If you have qualifying group health coverage through another source, such as your spouse, you may opt to receive cash in lieu of both your health and state-sponsored dental coverage or for your state-sponsored health coverage only. Qualifying group health coverage includes health coverage that provides minimum value as established by the federal Patient Protection Affordable Care Act (ACA) and is maintained by an employer or employee organization. All state California Public Employees’ Retirement System (CalPERS) health plans currently meet the law’s minimum value standards.
The ACA establishes a minimum value standard of benefits of a health plan. For a qualifying group health plan to meet the ACA’s minimum value standards, the plan must cover at least 60 percent of the total allowed costs of benefits provided under the plan. Employees may refer to their plan’s Summary of Benefits and Coverage document to determine if their coverage meets the law’s minimum value standards.
Employees enrolled in individual coverage, such as TRICARE, Medicare, Medi-Cal, and Covered California, are not eligible to receive cash in lieu of other health coverage, even if the coverage provides minimum value.
These payments are considered taxable income and are as follows:
Note: You will not receive any CoBen Cash if you decline dental coverage only.
CoBen Cash payments are included with your regular paycheck and are subject to the same payroll taxes (federal, state, and Social Security) as your regular salary. However, CoBen Cash payments are not considered compensation for retirement purposes. This additional cash is reported on your W-2 statement in the same tax year you received the CoBen Cash payment.
This plan applies to Excluded employees and employees in Bargaining Units 2, 7, 8, 16, 17, 18, and 19. For employees in Bargaining Units 1, 3, 4, 5, 6, 9, 10, 11, 12, 13, 14, 15, 20, and 21, your cash option is available through FlexElect, not this plan. Contact your personnel office for information and forms to enroll in a FlexElect cash option.
The cash option is designed to expand your benefit options, not limit or decrease important health and/or dental coverage for you and your family. Accordingly, it's important to make sure your health and dental needs are met before you enroll in a cash option. Here are some factors to consider when making your enrollment decision.
You are eligible to enroll in a cash option if you have a permanent position that is half- time or more. If you have a limited term (LT) or temporary (TAU) position with an appointment of six months or more, you're eligible (mandatory right of return to a permanent position that is half-time or more is not required).
Your first opportunity to enroll in a cash option is within 60 days after becoming "newly eligible" for these benefits. However, for many employees the typical time to enroll is during the annual Fall Open Enrollment period.
Besides the annual Open Enrollment period, you also have the opportunity to enroll in a cash option within 60 days after becoming "newly eligible." Newly eligible events are as follows:
If you are newly eligible and want to enroll, you must submit enrollment forms to your personnel office within 60 days after becoming newly eligible. Correctly completed forms received at the SCO by the tenth of the month are effective the 1st of the following month (except when the tenth is on a weekend or holiday, in which case the cut-off date will be on the next regular workday).
If you are newly eligible, your last possible effective date of participation in the 2019 plan year is December 1, 2019. For your enrollment to be effective December 1, 2019, the SCO must receive your enrollment form by November 12, 2019. Forms received after that date will be processed for the 2020 plan year.
If you're appointed to a permanent position with a time base of half-time or more, you lose eligibility for the PI cash payment. If you want to enroll as a newly eligible permanent employee, you must complete a new STD. 702 within 60 days after your appointment.
Once you enroll in a cash option, you can't cancel or change your enrollment during the plan year (January 1 through December 31) unless you experience a change in status, called a "permitting event." See the complete list of status changes that permit you to cancel or change your enrollment. Otherwise, you may only change your election during the annual open enrollment window.
If you're enrolled in a cash option when you retire, your cash option will stop automatically. You need to take the following actions to protect your benefits:
If enrolled in cash option for health benefits: You have 30 days prior to or 60 days following the date of your retirement to enroll in California Public Employees' Retirement System (CalPERS) health plan. If you don't enroll within this time period, you must wait until the next health Open Enrollment. Your enrollment at that point would be handled through CalPERS.
If enrolled in cash option for dental benefits: You have 30 days prior to or 60 days following the date of your retirement to enroll in a dental plan. If you don't enroll within this time period, you must wait until the next dental Open Enrollment. If you enroll prior to retirement, your dental enrollment will be processed through your personnel office. If you enroll following retirement, your enrollment is handled through CalPERS.
In addition to the permitting events listed below, here are some other payroll status changes and how they affect your CoBen enrollment:
If you experience a change in status that's listed below, you're permitted to take the action that's listed next to that change. You have 60 days following the date of your status change to take the corresponding action.
