CZU PROCEDURES FOR MASS FIREFIGHTER I SEPARATIONS

Size: px
Start display at page:

Download "CZU PROCEDURES FOR MASS FIREFIGHTER I SEPARATIONS"

Transcription

1 CZU PROCEDURES FOR MASS FIREFIGHTER I SEPARATIONS 1. The attached Exit package must be completed and reviewed by the Firefighters Supervisor PRIOR to signing out at Felton Headquarters. PLEASE ONLY TURN IN THE DOCUMENTS REQUIRING YOUR SIGNATURE AND THE EXIT SURVEY. ALL OTHER DOCUMENTS ARE INFORMATIONAL AND FOR YOUR REFERENCE ONLY. 2. Supervisors must submit completed and signed timesheets and meal reports and for separating FFIs in accordance with directives from the Personnel and Finance offices; typically one week prior to separation. 3. Firefighters will report to Felton Headquarters in work uniform at 0800 hours and are all expected to stay until 1200 hours, unless directed otherwise. All separating Firefighters are compensated for 4 hours to allow time for the sign out process. The 4 hours will not be reflected on the time sheet but will be handled by the Personnel Office. 4. Firefighters will check in at the TRAINING OFFICE where they will be grouped and assigned check out times. 5. The SERVICE CENTER, PERSONNEL, and FINANCE will process each group as assigned by the Firefighter I Coordinator. 6. If a Firefighter is unable to sign out on their assigned date, they must contact the Firefighter I Coordinator to schedule an appointment to complete their sign-out process as soon as possible. 7. Use the CZU Check-Out Sheet to insure you have completed all the necessary paperwork and procedures for the Warehouse, Personnel, and Finance in order to separate from employment. 8. Upon separation, safety gear must be laundered and returned to the Service Center in good condition. Employees are financially responsible for any lost or missing gear at the time of separation. Those Firefighters that are also County Volunteers must return the additional gear that was assigned during fire season. 9. Bring a check or money order for all pay meals, including pay meals consumed at other stations. 10. COBRA Insurance If you choose to enroll in COBRA Health, Dental, and/or Vision coverage, you will need to complete additional enrollment forms at the HQ Personnel office. 11. Last but not least BE PATIENT! You will be here for the full 4 hours. Our staff is here to assist you with this lengthy process, but it goes more smoothly with a good attitude.

2 STATE OF CALIFORNIAA NATURAL RESOURCES AGENCY Edmund G. Brown Jr., Governor DEPARTMENT OF FORESTRY AND FIRE PROTECTION P..O. Box SACRAMENTO, CA (916) Website: November 17, 2014 *POLICY CHANGE* PLEASE READ All Firefighter I s separated due to a layofff situation will now have their time base changed to intermittent. This means you are not officially separated, but simply turned off. When you return, the process will be simplified as you will only need to be turned on. Your benefits will work the same way; turned off now, turned on upon returning. This does not affect your unemployment eligibility. Sincerely, Carla Delnegro Carla Delnegro Senior Personnel Specialist, CZU Headquarters The Department of Forestry and Fire Protection serves and safeguards the people and protects the property and resources of California.

3 Fire Fighter I Non-Work Status Fact Sheet The following information explains new terminology, in regards to the status of a Firefighter I (FFI) at the end of their normal work (fire) season, and is intended to answer questions arising from the change. Instead of being Separated as in the past, FFI s are now placed in a Non-Work Status wheree they are converted to an intermittent time base at the end of their normal work season. Leave credits (annual leave, vacation, and holidays) will be bought out and FFI s will still have the option to rollover or buyout any PLP credit balances they choose. FFI s in Non-Work Status are still eligible for unemployment benefits. When a FFI voluntarily leaves employment, for any reason, the employee MUST provide their resignation in writing. They are not eligible for unemployment benefits and they will be permanently separated from State service. They will still have return rights the next season, provided they meet rehire requirements (work 60 continuous calendar days, recommended for rehire, etc.) ), but they will not be placed in a Non-Work Status. Upon initial hire, each FFI will complete Non-Work Status documents (the CalPERS Membership Disposition, Dispositionn of all PLPP credits, and Cobra Election for continuation of benefits). Personnel will utilize these prefilled documents for the end of the work season process, with the choices that are indicated at hire. Should a FFI later want to make changes to any of their original choices, they are to notify personnel immediately. When in a Non-Work When a FFI returns to Work Status for fire season, they will have the opportunity to confirm their benefit choices (i.e. add/deletee a dependent, cancel coverage, Status, FFI s benefits remain suspended until they return to work. address changes, etc.). Since they are not being separated each year, when they return to Work Status, the benefits they originally had, will commence without additional documents to complete, unless previously unreported changes have occurred. Alll other voluntary deductions in place prior to reduction in time base (such as auto/home loan payments, bank deductions, etc.) will resume upon return to Work Status. Revised 9/23/2014

4 Question and Answers 1. Will a FFI be removed from Direct Deposit when they move to Non-Work Status? Yes, they will be removed from Direct Deposit, to allow any pay owed to the Department (i.e., meals, uniform allowances, etc.) ) to be deducted from their final pay. 2. Can a FFI cash out their retirement if in Non-Work Status? No. In order to cash out retirement, employee must resign, in writing, and therefore their status will change from Non-Work Status too permanently separated and not eligiblee for unemployment benefits. 3. Does the Unit still have to meet Timely Payment of Wages since this is not a Separation? The employee is not separating, which means that Labor Code 203 does not apply, however, it is the expectation of the Department that the employee shall have their pay issued timely using Labor Code 203 as a guide. 4. At what point do we pay the uniform allowance too the FFI s? Uniform allowances will be paid at the same time as the restt of their final pay. 5. If a FFI accepts an LT FAE assignment, does the employee have a right of return to a FFI position upon completion of the assignment? No, there are no reinstatement rights to the FFI position, unless there has been 60 continuous calendar days in that class, in the current or previous season, an if the FFI meets all other ehire requirements. 6. If a FFI is in Non-Work Status and is called to participate in an administrative investigation, or to represent the Department at a hearing orr other task, how are they compensated for this time? Since the employee was not separated, they aree paid for all hours, on an hour for hour basis, using their intermittent time base the same as any other intermittent employee, up to 53 hours of work (the weekly threshold for EDWC). Revised 9/23/2014

