Taking Benefits Actions

Health & Welfare Plans

Benefits PlansWhen Can I Take Action?Who Pays Premium?Plan Administrator
  PIE[1] OE[2] SOH[3] 90-day[4] Auto Anytime UC EE  

Blue Shield Health Savings PPO Plan

UC Care PPO Plan

Health Net Blue & Gold HMO
Kaiser HMO

Medical – Core       Core
Dental         Delta PPO
DeltaCare (was PMI)
Vision         Vision Service Plan (VSP)
Short-Term Disability             UC (Liberty Mutual)
Supplemental Disability           UC (Liberty Mutual)
Workers’ Compensation             UHS Disability Management Services
Basic Life             UC (Prudential)
Core Life       UC (Prudential)
Supplemental Life           UC (Prudential)
Basic Dependent Life           UC (Prudential)
Expanded Dependent Life           UC (Prudential)
AD&D             UC (AIG)
Legal           ARAG
Health FSA           CONEXIS
DepCare FSA           CONEXIS
TIP             UC

[1]PIE: Period of Initial Eligibility. Lasts for 31 days beginning on the date of the eligible event (e.g., date of hire, newborn dependent's date of birth).

[2]OE: Open Enrollment. Occurs once a year, usually around the end of October and part of November. Plan changes and rates for the following calendar year are available. Employees who want Flexible Spending Accounts for the following year must enroll or re-enroll. Employees can make changes to enrollments or add eligible family members to the Medical, Dental, and Vision plans. The Legal plan is available for enrollment occasionally.

[3]SOH: Statement of Health. Requires that employee completes a Statement of Health form and that the insurance carrier approves enrollment. This process can take several months.

[4]90-day:  Employee can enroll in coverage with a 90-day waiting period. Submit UPAY 850 Enrollment form to Berkeley Regional Services via a ServiceNow ticket. Enrollment is on the 91st day after Central HR Benefits receives the UPAY 850 form.