Your completed form(s) must be received at the SCO by the tenth of the month to be effective on the first of the following month.
May enroll in cash option as newly eligible.
May enroll in cash option as newly eligible or, if currently enrolled, may cancel/change cash option.
May cancel cash option and enroll into benefits.
May enroll in cash as newly eligible or, if currently enrolled, may cancel/change CoBen elections.
If currently enrolled, may cancel/change cash option. New enrollment into cash not allowed.
If currently enrolled in cash option, may cancel/change cash option. New enrollments not allowed.
The forms to enroll in the cash option are linked below. Refer to the following instructions when completing these forms. Please type or print using a ball point pen.
Cash Option Enrollment Authorization (STD 702) : If you want to enroll for the first time, cancel, or make changes to your current cash option, you must complete:
Cash Option Enrollment Authorization (STD 702)
In addition to the cash option enrollment form, you must complete the CalPERS Health Benefits Enrollment Form (HBD-12) if you want to do the following:
You also must complete the Dental Enrollment Form (STD. 692) if you want to do the following:
The health and dental forms must be submitted to your personnel office along with your cash option enrollment form (if you're making the changes indicated above). Both forms are available from your personnel office.
When husband and wife or domestic partners both work for the state: If you're an enrollee canceling your health and/or dental coverage to go on your spouse's or domestic partner's plan, who also is a state employee, you and your department's personnel staff must coordinate submission of the health, dental, and cash option enrollment forms for you and your spouse/domestic partner.
The effective date for canceling your coverage, and the date for your spouse or domestic partner to add you as a dependent, should be the same. The health and/or dental enrollment forms for you and your spouse/domestic partner must be submitted as a package with your cash option enrollment form.
Enter your Social Security number.
Print your first name, middle initial, and last name.
Health Coverage: If choosing to receive the cash option in lieu of your health benefits, enter $130 in Item A. If you don't want to receive the cash and wish to keep your state-sponsored health plan, enter N/A in Item A.
Health and Dental Coverage: If choosing to receive the cash option in lieu of your health and dental coverage, enter $155 in Item B. If you don't want to receive the cash and wish to keep your state-sponsored health and dental plan, enter N/A in Item B.
SCO will complete.
If choosing the cash option in lieu of health and/or dental benefits, you must complete Item 6. In Item A and/or B, list the carrier for your other health and/or dental insurance. In Item C, check the box showing who you have your other coverage through. If your coverage is through your spouse or domestic partner, you also must complete Item D.
Read this section carefully, then sign and date the form on the line marked. This section contains important information you should be aware of when enrolling. Your signature certifies you have other health and/or dental coverage and that you have read the information and agree to the terms and conditions of the program as outlined on the STD. 702 and on this website.
Your personnel office must complete.
We recommend you make a copy of your completed form before you send it to your personnel office. Once your personnel office completes the "Agency Use Only" sections, the original copy is forwarded to the State Controller's Office along with any other necessary forms (e.g., HBD-12, STD. 692). Your personnel office has been instructed to keep a copy in your personnel file and send you a copy.
If you elect to receive cash in lieu of your state-sponsored health plan but enroll in a state-sponsored dental plan, then your benefit allowance will be the amount of your dental and Basic vision premium. In this situation, you will receive cash in lieu of health, and your dental and Basic vision premiums will be fully paid. You will not have an out-of-pocket dental and Basic vision plan premium cost.
This means you will not receive the difference between the cost of the premiums and the total allowance applicable to you. Your allowance amount, when not enrolled in all three benefits, is only that amount for the cost of the premiums or the total allowance, whichever is less.
If you are a PI employee and want to receive cash in lieu of your health and dental coverage or health coverage only, you must enroll each plan year you want to participate. You must complete the enrollment form (STD. 702) during Open Enrollment, or as "newly eligible" after Open Enrollment but prior to January 1.
In order to receive the cash payment, you also must meet all the following criteria:
If you are appointed to a permanent position with a time base of half-time or more, you lose eligibility for the PI cash payment. If you want to enroll as a newly eligible permanent employee, you must complete a new STD. 702 within 60 days after your appointment.
If you enroll in a cash option for health and dental benefits or health benefits only as a permanent intermittent employee, you will receive your payment in a lump sum. The amount is for the period of January through June; you are not eligible for the cash option for the July through December period. Once your personnel office certifies your eligibility based on the criteria listed above, you will receive your cash option payment as follows:
These payments are made within 60 days after the State Controller's Office receives the certification from your personnel office.
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