5 7. Will this change the RPP process? There will be no change to the RPP process. The Unit will send out RPP paperwork to FFI s during the same timeframe as they would normally would. 8. Will this new status allow for the employee to change their benefit enrollment options (i.e., dependents, plan, etc.) upon return to Work status? Yes. Employees should contact their assigned Personnel Specialist to report any changes to their coverage prior to reenrollment. 9. Are there any changes to the types of leave credits that are cashed out? No, the rules for leave credit cash out will not change. Employees will still be able to carry-over or cash out VPLP/PLP credits and all other eligible leave credits will be cashed out upon conversion to Non-Work Status. 10. Does this process apply to other classifications (i.e., LT FAE, LT FFII, etc.)? No, this process only applies to FFI s. 11. What happens if a FFI resigns (i.e. return to school, etc.) prior to the end of fire season? The FFI must provide their resignation, in writing. The FFI s status will then change from Non-Work Status to permanently separated and will not be eligible for unemployment benefits. 12. If a FFI doesn t return to work the following fire season, what is their status? Returning FFI s have three opportunities to waive a job offer. If the Unit contacts the FFI during the hiring process and requests the employee to return to work, and the employee does not respond within a reasonable timeframe or does not accept the work, this is considered one waiver. The Department can attempt this contact up to three times during a normal declared fire season. The third time of either no response or decline to work, constitutes a third waiver thus severing the employment relationship via a voluntary resignation effective the date of the third waiver. If the Department calls the employee back to work during non-fire season, and the employee waives to return to work, this is not deemed a waiver since it is outside of the normal declared fire season. Revised 9/23/2014

6 "COBRA" GROUP CONTINUATION BENEFIT COVERAGE Rates for January 1, 2014 thru December 31, 2014 Rates are calculated at 102%. Not all carriers, however, will require 102%. PLAN CODE PLAN NAME 1 Party 2 Party 3 Party HEALTH 205 Blue Shield HMO $ $1, $1, Blue Shield Net Value $ $1, $1, Kaiser $ $1, $1, **** Kaiser Out-of-State $ $1, $2, PersChoice $ $1, $1, PersSelect $ $1, $1, PersCare $ $1, $1, **** These premiums cover all regions of Kaiser Out-of-State DENTAL 007 Delta Premier (Basic Plan) $49.45 $86.83 $ Rank and File Employees Only 007 Delta Premier (Basic Plan) $55.37 $98.41 $ Dependents of Rank and File Employees 009 DeltaCare USA $18.07 $29.65 $ Premier Access $16.96 $27.48 $ Safeguard $16.91 $27.40 $ Western Dental $15.01 $24.78 $35.15 VISION (Non Coben) Vision Service Plan $8.81 $8.81 $ (Coben) Premier Vision Service Plan $15.50 $22.20 $30.36 FOR MORE DETAILED INFORMATION REGARDING THESE PLANS GO TO: FOR ENROLLMENT FORMS GO TO: and Click on the link for CZU Personnel

CITY COUNCIL MEMBERS SUMMARY OF BENEFITS

CITY COUNCIL MEMBERS SUMMARY OF BENEFITS CITY COUNCIL MEMBERS SUMMARY OF BENEFITS Salary: The City of Norwalk compensates council members $950.91 per month. Retirement: The City of Norwalk contracts with the California Public Employees Retirement

More information

LOCAL 21 CLASSIFIED SALARIED EMPLOYEES Twelve (12) Month Employees. Plans EE EE+1 FAM EE EE+1 FAM

LOCAL 21 CLASSIFIED SALARIED EMPLOYEES Twelve (12) Month Employees. Plans EE EE+1 FAM EE EE+1 FAM LOCAL 21 CLASSIFIED SALARIED EMPLOYEES Twelve (12) Month s 2018 2018 CalPERS Premium Rates CalPERS Premium Rates Bay Area Region Bay Area Region 12 Month 10 Month Plans EE EE FAM EE EE FAM Kaiser $779.86

More information

EMPLOYEE LAYOFF INFORMATION City and County of San Francisco. Micki Callahan Human Resources Director

EMPLOYEE LAYOFF INFORMATION City and County of San Francisco. Micki Callahan Human Resources Director Micki Callahan Human Resources Director February 2010 Table of Contents Page Introduction... 1 How Was the Separation Process Applied to Me?... 2 Order of Layoff in a Job Class Seniority Displacement

More information

2018 Medical Premiums: Retiree or Survivor of Retiree Without Medicare Residing in California

2018 Medical Premiums: Retiree or Survivor of Retiree Without Medicare Residing in California 2018 : Retiree or Survivor of Retiree Without Medicare Residing in California Blue Shield of California Trio Access+ UHC Plan PPO Survivor Only $1,601.54 $29.44 $1,750.74 $70.44 $1,229.20 $0 $1,072.43

More information

COUNTY OF SACRAMENTO CALIFORNIA

COUNTY OF SACRAMENTO CALIFORNIA COUNTY OF SACRAMENTO CALIFORNIA For the Agenda of: September 10, 2013 To: From: Subject: Supervisorial District(s): Board of Supervisors Department of Personnel Services Calendar Year 2014 Group Insurance

More information

Group Insurance Trust of the California Society of CPAs Benefits Management Instructions for Firm Administrators

Group Insurance Trust of the California Society of CPAs Benefits Management Instructions for Firm Administrators Group Insurance Trust of the California Society of CPAs Benefits Management Instructions for Firm Administrators Introduction. 2 Employer Eligibility 3 Enrolling a New Employee 4-6 Adding or Removing Dependents

More information

INSTRUCTIONS FOR TERMINATION PAPERWORK FOR THE DIOCESE OF CALIFORNIA S BENEFITS & PAYROLL

INSTRUCTIONS FOR TERMINATION PAPERWORK FOR THE DIOCESE OF CALIFORNIA S BENEFITS & PAYROLL INSTRUCTIONS FOR TERMINATION PAPERWORK FOR THE DIOCESE OF CALIFORNIA S BENEFITS & PAYROLL 1) Termination Notice: Completed by employer and returned to the Payroll & Benefits Office prior to final pay date.

