program. Contact your personnel office for additional information regarding eligibility. Conditions of eligibility are subject to collective bargaining.
 
If you're a Permanent-Intermittent (PI) employee, you must work a minimum of 480 hours in the January-June or July-December control period to be eligible for the vision benefit. 

2014 Open Enrollment for Active State Employees

The 2014 Open Enrollment period for Vision is September 15th through October 10th, 2014.
During Open Enrollment, eligible employees may: 
  • enroll in a vision plan
  • change vision plans
  • add or delete dependents 
 
Open Enrollment materials will be mailed to the home/mailing address that you have on file with the State Controller's Office (SCO).
During the Open Enrollment period, VSP will provide you with 3 ways to enroll by phone, online or by mail. Please be sure to check your mail a couple weeks prior to Open Enrollment for the actually dates and enrollment materials.
 
All open enrollment changes will be effective January 1, 2015.
 

For Premier Vision Plan open enrollment, please go to: www.vsp.com/go/stateofcapremier

 

Changes for 2015

  • Premiums for the Premier Vision Plan will increase effective January 1, 2015.
  • The Basic Vision Plan provider network is changing to the new VSP Advantage Network, which will include the following changes:
    More provider locations available to patients.
    More available discounts.
    Dependent children are eligible for covered in full polycarbonate prescription lenses.
 

Basic Vision Plan

Enrollment into the State's Basic Vision Plan for most eligible employees and their eligible dependents is automatic. If you would like to enroll in the Premier plan you can do so within 60 days of new hire/newly eligible status or during the annual open enrollment. 
 
Your vision coverage will be effective the first of the month following the pay period in which your earning statement shows your employer contribution/vision deduction. Contact your personnel office for additional information regarding your enrollment/effective date.
 
Permanent Intermittent (PI) employees have 60 days from the end of the control period (June 30th or December 31st) to make an election to enroll in the Basic or Premier Vision Plans. PIs may enroll through your department's human resource/personnel office.

The State is responsible for payment of your monthly premium ($8.64) to VSP for the basic plan. You and your eligible dependents are required to pay a $10 deductible for an eye examination and a $25 deductible for materials (frame and/or lenses), if needed.
  

Premier Vision Plan

All active State employees (with the exception of rank and file BU 6 employees, as their vision benefits are provided by their trust) are eligible to enroll in the Premier Vision Plan for a small monthly employee cost share.  The Premier Vision Plan enables you to get a higher allowance for frames and contacts, fully covered progressive lenses, and more discounts. 
 
The State will continue to contribute $8.64 towards the monthly premium which appears as a vision deduction on your pay warrant.  If you choose the Premier Vision Plan, the additional cost will be deducted directly from your State pay warrant. 

The monthly Premier Vision Plan employee share is:

2015:

  • Employee  $8.84
  • Employee plus 1 dependent  $17.68
  • Employee plus 2 or more dependents  $28.46

2014:

  • Employee  $6.56
  • Employee plus 1 dependent  $13.12
  • Employee plus 2 or more dependents  $21.12

 

If you elect the Premier Plan, any dependents you wish to cover must also be enrolled by you into the Premier Plan coverage.  You cannot choose to enroll in both the Basic and Premier vision plan coverage at the same time, or split your enrollment leaving any dependents on the basic vision plan.  As a new hire/newly eligible employee, you may enroll through your personnel office within 60 days of your newly eligible status. All other eligible employees may enroll through VSP directly during open enrollment when the open enrollment materials are mailed to your home address that is on file with the State Controller's Office (SCO). 
 
For a more detailed description of your vision benefit, ask your HR office for an Evidence of Coverage booklet for the State's Vision Program.

Procedure for using the plan

1. Select a VSP network doctor. If you need help locating a network doctor, call VSP at 800-877-7195 or go to www.vsp.com and locate the option FIND A DOCTOR.
2. Call your VSP network doctor for an appointment to identify yourself as a VSP member. Simply provide your name and date of birth, as well as the covered member's social security number and the organization that provides the coverage (State of California).
3. Your doctor and VSP will handle the rest. Your doctor will contact VSP to verify your eligibility and plan coverage.
*Selecting a VSP network doctor assures direct payment to the doctor and guarantees quality services and eyewear. 

Vision Carrier

The Vision carrier for the State of California is:
Vision Service Plan (VSP)
3333 Quality Drive
Rancho Cordova, CA 95670
1-800-877-7195  VSP Customer Service

If you are an active State employee, please contact your department's personnel/human resources' office. Thank you. 

LaTrice Moore at LaTrice.Moore@calhr.ca.gov - - Regarding active employee vision plan information

Sue Odom (916) 322-2858  - - Regarding retiree vision plan information.

 

Appearance of Premier Vision Deduction on Employee's Warrant Stub

COBEN EMPLOYEES

The $8.64 State contribution is part of the CoBen allowance. With the new premier vision plan, when an employee is enrolled into the premier vision plan, the $8.64 is still present in the allowance and $8.64 is still paid to VSP as the employer share of this plan. The balance or employee share for 2015 (PC1 $8.84, PC2 $17.68, or PC3 $28.46) is reported as a separate miscellaneous deduction. Both deductions are itemized on the warrant stub to verify the deductions occurred and paid to VSP.  

NON-COBEN EMPLOYEES

The $8.64 State contribution is still paid for by the state for non-coben employees. With the new premier vision plan, when an employee is enrolled into the plan, the $8.64 is still present as the employer contribution and $8.64 is still paid to VSP as the employer share of this plan. The balance or employee share for 2015 (1 Party $8.84, 2 Party $17.68, or 3 Party $28.46) is reported as a separate miscellaneous deduction. Both deductions are itemized on the warrant stub to verify the deductions occurred and paid to VSP.
 

Deduction Detail Example:

  • Example of what benefits allowance and deductions can look like on SCO payroll (here an excluded employee);
    • Allowance amount shows on both sides for accounting - (shows as negative on the left with premiums applied);
    • State Share (here CoBen Allowance - excluded employee);
    • 1448.00 (Party Code Employee plus 2 or more dependents).
 

Health Premium:

  • 1584.28 Health premium amount (shown as family code for Kaiser)
 

Dental Premium:

  • 160.40 Dental premium amount (shown as Delta Premier Enhanced)
 

Vision premium charge - against State Share (allowance):

  • 8.64 (shown here as the $8.64 amount, credit against State share component of allowance)
  • 21.12 premier vision plan premium cost share (employee share - miscellaneous deduction)
  • Sample (redacted view from the State Controller’s payroll system - example)
  • State share shows on both sides for accounting purposes
  • 354 010 1448.00-* FC 1448.00 State Share (here CoBen allowance for Excluded employee)*
  • 350 056 1584.28 * FH .00 Health plan premium amount
  • 351 008 160.40 * FD .00 Dental plan premium amount
  • 475 002 8.64 * HV .00 Vision plan State share charge against allowance
  • 361 475 21.12 * FM .00 Premier plan employee cost share deduction

*For CoBen employee, the CoBen allowance is built from three components, the basic vision plan premium amount, currently $8.64, 75% of the Delta Premier plan premium amount, and the weighted amount for health (dependent upon bargaining unit). Amounts combined equal the CoBen allowance.
 
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Publications

Forms (for personnel office use only)

 

Updated 9/17/2014