WebCalHR California Department of Human Resources Page 2 . MetLife Standard Plan* Group Number: 74503 . Dental Org. Code: 351-016 . Party Code Total Premium . Party Code 1 $15.74 ... Vision Service Plan (VSP) 3333 Quality Drive . Rancho Cordova, CA 95670 (800) 400-4569 . FAX: (916) 389-8304 . WebVision Plan, the Retiree Vision Authorization form (CalHR 695) must be completed and returned to your personnel office within 60 days of your retirement date. the month following the end of your coverage as an active state and once the Retiree Vision deduction/payment is established. Contact VSP for additional information regarding your enrollment
Dental Benefits - CalHR - California
WebMar 17, 2024 · The California Department of Human Resources (CalHR) administers the state's Vision Care Program and maintains the contract between the state and the … WebComplete the CalHR 695 form and submit to your personnel office within 60 days from your retirement date. New retirees have up to 60 days from your retirement date or End of COBRA date to enroll in a vision plan option. Please note: ... blindsight characters
2024 Dental and Vision Plan Deduction Codes and Premiums
WebFeb 13, 2024 · The State of California offers you a choice of two vision plans. The Basic Vision Plan will be provided at no cost to you, or you can upgrade to the Premier Vision Plan for a small monthly premium. Vision benefits are provided by Vision Service Plan … You and your dependents may be eligible for state-sponsored dental insurance … Webmust have their state agency complete a Vision Plan Enrollment Authorization (STD 700). The employee must complete a Premier Vision enrollment form (CALHR 774) which also has to be signed by the state agency representative. Your Premier Vision coverage will be effective the first of the month following the pay period in which WebThe Basic Vision Plan will be provided at no cost to you, or you can upgrade to the Premier Vision Plan for a small monthly cost. 2024 Vision Plan Premiums. For more … blindsight camera