More information

Serving Our Community Since 1902

Serving Our Community Since 1902 Serving Our Community Since 1902 500 Laurel Street, Menlo Park, California 94025-3486 (650) 321-0384 (650)321-4265 FAX PHIL SCOTT District Manager In reply, please refer to our File No. July 13, 2017 RE:

More information

CoPower ONE Employer Application

CoPower ONE Employer Application CoPower ONE Employer Application Group Information Street Address: DBA: State: Zip: What is your communication preference? Mail E-mail Fax Billing Address (if different): State: Zip: Employer is a: Partnership

More information

Serving Our Community Since 1902

Serving Our Community Since 1902 Serving Our Community Since 1902 500 Laurel Street, Menlo Park, California 94025-3486 (650) 321-0384 (650)321-4265 FAX PHIL SCOTT District Manager March 19, 2018 - UPDATED In reply, please refer to our

More information

INSTRUCTIONS FOR TERMINATION PAPERWORK FOR THE DIOCESE OF CALIFORNIA S BENEFITS & PAYROLL

INSTRUCTIONS FOR TERMINATION PAPERWORK FOR THE DIOCESE OF CALIFORNIA S BENEFITS & PAYROLL INSTRUCTIONS FOR TERMINATION PAPERWORK FOR THE DIOCESE OF CALIFORNIA S BENEFITS & PAYROLL 1) Termination Notice: Completed by employer and returned to the Payroll & Benefits Office prior to final pay date.

More information

CITY OF FOUNTAIN VALLEY SUMMARY OF EMPLOYEE BENEFITS Professional and Technical Unit (P&T) 2018

CITY OF FOUNTAIN VALLEY SUMMARY OF EMPLOYEE BENEFITS Professional and Technical Unit (P&T) 2018 CITY OF FOUNTAIN VALLEY SUMMARY OF EMPLOYEE BENEFITS Professional and Technical Unit (P&T) 2018 CITY CONTRIBUTION TO MEDICAL, DENTAL, AND LIFE INSURANCE The City provides a Full Flex Cafeteria Plan where

More information

Open Enrollment Guide for Employees of Sacramento County

Open Enrollment Guide for Employees of Sacramento County Open Enrollment Guide for Employees of Sacramento County This guide is designed as a tool to help you navigate through the upcoming Open Enrollment period successfully. It provides an overview of Open

More information

CITY OF OAKLAND SUMMARY OF BENEFITS Year 2017 TYPE OF BENEFIT DESCRIPTION OF BENEFIT SUMMARY OF COVERAGE AND LEVEL

CITY OF OAKLAND SUMMARY OF BENEFITS Year 2017 TYPE OF BENEFIT DESCRIPTION OF BENEFIT SUMMARY OF COVERAGE AND LEVEL MEDICAL www.calpers.ca.gov DENTAL www.deltadentalins.com (Non sworn employees) The City of Oakland offers several different medical plan options: Anthem HMO Select Anthem HMO Traditional Blue Shield Access

More information

Supporting Documentation Dependent Verification

Supporting Documentation Dependent Verification Supporting Documentation Dependent Verification CalPERS is required under the Affordable Care Act (ACA) to report to the IRS who is enrolled in their health plans. As such, CalPERS requires the employer

More information

North Ranch Benefits Trust. Employer Guide. Dental and Vision

North Ranch Benefits Trust. Employer Guide. Dental and Vision North Ranch Benefits Trust Employer Guide Dental and Vision Visit us at www.nrbt.com Table of Contents 1. Carrier Partner Offerings 2. Contact Information 3. Employer Eligibility 4. Carrier and Participation

More information

PART III Employee Health and Welfare Benefits

PART III Employee Health and Welfare Benefits PART III Employee Health and Welfare Benefits Group Insurance Regulations June 30, 2017 Page 1 Index and Format - PART III 1000. ALL PLANS Index and Format - PART III Employee Health and Welfare Plans

More information

BENEFITS ENROLLMENT GUIDE FOR NEW HIRES

BENEFITS ENROLLMENT GUIDE FOR NEW HIRES BENEFITS ENROLLMENT GUIDE FOR NEW HIRES 2014 These instructions will help you navigate through the enrollment process in making your benefit elections as a new employee. RESOURCES If you have additional

More information

APPLICATION FOR GROUP COVERAGE

APPLICATION FOR GROUP COVERAGE Blue Cross and Blue Shield of Louisiana HMO Louisiana Southern National Life APPLICATION FOR GROUP COVERAGE NEW GROUP NEW SUB-GROUP DUAL CHOICE SECTION A - COVERAGE SELECTION Blue Cross and Blue Shield

More information

Delta Dental of California Manual

Delta Dental of California Manual Delta Dental of California Manual Table of Contents Welcome Letter 1 Contact Information 2 Quick Guide 3 Enrollment Guidelines 3 Choosing or Changing a Dentist 3 Eligibility 4 New Hires 4 Late Enrollees

More information

FINANCE MANAGER ABOUT THIS OPPORTUNITY WEST BAY SANITARY DISTRICT IS SEEKING A NEW FINANCE MANAGER

FINANCE MANAGER ABOUT THIS OPPORTUNITY WEST BAY SANITARY DISTRICT IS SEEKING A NEW FINANCE MANAGER FINANCE MANAGER WEST BAY SANITARY DISTRICT IS SEEKING A NEW FINANCE MANAGER ABOUT THIS OPPORTUNITY The West Bay Sanitary District (District) is seeking a talented professional to fill the role of their

More information

Employer Application (Delta Dental, VSP, and Unum Life & LTD)

Employer Application (Delta Dental, VSP, and Unum Life & LTD) Employer Application (Delta Dental, VSP, and Unum Life & LTD) Group Information Company Name: DBA: Street Address: City: State: Zip: Billing Address (if different): City: State: Zip: Contact Name: E-mail:

More information

The District currently offers the Delta Dental (PPO) plan only. contribute a portion toward their monthly dental insurance premiums.

