WebTo enroll, complete the appropriate enrollment form and submit it to your department’s personnel office before April 30, 2024. SEIU employees in bargaining units 1, 3, 4, 11, 14, … WebSep 9, 2024 · • STD. 702 – excluded and BU 2 and 7 employees • STD. 701C – employees in all other BUs • HBD-12 and/or STD. 692 – if currently enrolled in state-sponsored health and/or dental insurance and electing to enroll in a cash option, submit the applicable health and/or dental form to cancel coverage.
Forms
WebCash Option Enrollment Authorization (std. 701C) Flex Enrollment (Cancels) OR Cash Option Enrollment Authorization (std. 701C) Flex Enrollment (News/Changes) OR Reimbursement Account Enrollment Authorization (Std. 701R) Flex Reimbursements 2) Will it be a separate check or on his warrant? fcporto shop
California Revenue and Taxation Code Section 23701c
WebAgencies must submit STD. 674 to establish accounts receivable to recover the Flex Elect or CoBen Cash amount received in error, and submit Flex Elect Cash benefit cancellations forms STD. 701C or STD. 702 to remove Flex Elect or CoBen Cash. Please refer to the accounts receivable process in Section I of the PPM. WebBenefits - Std. 701C Flex New Establish the FlexElect benefit attached to health and/or dental benefits Benefits - Std. 701C Flex PI Inquiry- Establish, change, or cancel the … WebEnrollment Authorization (STD. 701C), and Consolidated Benefits (COBEN) Cash Enrollment Election (STD. 702) forms were updated 4/2024. The revision to the STD. 701C and STD. 702 notifies employees their enrollment will be ... FLEXELECT AND CONSOLIDATED BENEFITS FORM REVISIONS Author: DGS HR Memorandum 17-017 fc porto vs bayern