State of California M E M O R A N D U M REFERENCE CODE: 2004-043 DATE: August 27, 2004 TO: Personnel Officers Personnel Transactions Supervisors Personnel Transactions Staff FROM: Department of Personnel Administration Benefits Division SUBJECT: Minor Correction to Attachment III of the 2004 Open Enrollment Memorandum CONTACT: Bryan Bruno, Benefits Program Analyst (916) 445-9841, CALNET 485-9841 FAX: (916) 322-3769 Email: BryanBruno@dpa.ca.gov This memo provides information regarding a minor correction to Attachment III of the 2004 Open Enrollment memorandum (PML 2004-039), dated August 18, 2004, referring to the Dental, FlexElect, and CoBen Programs, 2005 dental plan premiums, and the merger of Health Net and SafeGuard Dental Plans. Please make note that the administrative fee on Attachment III has been corrected to reflect the previous change of the administrative fee to $1.22. If you have any questions regarding this information, please contact Bryan Bruno, Benefits Program Analyst, at (916) 445-9841 or CALNET 485-9841. Sincerely, Debbie Endsley, Chief Benefits Division