The District currently offers the Delta Dental (PPO) plan only. contribute a portion toward their monthly dental insurance premiums. EMPLOYEE BENEFITS The Municipal Water District of Orange County offers the following comprehensive benefits package to all full-time employees. Please refer to the District s Personnel Manual for complete

More information

Medical: Premium Quality Value HSA MEC NONE. Dental: Premium Quality NONE

Medical: Premium Quality Value HSA MEC NONE. Dental: Premium Quality NONE ENROLLMENT / CHANGE FORM Addition Change Termination Reason: Effective Date If change or termination, complete only Employee s Name, Social Security Number, and the Change details. Termination date includes

More information

APPLICATION FOR GROUP COVERAGE

APPLICATION FOR GROUP COVERAGE Blue Cross and Blue Shield of Louisiana HMO Louisiana Southern National Life APPLICATION FOR GROUP COVERAGE SECTION A - COVERAGE SELECTION Blue Cross and Blue Shield of Louisiana GroupCare PPO (Plan) BlueSaver

More information

CITY OF FOUNTAIN VALLEY SUMMARY OF EMPLOYEE BENEFITS Fountain Valley General Employees Association (FVGEA) 2018

CITY OF FOUNTAIN VALLEY SUMMARY OF EMPLOYEE BENEFITS Fountain Valley General Employees Association (FVGEA) 2018 CITY OF FOUNTAIN VALLEY SUMMARY OF EMPLOYEE BENEFITS Fountain Valley General Employees Association (FVGEA) 2018 CITY CONTRIBUTION TO MEDICAL, DENTAL, AND LIFE INSURANCE The City provides a Full Flex Cafeteria

More information

California Carrier Administration Guidelines

California Carrier Administration Guidelines California Carrier Administration Guidelines Aetna American General Anthem Blue Cross Blue Shield of California Delta Dental Guardian Health Net Humana Kaiser Permanente MetLife Premier Access Principal

More information

Employer Application (Delta Dental, VSP, and Unum Life & LTD)

Employer Application (Delta Dental, VSP, and Unum Life & LTD) Employer Application (Delta Dental, VSP, and Unum Life & LTD) Group Information Company Name: DBA: Street Address: City: State: Zip: Billing Address (if different): City: State: Zip: Contact Name: E-mail:

More information

S e a t t l e H o u s i n g A u t h o r i t y 190 Queen Anne Ave North Seattle, Washington M E M O R A N D U M

S e a t t l e H o u s i n g A u t h o r i t y 190 Queen Anne Ave North Seattle, Washington M E M O R A N D U M Exit Guide for Employees Leaving SHA Employment 2018 S e a t t l e H o u s i n g A u t h o r i t y 190 Queen Anne Ave North Seattle, Washington 98109 M E M O R A N D U M To: Seattle Housing Authority (SHA)

More information

HEALTH & WELFARE BENEFITS PLAN

HEALTH & WELFARE BENEFITS PLAN HEALTH & WELFARE BENEFITS PLAN for employees in OCEA-represented units 2018 OCEA-Administered Health & Welfare Benefits Plan These benefits are provided at no additional cost to employees in regular or

More information

HEALTH & WELFARE ENROLLMENT PACKET

HEALTH & WELFARE ENROLLMENT PACKET O HEALTH & WELFARE ENROLLMENT PACKET HUMAN RESOURCES MELISSA AGUIRRE, BENEFITS SPECIALIST NORMA VIZCARRA, BENEFITS SPECIALIST Last Updated 1/24/19 TABLE OF CONTENTS GENERAL INFORMATION 2 Initial Enrollment

More information

2018 Stanislaus County Benefit Enrollment Form

2018 Stanislaus County Benefit Enrollment Form 2018 Stanislaus County Benefit Enrollment Form CHIEF EXECUTIVE OFFICE Risk Management Division Employee Benefits 1010 10 TH Street, Suite 5900, Modesto, CA 95354 Phone: 209.525.5717 Fax: 209.525.5779 countybenefits@stancounty.com

More information

CITY OF CUPERTINO SUMMARY OF BENEFITS

CITY OF CUPERTINO SUMMARY OF BENEFITS CITY OF CUPERTINO SUMMARY OF BENEFITS New Health Plan Rates & Employee Cost (24 Pay Periods) Effective January 1, 2018 *Bay Area Region Rates Appointed, Unrepresented, CEA, and Operating Engineers Groups:

More information

Updated 3/15/2018. Retiree Guide to Health and Dental Benefits

Updated 3/15/2018. Retiree Guide to Health and Dental Benefits Retiree Guide to Health and Dental Benefits IMPORTANT: This guide is provided as a convenience, and is only intended to act as an informational overview of your benefits. Be sure to read your union s collective

More information

Your Guide to Survivor and Beneficiary Benefits For Family Members and Beneficiaries of UC Retirees and Disabled Members Receiving UCRP Income

Your Guide to Survivor and Beneficiary Benefits For Family Members and Beneficiaries of UC Retirees and Disabled Members Receiving UCRP Income Your Guide to Survivor and Beneficiary Benefits For Family Members and Beneficiaries of UC Retirees and Disabled Members Receiving UCRP Income Your Guide to Survivor and Beneficiary Benefits UC Retirees

More information

Information on COBRA, CDS and the Affordable Care Act

Information on COBRA, CDS and the Affordable Care Act Information on COBRA, CDS and the Affordable Care Act 1. What is COBRA continuation coverage? COBRA is not an insurance company, nor is it health insurance. COBRA is an abbreviation for a federal regulation

More information

Group Application (Delta Dental, VSP and Unum Life & LTD)

Group Application (Delta Dental, VSP and Unum Life & LTD) Group Application (Delta Dental, VSP and Unum Life & LTD) Group Information Company Name: DBA: Street Address: City: State: Zip: Billing Address (if different): City: State: Zip: Employer is: Partnership

More information

ATTACHMENT A County Offered PPO Medical Insurance Plans Effective July 2007

ATTACHMENT A County Offered PPO Medical Insurance Plans Effective July 2007 SECTION 15 - HEALTH BENEFITS 15.1 County Offered PPO Medical Insurance Plans Effective July 2007 COUNTY HEALTH PLAN #2 For individuals covered under this Salary Resolution, the County Health Plan (CHP)

