The FlexElect Open Enrollment Period allows



  • FlexElect enrollees and their State-employed spouses/domestic partners to coordinate their health benefit enrollment. During the open enrollment period, both FlexElect enrollees, spouses, and domestic partners who maintain the traditional health coverage may change health plans.

    Corrections/Cancellations/Changes to Open Enrollment FlexElect Forms

    After enrolling into FlexElect during the open period, employees are permitted to cancel or change their open enrollment election if done so prior to cold calling list January of the plan year for which enrollment is requested. Please see Section , Correcting FlexElect Open Enrollment Documents for more information.

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    Newly Eligible Enrollments

    In order to enroll into FlexElect outside of the annual FlexElect Open Enrollment Period, employees must enroll as "newly eligible". Newly eligible enrollments have a Standard Effective Date, as described on the FlexElect Permitting Event Chart (Appendix A). Newly eligible employees must elect enrollment within days after becoming eligible and they must meet the eligibility criteria outlined in Section of this manual. Newly eligible employees are:
    New State employees hired outside of the open enrollment period.

    Employees whose time base/employee designation changes from one that was not eligible to one that is eligible or a PI who changes to a permanent position with a time-base of half-time or more;

    Employees who were on an approved leave of absence during the entire open enrollment period

    Employees, not currently enrolled in FlexElect, who experience a valid change in status event as defined in Appendix A. In addition, if the employee's change in status event results in a concurrent approved leave of absence (e.g. birth of child/maternity leave), the employee may enroll by the deadlines specified in the permitting event chart after the employee returns to work.

    Health and/or Dental Plan Form Coordination

    Employees may make certain changes to their medical/dental insurance for purposes of enrolling in FlexElect. The type of change is based on the permitting event. Refer to the CalPERS Health Benefits and the Dental Procedures Manuals to determine if the event is one that will allow employees to make a change and for the appropriate reason codes, etc.

    Maximum Contribution for Newly Eligible Enrollments (Reimbursement Accounts)
    Employees who enroll mid-year into either of the reimbursement accounts can still contribute the annual maximum. Therefore, the monthly maximum deduction would not be limited to $ for the Medical Reimbursement Account or $ for the Dependent Care Reimbursement Account. For example, an employee enrolls into FlexElect as a new State employee with an effective date of May The employee wants to contribute the maximum of $, into a Dependent Care Reimbursement Account.

    The employee's deduction would begin with his/her April pay period paycheck (dated May ) and end with his/her November pay period paycheck (dated December ). This employee's monthly contribution into the account would be This employee could request reimbursement for dependent care services received between May and December of the plan year.

    To enroll as newly eligible, employees must complete all of the appropriate forms that must be submitted as a package. In completing the STD. R and/or STD. C, the following information should be entered on the form(s) by the Personnel Office:
    Effective Date: Current or prospective basis (i.e. First of the following month when the correctly completed enrollment form is received at SCO by the th AND does not have to be returned to the agency for correction). The last possible effective date for a newly eligible enrollment is December


 

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