Permanent intermittent (PI) employee is currently enrolled in his own State-sponsored medical and dental insurance plans. The PI has his dependent enrolled under both his medical and dental plans.
The PI's spouse/domestic partner, who is not a State employee, is currently enrolled in her own private industry sponsored medical and dental insurance and currently does not cover the PI and their dependent on her plans.
Desired flexelect elections
The PI wants to enroll in FlexElect for the Cash Option in lieu of his own State-sponsored medical and dental insurance plan.
Action required
The PI must complete a STD. C to enroll in FlexElect. He must also complete an HBD- and a STD. to cancel his own medical and dental insurance. The PI's spouse/domestic whatsapp number list must add employee and their dependent on her private industry medical and dental insurance plans. The PI is responsible for ensuring that he and their dependent is added to his spouse's/domestic partner's coverage no later than January.
The PI's Personnel Office will complete the "Agency Use Only" section of each form; and ensure that all forms are completed accurately and submit only the HBD- and STD. to SCO to cancel his medical and dental coverage. The Personnel Office will retain the STD. C. After completion of the January through June control period, if the PI has met all of the eligibility criteria, the Personnel Office will submit the STD. C and STD. to SCO to request the cash payment.
Examples: - Newly Eligible After Open Enrollment
Employee is a new hire to State service, appointed February , to a permanent full-time position. Employee is covered under her spouse's/domestic partner's medical and dental plans. Employee has declined enrollment into her own State-sponsored medical plan, but wants her own State-sponsored dental plan.
Desired flexelect elections
Employee wants to enroll in FlexElect for the Cash Option in lieu of a State-sponsored medical plan. Employee wants her own State-sponsored dental plan.
Employee could also enroll into the Medical and/or Dependent Care Reimbursement Accounts, if she so desires.
Action required
Employee must complete a STD. C (within days of her appointment) to enroll in FlexElect. Employee must also complete a STD. to enroll in a State-sponsored dental plan. Employee must complete an HBD- to decline enrollment in a State-sponsored medical plan.
Spouse/Domestic Partner must complete a STD. to delete employee from his dental plan. (Dual coverage is not allowed).
Employee's Personnel Office must assemble the employee's STD. C, HBD- and STD. and his spouse's/domestic partner's STD. Spouse's/Domestic Partner's Personnel Office must complete the "Agency Use Only" section of the spouse's/domestic partner's form and send the form to the employee's Personnel Office.
Employee's Personnel Office must complete the "Agency Use Only" section of the employee's forms; receive and review spouse's/domestic partner's form to ensure that it is completed accurately and submit the entire package to SCO.
The PI's Personnel Office will complete the "Agency Use Only" section of each form; and ensure that all forms are completed accurately and submit only the HBD- and STD. to SCO to cancel his medical and dental coverage. The Personnel Office will retain the STD. C. After completion of the January through June control period, if the PI has met all of the eligibility criteria, the Personnel Office will submit the STD. C and STD. to SCO to request the cash payment.
Examples: - Newly Eligible After Open Enrollment
Employee is a new hire to State service, appointed February , to a permanent full-time position. Employee is covered under her spouse's/domestic partner's medical and dental plans. Employee has declined enrollment into her own State-sponsored medical plan, but wants her own State-sponsored dental plan.
Desired flexelect elections
Employee wants to enroll in FlexElect for the Cash Option in lieu of a State-sponsored medical plan. Employee wants her own State-sponsored dental plan.
Employee could also enroll into the Medical and/or Dependent Care Reimbursement Accounts, if she so desires.
Action required
Employee must complete a STD. C (within days of her appointment) to enroll in FlexElect. Employee must also complete a STD. to enroll in a State-sponsored dental plan. Employee must complete an HBD- to decline enrollment in a State-sponsored medical plan.
Spouse/Domestic Partner must complete a STD. to delete employee from his dental plan. (Dual coverage is not allowed).
Employee's Personnel Office must assemble the employee's STD. C, HBD- and STD. and his spouse's/domestic partner's STD. Spouse's/Domestic Partner's Personnel Office must complete the "Agency Use Only" section of the spouse's/domestic partner's form and send the form to the employee's Personnel Office.
Employee's Personnel Office must complete the "Agency Use Only" section of the employee's forms; receive and review spouse's/domestic partner's form to ensure that it is completed accurately and submit the entire package to SCO.
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