More information

Group Insurance Trust of the California Society of Certified Public Accountants SUBSCRIPTION AGREEMENT Effective January 1, 2016

Group Insurance Trust of the California Society of Certified Public Accountants SUBSCRIPTION AGREEMENT Effective January 1, 2016 Group Insurance Trust of the California Society of Certified Public Accountants SUBSCRIPTION AGREEMENT Effective January 1, 2016 Revised11/16/2015 (Please type or print clearly and initial or sign in the

More information

Personnel Policy (With Board of Commissioners Signature Page)

Personnel Policy (With Board of Commissioners Signature Page) EATON COUNTY Personnel Policy (With Board of Commissioners Signature Page) Effective January 1, 2017 TABLE OF CONTENTS Introduction.6 Welcome to Eaton County..6 Signature Page 7 Economic Benefits ARTICLE

More information

What s New for 2017? Retiree Dental and Retiree Life Insurance Coverage (Closed Plans) Benefit Resources and Contacts 14-16

What s New for 2017? Retiree Dental and Retiree Life Insurance Coverage (Closed Plans) Benefit Resources and Contacts 14-16 This 2017 Retiree Open Enrollment Guide is not an employment contract or an offer to enter into an employment contract, nor does it constitute an agreement by the corporation to continue to maintain the

More information

Article 16 Health and Welfare Benefits An employee must be in paid status to be eligible for benefits.

Article 16 Health and Welfare Benefits An employee must be in paid status to be eligible for benefits. Article 16 Health and Welfare Benefits 16.1 Eligibility The District shall provide insurance benefits to each probationary or permanent employee as specified in this article. 16.1.1 An employee must be

More information

FAQs for Variable Hour (OPS) Employees Revised September 3, 2013

FAQs for Variable Hour (OPS) Employees Revised September 3, 2013 Definitions: New hire measurement period the 12-month period beginning on the first day of the first month following an OPS employee s start date in which the average hours worked weekly will be measured

More information

Termination of Employment Benefits. Fact Sheet: Termination of Employment Benefits

Termination of Employment Benefits. Fact Sheet: Termination of Employment Benefits Termination of Employment Benefits Fact Sheet: Termination of Employment Benefits KEY DEADLINES AS SOON AS YOU KNOW YOU WANT TO RETIRE (IF YOU ARE ELIGIBLE AND WANT TO CONTINUE MEDICAL, DENTAL, VISION

More information

Personnel Policy (With Board of Commissioners Signature Page)

Personnel Policy (With Board of Commissioners Signature Page) EATON COUNTY Personnel Policy (With Board of Commissioners Signature Page) Effective January 1, 2015 2 TABLE OF CONTENTS Introduction.7 Welcome to Eaton County..7 Signature Page.8 Economic Benefits ARTICLE

More information

Calendar of Information Meetings Eligible employees are encouraged to attend one of the meetings

Calendar of Information Meetings Eligible employees are encouraged to attend one of the meetings MEMO Office of the City Administrator To: All City Employees From: Ed Mitchell, City Administrator Date: June 16, 2010 RE: Voluntary Separation Program As you know, we are constantly looking for ways to

More information

CITY OF LOS ANGELES GROUP LIFE INSURANCE CERTIFICATE

CITY OF LOS ANGELES GROUP LIFE INSURANCE CERTIFICATE CITY OF LOS ANGELES GROUP LIFE INSURANCE CERTIFICATE Administered by the Joint Labor-Management Benefits Committee CALIFORNIA LIFE AND HEALTH INSURANCE GUARANTEE ASSOCIATION ACT SUMMARY DOCUMENT AND DISCLAIMER

More information

Health Program Guide. An informational guide to your CalPERS health benefits. Information as of August 2011

Health Program Guide. An informational guide to your CalPERS health benefits. Information as of August 2011 Health Program Guide An informational guide to your CalPERS health benefits Information as of August 2011 About This Publication The Health Program Guide describes CalPERS Basic health plan eligibility,

More information

City of Santa Cruz Compensation and Benefits Plan

City of Santa Cruz Compensation and Benefits Plan City of Santa Cruz Compensation and Benefits Plan Assistant City Manager, Department Directors, Chiefs of Police & Fire Effective August 15, 2015 Purpose and Intent This Compensation and Benefits Plan

More information

DOUGLAS COUNTY ADMINISTRATIVE POLICIES AND PROCEDURES

DOUGLAS COUNTY ADMINISTRATIVE POLICIES AND PROCEDURES DOUGLAS COUNTY ADMINISTRATIVE POLICIES AND PROCEDURES TITLE POLICY NO HR.1.10 Workers Compensation Leave Policy & Modified Duty Guidelines POLICY CUSTODIAN Human Resources Approval Date: August 21, 2016

More information

MEDICAL PLANS FOR RETIREES AND DEPENDENTS WHO ARE UNDER AGE 65 AND NOT ELIGIBLE FOR MEDICARE*

MEDICAL PLANS FOR RETIREES AND DEPENDENTS WHO ARE UNDER AGE 65 AND NOT ELIGIBLE FOR MEDICARE* Cost of Coverage MONTHLY PLAN COSTS FOR EARLY RETIREES The following costs are the total costs for premiums prior to the County contribution. Refer to the County contributions chart on page 48 to determine

More information

THE CALIFORNIA STATE UNIVERSITY

THE CALIFORNIA STATE UNIVERSITY THE CALIFORNIA STATE UNIVERSITY CONSOLIDATED COBRA PROCEDURES for DENTAL, HEALTH, VISION and HEALTH CARE REIMBURSEMENT ACCOUNT ADMINISTRATIVE MANUAL Revised January 1, 2005 California State University

More information

2017 Medical Rate Comparison

2017 Medical Rate Comparison 2017 Medical Rate Comparison Rank & File 2017 Medical Rates with Employer Contribution Rate Member Monthly Cost HMO and PPO Plans Employee Only Employee + 1 Family *Must be a CCPOA Member SoCal South Plan

More information

Short-Term Disability Pay Policy For Salaried Associates

Short-Term Disability Pay Policy For Salaried Associates Short-Term Disability Pay Policy For Salaried Associates January 1, 2010 Table of Contents Introduction 3 Important Contact Information 4 Eligibility and Enrollment 5 Associate Eligibility 5 Associate

