Government Code Section 19849.11
Permanent, CEA, Limited Term of 6 months and over, or TAU in lieu of permanent appointment if CBID is:
Employees enrolled in the employer provided group life insurance plan may apply for supplemental coverage at any time. Employees may elect coverage amounts in increments of $10,000 up to eight (8) times your basic annual earnings, not to exceed $750,000 or eight times their basic annual earnings whichever is less. Monthly premiums are based on an employee's age and are adjusted annually on January 1 of each contract year. Employees can also purchase dependent coverage for their spouse or registered domestic partner and dependent child(ren) up to age 23 at any time, in the following amounts at a flat monthly rate based on the employee’s age. Spouse or Domestic Partner Child(ren) Coverage Employee Under 65 Employee over 65 $7,500 $7,500 $1.85 $7.25 $15,000 $7,500 $3.71 $14.51 $25,000 $7,500 $6.18 $24.18 $50,000 $7,500 $12.35 $48.35
Eligible dependent child(ren) from birth to six months will be insured for the amount of $750.00. Employees interested in purchasing supplemental coverage should contact MetLife at (800) 252-8524 for an informational brochure and to request an “Application for Group Supplemental Life and AD&D Benefits” form. The completed and signed application must be returned to MetLife for processing. If MetLife approves the employee's request for supplemental coverage, the premium information will be forwarded to the State Controller’s Office, for automatic payroll deduction, which can be found on the SCOPROD payroll processing on-line information system (hist) as deduction code 075-107, the employee can locate the premium deduction located on their payroll warrant under employee contribution titled “Metro Life.” Coverage begins on the first day of the month immediately following the month in which the first deduction was made, provided the employee was actively at work on the effective date. Otherwise, it will be effective on the date the employee returns to work.
Employees may cancel their supplemental coverage at any time by submitting a written request to
425 Market Street, Suite 970San Francisco, CA 94105,Attention: State of California Policy Administrator (Policy No. 74503).
The request must include the employee's name, social security number, and the deduction code 075-107. Once MetLife has processed the request, a form will be sent to State Controller’s Office authorizing cancellation of the monthly premium deduction. If the form is received by State Controller’s Office by the 10th of the month, the cancellation will be effective the 1st of the following month.