State of California M E M O R A N D U M To: PERSONNEL MANAGEMENT LIAISONS Date: April 6, 1992 Reference Code: 92-46 THIS MEMORANDUM SHOULD BE DISTRIBUTED TO: Personnel Officers, Personnel Transactions Supervisors and Personnel Transactions Staff From: Department of Personnel Administration Subject: Employees newly appointed to an excluded position (Delta Enhanced) CODE: 40 (Change in bargaining unit) In light of the fact that all excluded employees enrolled in Delta Dental (Enhanced Plan) are now required to pay an employee premium for their dental coverage, newly appointed excluded employees who are enrolled in Delta Dental (Basic Plan) will be allowed to change from Delta to one of the Prepaid dental plans. The Prepaid dental plans are: PMI, DentiCare, and the California Dental Health Plan (CDHP). ENROLLMENT PROCESS Each employee wishing to make a change will need to complete a STD-692, Dental Plan Enrollment Authorization Form within 60 days of the permitting event. The effective date of the change will depend on when a CORRECTLY completed form is received by the State Controller's Office (SCO). Forms must be received by the tenth of the month to be effective the first of the following month. If you have any questions, please contact Nicolas Villa, Statewide Coordinator at (916) 324-9486 or ATSS 454-9486. Patricia Pavone, Chief Benefits and Training Division