More information

Small Business Employee Enrollment Form Blue Shield of California and Blue Shield of California Life & Health Insurance Company

Small Business Employee Enrollment Form Blue Shield of California and Blue Shield of California Life & Health Insurance Company Small Business Employee Enrollment Form Blue Shield of California and Blue Shield of California Life & Health Insurance Company Effective January 1, 2016 Subscriber information Please note: Missing information

More information

Married Single NEWLY ELIGIBLE ENROLLMENT CHANGE DUE TO PERMITTING EVENT CANCELLATION

Married Single NEWLY ELIGIBLE ENROLLMENT CHANGE DUE TO PERMITTING EVENT CANCELLATION THE CALIFORNIA STATE UNIVERSITY FLEXCASH PROGRAM ENROLLMENT AUTHORIZATION Please type or use ball point pen, print clearly. Return completed form to campus Benefits Officer. SEE PRIVACY NOTICE ON REVERSE

More information

Cafeteria Plan Checklist DO NOT USE THIS CHECKLIST IN LIEU OF THE PLAN DOCUMENT.

Cafeteria Plan Checklist DO NOT USE THIS CHECKLIST IN LIEU OF THE PLAN DOCUMENT. Cafeteria Plan Checklist DO NOT USE THIS CHECKLIST IN LIEU OF THE PLAN DOCUMENT. 1. Adopting Employer (Enter primary adopting Employer here. Enter other members of affiliated companies in item 16.) 2.

More information

Overview of Retiree Medical Benefits. Employee Benefits Department November 15, 2018

Overview of Retiree Medical Benefits. Employee Benefits Department November 15, 2018 Overview of Retiree Medical Benefits Employee Benefits Department November 15, 2018 Agenda Retiree Medical Benefits How to Qualify Medicare Overview Medicare Part B Reimbursement Cost of Retiree Medical

More information

Stanislaus County Benefit Enrollment Form- 2015

Stanislaus County Benefit Enrollment Form- 2015 Stanislaus County Benefit Enrollment Form- 2015 Please complete this universal benefit enrollment form in its entirety when enrolling or making changes to your Benefits. Refer to your Benefit Guide for

More information

- Company Structure Corporation S Corporation Sole Proprietor Partnership

- Company Structure Corporation S Corporation Sole Proprietor Partnership Group # A 721 South Parker, Suite 200, Orange, CA 92868 (800) 558-8003 www.calchoice.com Employer Information Legal Company Name DBA Name (Doing Business As) Owner/President Name (For CaliforniaChoice

More information

The Employee Separation Policy is in keeping with City Charter Section 3.01 (12).

The Employee Separation Policy is in keeping with City Charter Section 3.01 (12). EMPLOYEE SEPARATION POLICY AUTHORITY The Employee Separation Policy is in keeping with City Charter Section 3.01 (12). POLICY STATEMENT The policy of the City of West Palm Beach is to follow a separation

More information

Master Group Application (for 1 to 50 eligible employees) Blue Shield of California

Master Group Application (for 1 to 50 eligible employees) Blue Shield of California Master Group Application (for 1 to 50 eligible employees) Blue Shield of California Effective January 1, 2014 Section 1 Company Information Please type or print clearly in black ink. 1 Full legal business

More information

Joint Labor-Management Benefits Committee COMMITTEE REPORT 16-03

Joint Labor-Management Benefits Committee COMMITTEE REPORT 16-03 Joint Labor-Management Benefits Committee COMMITTEE REPORT 16-03 Date: January 14, 2016 To: From: Subject: Joint Labor-Management Benefits Committee Staff Affordable Care Act 2016 Tax Reporting, Annual

More information

COMPENSATION AND BENEFITS PLAN

COMPENSATION AND BENEFITS PLAN COMPENSATION AND BENEFITS PLAN BETWEEN THE CITY OF TRACY AND THE DEPARTMENT HEADS July 1, 2012 Through June 30, 2015 Amended Per Council Resolution #2013-199 Human Resources Department 333 Civic Center

More information

ADMINISTRATIVE MANUAL

ADMINISTRATIVE MANUAL CONSOLIDATED COBRA PROCEDURES for DENTAL, HEALTH, VISION and HEALTH CARE REIMBURSEMENT ACCOUNT ADMINISTRATIVE MANUAL Effective January 1, 2008 Revised 01/08 California State University COBRA ADMINISTRATIVE

More information

COMPREHENSIVE MEDICAL BENEFITS

COMPREHENSIVE MEDICAL BENEFITS CEMENT MASONS HEALTH AND WELFARE TRUST FUND ACTIVE CEMENT MASONS AND THEIR ELIGIBLE DEPENDENTS EFFECTIVE JANUARY 1, 2010 DIRECT PAYMENT When You Can Change Plans Type of Plan Geographical Area Covered

More information

COMPENSATION AND BENEFITS PLAN

COMPENSATION AND BENEFITS PLAN COMPENSATION AND BENEFITS PLAN BETWEEN THE CITY OF TRACY AND THE DEPARTMENT HEADS July 1, 2018 through June 30, 2021 Amended March 5, 2019 Human Resources Department 333 Civic Center Plaza Tracy, CA 95376

More information

STATIONARY ENGINEERS, LOCAL 39 TERM OF AGREEMENT: 07/01/ /30/2019 Revised: 12/20/2017

STATIONARY ENGINEERS, LOCAL 39 TERM OF AGREEMENT: 07/01/ /30/2019 Revised: 12/20/2017 City of West Sacramento Benefits Summary STATIONARY ENGINEERS, LOCAL 39 TERM OF AGREEMENT: Revised: 12/20/2017 Acting Supervisor Differential: Auto Allowance: Paid additional 5% of base salary after first

More information

You are being provided with the background, explanation, and instructions for the Reciprocal Self-Certification Form (PERS-CASD 801).

