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1. What does “Passive Enrollment” mean?

Passive enrollment allows employees to simply keep their current benefit elections.   If no changes are required to your benefit elections, no action required.

Please make note; if the following applies to you, a Benefit Election Worksheet in addition to a Benefit Enrollment or Change form is required.

• Changing you medical plan for the new calendar year. 
• Changing dependents for the new calendar year; including adding or deleting dependents.
• Enrolling in FSA for the new calendar year. FSA requires an annual re-enrollment. 
• If you are requesting to allocate Cafeteria Dollars differently than the previous year such as applying more or less Cafeteria dollars to FSA. 

2. If, I am currently enrolled in a Flexible Spending Account and want to continue enrollment for the same dollar amount into the next calendar year; do I need to take action.

Yes, Flexible Spending Account contributions require an annual re-enrollment.

3. I have less than $550 in my Flexible Spending Account; do I need to take any action to roll over the funds to the new calendar year.

No, any funds remaining in an FSA account at the end of the calendar year will be automatically rolled over after the 3 month grace period. Grace period is provided to allow employees time to submit and process receipts for the previous calendar year.

4. I want to change my Deferred Compensation contributions for the new calendar year; do I need to complete a Benefit Election Worksheet.

Yes, if submitting your paperwork during the Open Enrollment period and wish to have the change effective for the new calendar year.

5. I have waived medical coverage through the City for the current calendar year and am waiving coverage for the new calendar year. Do I need to take any action?

No, no action require as long as you have provided the City with proof of other coverage in the past. 

*If your circumstances have changed and you no longer have other coverage you will need to submit a Benefit Election worksheet.

6. How do I compare Medical Plans and where do I find this information?

Log onto CalPERS to view your current medical insurance election, view current premium rate change for new calendar year, compare plans and use auto CalPERS HBD-12 form generator (HBD-12 print and submit to HR with Benefit Election Worksheet).

7. How do I complete the Benefit Election Worksheet?

See Benefit Election Worksheet Instructions and or Benefit Election Worksheet How to Presentation.  

8. Who Qualifies for Cash in Lieu?

MOU	Cash-In-Lieu
MFMA	No Cash-In-Lieu Option
FFA	Those hired on or After July 1, 2019, no cash-in-lieu option
POA	No Cash-In-Lieu Option
MPMA	No Cash-In-Lieu Option
MGEA	Those hired on or After July 31, 2019, no cash-in-lieu option
MSA	Those hired on or after October 31 2019, No Cash-In-Lieu Option
M&C	Those hired on or after October 01 2019, No Cash-In-Lieu Option

9. How are Cafeteria Dollars Distributed?

Cafeteria (Caf) dollars assist with funding medical plan or Flexible Spending	M & C	MGEA	MSA	POA	MPMA	MFFA	MFMA
	Total Caf $1562.56 Medical Caf $833.43 Remaining Caf $729.13	Total Caf $1562.56 Medical Caf $833.43 Remaining Caf $729.13	Total Caf $1562.56 Medical Caf $833.43 Remaining Caf $729.13	Total Caf $1662.56 Medical Caf $933.43 Remaining Caf $729.13	Total Caf $1662.56 Medical Caf $933.43 Remaining Caf $729.13	Total Caf $1905.66 Medical Caf $833.43 Remaining Caf $1072.23	Total Caf $2005.66 Medical Caf $933.43 Remaining Caf $1072.23

10. What can Cafeteria dollars be used to fund?

You can use your Cafeteria Dollars to fund a CalPERS Health Insurance Plan, Flexible Spending Account (Medical or Dependent Care), or Taxable Cash if applicable above.

11. How do I compare Medical Plans and where do I find this information?

Log onto CalPERS to view your current medical insurance election, view current premium rate change for new calendar year, compare plans and use auto CalPERS HBD-12 form generator (HBD-12 print and submit to HR with Benefit Election Worksheet).

12. How do I complete the Benefit Election Worksheet?

See Benefit Election Worksheet Instructions and or Benefit Election Worksheet How to Presentation.  

13. How do I complete the FSA Enrollment Form?

Participant Plan Effective Date: 1/1/2021

First Payroll date: 1/14/2021

 

Employee Annual Salary – This is the Employee Out of Pocket contribution (Section 6 on Benefit Election Worksheet).

Employer Annual Contribution – This is where an employee will place any allocated Cafeteria dollars.

Maximum Employee Annual Election – Add the two Columns for a total Contribution to FSA.

 

14. I want to change my Deferred Compensation contributions for the new calendar year; do I need to complete a Benefit Election Worksheet.

Deferred Compensation (ICRMA-RC & Nationwide)

Yes, if submitting your paperwork during the Open Enrollment period and wish to have the change effective for the new calendar year.