• 501. General Information
• 502. Current State-Sponsored Dental Plans
• 503. Responsibilities
• 504. Dental Plan Deduction Codes/Premiums
• 505. Employee Eligibility
• 506. State Dental Plan Restriction for Newly Hired State Employees
• 507. CCPOA Benefit Trust Fund Dental Enrollment
• 508. Dependent Eligibility
• 509. Intentionally Unused
• 510. Enrollment
• 511. Allowable Changes to Enrollment
• 512. Effective Dates
• 513. Re-Enrollment of Employees
• 514. Annual Open Enrollment Period
• 515. Continuation of Coverage While Off Pay Status
• 516. 120-Day Survivor Death Benefit for Continuation of Benefits
• 517. Retiring Employees
• 518. Cancellation/Termination of Dental Enrollment/Coverage
• 519. Consolidated Omnibus Budget Reconciliation Act (COBRA)
• 520. Document Completion
• 521. Dental Carriers/Benefit Information

• View all Section 500

  Attachments

• Attachment A - Dental Plan Enrollment Authorization (Std. 692)
• Attachment B - Dental Deduction Codes/Premiums
• Attachment C - Permitting Events Code Chart
• Attachment D - Affidavit of Eligibility
• Attachment E - HDB-34
• Attachment F - Dental Plan Direct Payment Authorization (Std. 696)
• Attachment G - Affidavit of Eligibility - Domestic Partner (DPA 680)
• Attachment H - Instructions for Completion of Dental Plan Enrollment Authorization (Std. 692)
• Attachment I - Examples of Completed Std. 692
• Attachment J - Delta Form 602A (blank form)
• Attachment J1 - Delta Form 602A (example)

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• Table of Contents

513. Re-Enrollment Of Employees

Reinstatement after Leave of Absence

Coverage in the same dental plan is automatically restored, effective the first of the month after the first pay warrant is issued by SCO, provided no cancellation was processed prior to, or during the leave of absence. However, if the employee cancelled coverage, the employee must wait until the next open enrollment period to re-enroll. In certain situations, if the employee is off pay status for more than one pay period, an enrollment document may be required to re-enroll the employee when they return to pay status. Departments should check the monthly payroll register to see if the employee's dental deduction is shown. If the deduction is not shown, it will be necessary to contact SCO.

Reinstatement after Appeal

SCO requires that a STD. 674, Payroll Adjustment Notice, be submitted to reinstate an employee's benefit deductions (dental and vision), if the employee is mandatorily reinstated after a termination/suspension and had his/her dental coverage terminated. The effective date can be current or retroactive, depending on whether the employee used the dental and/or vision coverage.

Coverage continues for an employee who separates from State service, but who is reinstated without a break in service of more than one pay period. The department should confirm that the proper dental deduction is shown on the employee's first payroll warrant issued after reinstatement. If not shown, contact SCO for assistance to reinstate deductions. In certain non-mandatory reinstatements with a break of more than one pay period, the dental deduction may show on the employee's warrant, and the Personnel Office should ensure that the employee is eligible for the coverage. If not eligible, a STD. 692, should be submitted to SCO to cancel dental and STD 700 to cancel vision coverage.

Retired Annuitants

Retired annuitants who temporarily return to State employment are not eligible to enroll in a dental plan as active employees; their dental eligibility is established and maintained based on their retirement status through CalPERS.

A retired annuitant who cancels his/her retirement and permanently returns to State employment is eligible to enroll in a dental plan as an active employee based on his/her bargaining unit designation. A new STD. 692 will need to be submitted to SCO for enrollment.