You are being provided with the background, explanation, and instructions for the Reciprocal Self-Certification Form (PERS-CASD 801). California Public Employees Retirement System P.O. Box 942709 Sacramento, CA 94229-2709 888 CalPERS (or 888-225-7377) TTY: (877) 249-7442 Fax: (916) 795-4166 www.calpers.ca.gov Employer Account Management

More information

Plan Administrator Guide

Plan Administrator Guide Plan Administrator Guide TABLE OF CONTENTS 3 Secure Employer Website 4 Enrollment Center 5 Billing Management 6 Reports 7 Eligibility and enrollment 8 Special enrollment We provide tools to make it easy

More information

Medical Rate Comparison

Medical Rate Comparison 2019 Medical Rate Comparison Rank & File 2019 Medical Rates with Employer Contribution Rate 2019 Active Medical Rates with Employer Contribution Member Current Monthly Cost Dental Western Dental and CCPOA

More information

No carve outs allowed after 1/1/14. Current carve out groups written prior to 1/1/14 will not. automatically nonrenewing

No carve outs allowed after 1/1/14. Current carve out groups written prior to 1/1/14 will not. automatically nonrenewing Age Band or Composite: Carve Out Criteria: Employer Eligibility: Only age band rates available. Composite rates are not available for groups of 2 to 50 lives. No carve outs allowed except for union vs.

More information

California Public Employees Retirement System 888 CalPERS 888 Employer Account Management Division

California Public Employees Retirement System 888 CalPERS 888  Employer Account Management Division California Public Employees Retirement System P.O. Box 942709 Sacramento, CA 94229-2709 888 CalPERS (or 888-225-7377) TTY: (877) 249-7442 Fax: (916) 795-4166 www.calpers.ca.gov Employer Account Management

More information

Retiree Medical Benefits County of Marin

Retiree Medical Benefits County of Marin January 2018 Retiree Medical Benefits General Information This booklet provides general information about the post-retirement medical benefi ts available to retirees of the. Eligibility and enrollment

More information

Table of Contents Section 2: General Information

Table of Contents Section 2: General Information Table of Contents Section 2: General Information INTRODUCTION... 2.1 WHEN YOU NEED INFORMATION... 2.2 ELIGIBILITY... 2.3 Benefit-Based Employees... 2.3 Non-Benefit-Based Employees... 2.4 Affiliate Organizations...

More information

New Subscriber Enrollment, BCN Primary Care Physician Selection or Change of Status Form

New Subscriber Enrollment, BCN Primary Care Physician Selection or Change of Status Form New Subscriber Enrollment, BCN Primary Care Physician Selection or Change of Status orm Please read the following information before completing the attached New Subscriber Enrollment, BCN-Primary Care

More information

Retirees/beneficiaries/survivors receiving a monthly allowance: 551,627 Active & Inactive members: 1,102,440 Total members: 1,654,067

Retirees/beneficiaries/survivors receiving a monthly allowance: 551,627 Active & Inactive members: 1,102,440 Total members: 1,654,067 California Public Employees Retirement System External Affairs Branch Office of Public Affairs 400 Q Street, Sacramento, CA 95811 (916) 795-3991 phone (916) 795-3507 fax www.calpers.ca.gov FACTS AT A GLANCE

More information

Leave Without Pay. Fact Sheet: Leave Without Pay

Leave Without Pay. Fact Sheet: Leave Without Pay Leave Without Pay Fact Sheet: Leave Without Pay KEY DEADLINES AS SOON AS YOU KNOW YOU WANT TO TAKE A LEAVE Notify your supervisor about your plans Start reviewing your options for continuing benefits during

More information

SMALL GROUP PLAN (1-100) EMPLOYER HEALTH CARE COVERAGE APPLICATION SUTTER HEALTH PLUS

SMALL GROUP PLAN (1-100) EMPLOYER HEALTH CARE COVERAGE APPLICATION SUTTER HEALTH PLUS SMALL GROUP PLAN (1-100) EMPLOYER HEALTH CARE COVERAGE APPLICATION SUTTER HEALTH PLUS! Language Assistance If you have questions about completing this application (in English or another language), please

More information

SUPERIOR COURT OF CALIFORNIA COUNTY OF MARIN SPANISH COURT INTERPRETER FULL-TIME

SUPERIOR COURT OF CALIFORNIA COUNTY OF MARIN SPANISH COURT INTERPRETER FULL-TIME SUPERIOR COURT OF CALIFORNIA COUNTY OF MARIN SPANISH COURT INTERPRETER FULL-TIME Salary: $2,939.20 $3572.80 (Biweekly) $76,419.20 $92892.80 (Annually) Final Filing Date November 28, 2017 at 6:00 p.m. DEFINITION

More information

TABLE OF CONTENTS. OVERVIEW Using This Summary... 3

TABLE OF CONTENTS. OVERVIEW Using This Summary... 3 RETIREE SUMMARY OF BENEFITS 2015 2 TABLE OF CONTENTS OVERVIEW Using This Summary... 3 ELIGIBILITY Retiree Eligibility... 4 Dependent Eligibility... 4 Surviving Spouse/Domestic Partner Continuation Coverage...

More information

ANNUAL BENEFITS ENROLLMENT

ANNUAL BENEFITS ENROLLMENT 2 18 ANNUAL BENEFITS ENROLLMENT RIVERSIDE COUNTY ANNUAL ENROLLMENT: September 11 29, 2017 EXPLORE YOUR COUNTY OF RIVERSIDE BENEFIT OPTIONS This includes enrollment in all County plans: medical, dental,

More information

Full legal name of Company. City County State Zip Mailing address: (If different) Street City State Zip

Full legal name of Company. City County State Zip Mailing address: (If different) Street City State Zip Employer Stop-loss Implementation Questionnaire National General Benefits Solutions Self-Funded Program Instructions for completing this agreement: 1) The employer or employer representative must complete

More information

Employers Pensions and Benefits Administration Manual. Pensions & Benefits. For the Public Employees Retirement System PERS

Employers Pensions and Benefits Administration Manual. Pensions & Benefits. For the Public Employees Retirement System PERS Pensions & Benefits Employers Pensions and Benefits Administration Manual For the Public Employees Retirement System PERS Employers Pensions and Benefits Administration Manual PERS Table Of Contents Enrollments....

