The Plan benefits no longer have a six-month waiting period (divorce, motion to modify, personal bankruptcy, and defense of civil actions).
Active employees who meet the following criteria are eligible to participate in the Plan:
1. Permanent or probationary employees with a time base of half-time or more designated as Rank and File and employees including managerial, supervisory, confidential, and excluded/exempt.
California Exposition and State Fair (Cal Expo), California Fair Services Authority and Legislative Analyst Office are the direct pay departments which can elect to enroll if eligible.
2. Permanent-Intermittent (PI) employees who worked a minimum of 480 paid hours each six month qualifying control period ending June 30 or December 31 or a total of 960 paid hours in two consecutive (prior and current) control periods (January through December).
3. LT assignments (six months or more) are eligible to participate in the plan if they have a mandatory right of return to a permanent civil service appointment and they work half time or more.
Family members who are not eligible include the eligible employee's parents and grandparents, children under the age of 26 who are married, or who have been married, and children over age 26, unless disabled as specified above. Employees are responsible for notifying the Personnel Office and completing the necessary paperwork when a child loses dependent eligibility (in accordance with the 60-calendar day permitting event criteria).
Enrolled members who fail to initiate the voluntary deletion within the permitting event date will not be reimbursed for the overpayment of premium nor will the carrier provide coverage for family members who no longer meet the eligibility requirement for dependents. Dependents can convert to an individual plan, if previously covered under the family plan.
*Domestic partner coverage is available to same-sex partners under the following circumstances
Newly eligible employees have 60-calendar days from their effective date of eligibility/hire to complete a Plan Enrollment Authorization Form. These forms are included in the annual enrollment packets available from ARAG. Permanent Intermittent employees hired during/after the open enrollment period, may enroll in the Plan as newly eligible upon completion of the 480 paid hours in a qualifying control period. In this case, the "Remarks" in Section C.9 and the "Permitting event date" in Section C.10 must be documented.
Failure to complete Sections C-9 and 10 will result in the application form being returned to the department by the SCO.
A PDF Fill and Print form on the
ARAG web site
- Use Access Code: 10202soc.
Section A (1-7) - to be completed by the employee
Section B (1-2) - completed by the employee
1. Employee checks box to authorize automatic payroll deduction;
Employee selects type of coverage and monthly premium: a) individual or b) family/registered domestic partner (if family or domestic coverage was selected lists the name(s), relationship(s) to the employee and date(s) of birth of dependents);
2. If employee checks box to cancel coverage he or she must complete Section A.1.c, A.2-6 and Section B.2 employee signs and dates enrollment authorization form.
Section C (3-14) - completed by agency personnel
The Personnel Offices must verify that the employee is eligible based on time base and if he or she is a PI then must meet the qualifying control period (see C.10) The Personnel Office must complete all blank items before submission to the State Controller's Office (SCO);
Department Personnel Offices are responsible for reviewing Sections A and B, completing Section C (3-14), certifying that the employee has submitted the form within the 60-calendar day permitting event. Employees should be informed that the change becomes effective the first day of the month following the pay period in which the payroll warrant reflects the premium change.
Plan members who experience certain status changes do not have to wait until open enrollment to make changes to their level of coverage. There are various types of qualifying events which may qualify the employee to change his/her coverage, such as:
The employee must submit an enrollment form within 60-calendar days of the qualifying event (e.g., divorce, legal separation, marriage, child losing eligibility due to age or marriage, death of a spouse or child, primary member leaves state service, or a new Domestic Partner Certification.
If the dependent is changing to the primary subscriber, he or she would fill-out the application as a New Enrollee
1. The employee can complete the application form cancellation of coverage and submit it to their personnel office. The employee must complete Section A.1-6 and Section B.2 as follows:
2. The employee may submit a written request directly to:
State Controller's Office300 Capitol Mall, 10th FloorAttn: Misc./Deductions Unit,Sacramento, CA 95814
The request must include the employee's name, social security number, Deduction code (075), Organization code (081), Deduction amount, (Single $10.19 or Family $17.74), sign and date with an original signature authorizing the cancellation of the deduction. The employee should also give a copy of any cancellation letter to their Personnel Office for back-up documentation.
There is a Retiree Group Legal Services Insurance Plan, which began April 1, 2011.
Employees should be given an enrollment packet upon retiring. Personnel Offices may contact ARAG for these enrollment packets at (800) 888-4184, Extension 259 or email your request to printdistribution@ARAGlegal.com The retiree form is
available on the CalHR website and is also on-line at the
ARAG's website – Use Access Code: 17642ret.
ARAG Legal InsuranceAccounts Payable – Leave of Absence500 Grand Avenue, Ste. 100Des Moines, IA 50309 Completed forms can be faxed to ARAG at (515) 246-8710, Attention Eligibility and Fulfillment Unit. If the anticipated leave period is one year or less, the employee must pay the full premium amount in advance. If it is not possible for the employee to determine what the length of his or her leave will be, or if the leave will exceed one year, the premium can be submitted in monthly installments from a checking account. If an overpayment of the premium occurs, the carrier shall promptly refund the difference. For employees who do not wish to make direct payments, the coverage will terminate until the employee returns to active pay status. When the payroll deduction restarts, the effective/coverage date will start anew.
If an eligible employee is on an unpaid leave of absence (ULA)/disability leave such as NDI or temporary disability (TD) without supplementation during the annual open enrollment, the employee should be treated as a "newly eligible" employee upon return to active pay status and provided with a 60-calendar day permitting event in which to enroll in the Plan. Section C.10 "Remarks" of the application form should include a comment stating RTW from ULA or NDI etc., and the 60-calendar day permitting event date is documented in Section C.11.