EMPLOYEE BENEFITS POLICY AND PROCEDURES MANUAL
EMPLOYEE BENEFITS POLICY & PROCEDURES MANUAL
CEO-RISK MANAGEMENT DIVISION 1010 10TH STREET, STE 5900, MODESTO CA 95354
(209) 525-5717
EMPLOYEE BENEFITS POLICY & PROCEDURES MANUAL
Table of Contents
1. Employee Benefits Contact Information
2. Effective Dates of Coverage
3. Employee Benefits Eligibility Guidelines -Dependent Eligibility Requirements -Local Area Zip Code List
4. Health Insurance Enrollment Procedures
5. Life Events/Enrollment Changes
6. Medical Plan Descriptions ? What is a Health Savings Account (HSA)?
7. Dental Plan Descriptions ? Core Plan ? Buy Up Plan
8. Vision Plan Description
9. Basic and Supplemental Life Insurance ? Evidence of Insurability Form ? Life Insurance Policy
10. Health Insurance Premium Payment Procedures for Unpaid Leave of Absence
11. Termination of Health Insurance Benefits and COBRA Rights
12. Benefit Summaries
13. Mass Mutual Deferred Compensation Plan and Loan Program
14. Flexible Spending Accounts - Dependent Care or Health Reimbursement Account
15. Employee Assistance Program (EAP)
16. Management Disability Plans- Short Term and Long Term (STD, LTD)
17. Death of an Employee/Retiree
18. PARS ? Public Agency Retirement System
19. Self Service Instructions
EMPLOYEE BENEFITS CONTACT INFO
VENDOR
STANISLAUS COUNTY PARTNERS IN HEALTH Providers and Referrals for SCPH
CAPITOL ADMINISTRATORS Claims and Eligibility for SCPH
ANTHEM BLUE CROSS ca
DELTA DENTAL
VISION SERVICE PLAN
MASS MUTUAL DEFERRED COMP retire.
WELLS FARGO HEALTH BENEFIT SERVICES hsa
WAGEWORKS
VOYA/RELIASTAR
HUMANA VOLUNTARY BENEFITS
EAP- ComPsych- Guidance Resources Web ID: MY5848i
PARS- Public Agency Retirement Services- ARS
GROUP #
PHONE NUMBER
CA000496 CA000496 275366 3351 4450000102 150163
(877) 830-7470 (877) 789-8499 (800) 888-8288 (800) 765-6003 (800) 877-7195 (800) 528-9009
Stanislaus County
(866) 884-7374
1428 Policy #31640-7 #50 Stanislaus County
(800) 950-0105 Contact Employee Benefits (877) 378-1505
County of Stanislaus (877) 533-2363
Stanislaus County
(800) 540-6369 Ext 130
CEO-RISK MANAGEMENT DIVISIONEMPLOYEE BENEFITS 1010 10TH STREET SUITE 5900 MODESTO 95354
WEBSITE
EMAIL- countybenefits@
PHONE- 209-525-5717 E-FAX- 209-567-4367 FAX- 209-525-5779
2/15
EMPLOYEE BENEFITS EFFECTIVE DATES OF COVERAGE
NEW HIRES Health Insurance benefits are effective the first of the month, following date of hire. Deductions will be taken, and credits will be given on the first paycheck the employee
receives in their first month of coverage, and semi-monthly thereafter. If there is a third paycheck in the month, no deductions or credits will appear. If the employee does not receive two paychecks in their first month of coverage, then
deductions and credits for benefits will be doubled on their first paycheck.
TERMINATIONS Health Insurance benefits will terminate on the last day of the month of the event of
termination, retirement, unpaid absence or covered leave (FMLA, PDL, CFRA) exhausting. When terminating, the employee must work at least one full scheduled day in the month to
get coverage for that month. COBRA, if elected, will be effective the first of the month following date of termination.
LIFE EVENTS/ENROLLMENT CHANGES All enrollment changes outside of open enrollment must be made within 30 days from the
date of the event. Eligibility and premium changes due to a marriage, divorce or over age dependent will be
effective the first of the month following the qualifying event date. Eligibility changes due to the birth of a baby are effective the date of birth, however change in
premium will take effect the first of the following month. Eligibility changes due to an adoption are effective the date the child was placed in the home
for adoption, however change in premium will take effect the first of the following month.
1/1/13
RETURNING FROM LEAVE OF ABSENCE/SUSPENSION If health insurance premiums are being paid by the employee while on unpaid absence,
County paid benefits will resume the first of the month following your return to full-time employment. If your health insurance was canceled due to non-payment of premiums while on an unpaid absence, County paid benefits will resume the first of the month following your return to fulltime employment. There is also a possibility of an adjustment of premiums on your paycheck when you return. If you are enrolled in a Flexible Spending Account, you are responsible for the admin fee while on unpaid leave. If you fail to pay the admin fee while you are out, your paycheck will be adjusted accordingly when you return to paid status. There will also be an adjustment to your semi-monthly contribution to the FSA account in order to meet your Annual Pledge.
1/1/13
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