More information

Benefits Administration Today

Benefits Administration Today Benefits Administration Today Inefficient Manual Paper-Based Time Consuming We can help coordinate the communication, and the administration of employee benefits. Employee Benefit Websites are Efficient

More information

January 1, 2015 to December 31, 2015 Plan Benefits, Rates and Contribution

January 1, 2015 to December 31, 2015 Plan Benefits, Rates and Contribution City Hall, Room 244 1 Dr. Carlton B. Goodlett Place San Francisco, CA 94102 RE: January 1, 2015 to December 31, 2015 Plan Benefits, Rates and Contribution Honorable Members of the : This letter serves

More information

2019 OPEN ENROLLMENT FREQUENTLY ASKED QUESTIONS

2019 OPEN ENROLLMENT FREQUENTLY ASKED QUESTIONS 2019 OPEN ENROLLMENT FREQUENTLY ASKED QUESTIONS Updated 10/19/2018 Open Enrollment... 3 ELIGIBILITY... 5 Dependent Eligibility... 5 Part-Time Eligibility... 6 Medical... 6 Savings & Spending Accounts...

More information

California Dental Carrier 411 Small Group

California Dental Carrier 411 Small Group California Dental Carrier 411 Small Group Aetna Anthem Blue Cross Blue Shield of California Delta Dental Guardian Health Net Humana Kaiser MetLife Premier Access Principal UnitedHealthcare T: (800) 801-2300

More information

THE CALIFORNIA STATE UNIVERSITY Office of the Chancellor 401 Golden Shore Long Beach, CA (562)

THE CALIFORNIA STATE UNIVERSITY Office of the Chancellor 401 Golden Shore Long Beach, CA (562) THE CALIFORNIA STATE UNIVERSITY Office of the Chancellor 401 Golden Shore Long Beach, CA 90802-4210 (562) 951-4411 Date: May 13, 2004 Code: HR 2004-13 To: From: CSU Presidents Jackie R. McClain Vice Chancellor

More information

Retirement Considerations for CMU Employees Participating in MPSERS

Retirement Considerations for CMU Employees Participating in MPSERS MPSERS Retirement Considerations for CMU Employees Participating Presented by: Mary Lou Morey Presentation Agenda Changes at CMU miaccount for Active Employees & Retirees Eligibility for Retirement, Pension

More information

Retiree Guide to Health and Dental Benefits

Retiree Guide to Health and Dental Benefits Retiree Guide to Health and Dental Benefits Updated as of January 1, 2016 IMPORTANT: This guide is provided as a convenience, and is only intended to act as an informational overview of your benefits.

More information

Retiree Health Benefits

Retiree Health Benefits 2018 County of Kern Retiree Health Benefits IMPORTANT - IMPORTANT - IMPORTANT Important items to note: Health benefits do not continue automatically upon retirement. The retiring employee MUST apply for

More information

California Public Employees Retirement System 888 CalPERS 888 Employer Account Management Division

California Public Employees Retirement System 888 CalPERS 888  Employer Account Management Division Employer Account Management Division Dear Member, You are being provided with the background, explanation, and instructions for the Reciprocal Self-Certification Form (PERS-EAMD 801). Reciprocity among

More information

Commercial Underwriting Package

Commercial Underwriting Package Commercial Underwriting Package Commercial health insurance coverage is available to employer, trust and association groups, subscribers and dependents that meet the qualifications specified in 4235 (c)

More information

CYPRESS-FAIRBANKS ISD RETIREMENT FREQUENTLY ASKED QUESTIONS

CYPRESS-FAIRBANKS ISD RETIREMENT FREQUENTLY ASKED QUESTIONS CYPRESS-FAIRBANKS ISD RETIREMENT FREQUENTLY ASKED QUESTIONS Resignation NOTE: Employees on an August through July pay cycle should review the TRS Standardized School Year Frequently Asked Questions posted

More information

Retirees/beneficiaries/survivors receiving a monthly allowance: 551,627 Active & Inactive members: 1,102,440 Total members: 1,654,067

Retirees/beneficiaries/survivors receiving a monthly allowance: 551,627 Active & Inactive members: 1,102,440 Total members: 1,654,067 California Public Employees Retirement System External Affairs Branch Office of Public Affairs 400 Q Street, Sacramento, CA 95811 (916) 795-3991 phone (916) 795-3507 fax www.calpers.ca.gov FACTS AT A GLANCE

More information

SECTION A - Employer Information 1. Company Name: Full legal name of Company Doing business as (dba): 2. Employer address: Street

SECTION A - Employer Information 1. Company Name: Full legal name of Company Doing business as (dba): 2. Employer address: Street Employer Stop-loss Implementation Questionnaire National General Benefits Solutions Self-Funded Program Instructions for completing this agreement: 1) The employer or employer representative must complete

More information

ROCHESTER INSTITUTE OF TECHNOLOGY Retirement Information for Calendar Year 2018

ROCHESTER INSTITUTE OF TECHNOLOGY Retirement Information for Calendar Year 2018 ROCHESTER INSTITUTE OF TECHNOLOGY Retirement Information for Calendar Year 2018 The following information is applicable for calendar year 2018 only. We will publish a 2019 version when it is available.

More information

Important Messages from Aerospace Employee Benefits 2. Anthem Medicare Preferred PPO with Senior Rx Plus Plan Medical Coverage 5 9

Important Messages from Aerospace Employee Benefits 2. Anthem Medicare Preferred PPO with Senior Rx Plus Plan Medical Coverage 5 9 This 2019 Retiree Open Enrollment Guide is not an employment contract or an offer to enter into an employment contract, nor does it constitute an agreement by the corporation to continue to maintain the

More information

2220 Magnolia Street, Ceres, CA Phone: (209) CITY OF CERES ANNOUNCES AN UPCOMING CAREER OPPORTUNITY FOR

2220 Magnolia Street, Ceres, CA Phone: (209) CITY OF CERES ANNOUNCES AN UPCOMING CAREER OPPORTUNITY FOR 2220 Magnolia Street, Ceres, CA 95307 Phone: (209) 538-5747 CITY OF CERES ANNOUNCES AN UPCOMING CAREER OPPORTUNITY FOR Firefighter OPEN RECRUITMENT BY FCTC INVITATION ONLY Applicants must register and

More information