Health
Dental/Vision
ACAS
Flex/COBEN
PI control period
100

What section of the HBD 12 form is completed by the PS?

What is section H

100

What form is used for basic vision enrollment?

What is the STD 700

100

How much is the penalty A (NO COVERAGE PENALITY) per fulltime employee if the state fails to offer health coverage to at least 95% of it’s full-time employees?

What is $2000.00 per fulltime employee

100

What form is used for Medical Reimbursements Accounts?

What is STD 701R

100

How many hours in a control period does a PI need to have to qualify for benefits?

What is 480 hours

200

What is the 2023 plan premium for a party code of 2 for PERS Platinum?

What is $2167.78

200

During open enrollment how should employees enroll or make changes to their vision plans?

What is directly through VSP

200

What screen in SCOPROD would you use to key ACA status and employees race or ethnicity?

What is ACAS

200

Who is eligible for COBEN?

What is Rank-and-file employees in Bargaining Units 2, 7, 8, 16, 17, 18, 19 and excluded employees.

200

What is the effective date if benefit documents are received on July 28th?

What is August 1st

300

If a new to state hire turns in their health enrollment form after the 60 days what are their two options for enrollment?

What is the HIPPA waiting period or Open Enrollment

300

What is the permitting event code for a voluntary cancellation of basic vision?

What is code 36a

300

How many days in advance can you key in the ACAS?

What is 45 days

300

What is the annual maximum for Dependent Care Reimbursement Account?

What is $5000.00
300

When is a PI considered to be "on" pay status?

What is when they are currently working 

400

What government code covers Public Employees Medical and Hospital Care Act (PEMHCA)?

What is government code 22750–22944

400

What permitting event code is used for cancellation due to death of employee for the premier vision plan?

What is code 62

400

What ACAS code is to accept health benefits within 60 days?

What is 3A

400

What is the maximum amount an employee can receive from the Flex Cash Option?

What is $140.00

400

When should a PI enroll in flex?

What is during the Open Enrollment period

500

What is the CalPERS health event reason code for an Employee enrolling due to a late enrollment (effective 1st of the month following a 90 day wait period) or involuntary loss of other coverage

What is Late or Loss of Coverage 

500

What are the three Indemnity Dental Plans?

What is Delta Dental PPO, Delta Dental PPO Plus Premier Basic, Delta Dental PPO Plus Enhanced

500

What two codes should always be keyed at the same time?

What is the 2D and 1A code

500

What is the COBEN allowance for a family of a BU 2 EE and what does the COBEN allowance cover?

What is $1888 and it covers health, dental and vision

500

What is the permitting event code for New Enrollment for PI's for Dental?

What is 04

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