Taking Benefits Actions

Health & Welfare Plans

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

Blue Shield Health Savings PPO Plan(link is external)

UC Care PPO Plan(link is external)

Health Net Blue & Gold HMO(link is external)
Kaiser HMO(link is external)

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

[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 the employee completes a Statement of Health form (PDF file)(link is external)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 (PDF file)(link is external)to Berkeley Regional Services via a ServiceHub(link is external) ticket. Enrollment is on the 91st day after Central HR Benefits receives the UPAY 850 form.