reglab/statecodes huggingface dataset:
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.2 - Judges' Retirement Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement Fund › Section 599.123 - Vesting of Benefits upon Certain Events

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A member's right to his or her accrued benefits shall
						become nonforfeitable on (a) attainment of the normal retirement age required
						to entitle such a member to receive a service retirement allowance or (b)
						termination of the plan, to the extent funded, subject to Sections
						7522.70,
						7522.72,
						7522.74,
						75033.1
						and
						75033.2 of
						the Government Code, as applicable.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75005,
						  Government Code. Reference: Section
						  75005,
						  Government Code; Section
						  411(d)(3), Title
						  26, United States Code; and 26 C.F.R. part
						  1.411(d)-2.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.2 - Judges' Retirement Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement Fund › Section 599.124 - Minimum Required Distributions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Notwithstanding any other provision of the plan to the
						contrary, in complying with the requirements of Sections
						20731,
						75085.1
						and
						75088.3 of
						the Government Code, distributions from the plan shall be made in accordance
						with a reasonable and good faith interpretation of Section
						401(a)(9) of the
						Internal Revenue Code, including the incidental death benefit requirement in
						Section 401(a)(9)(G) and
						the Treasury Regulations thereunder, pursuant to 26 C.F.R. part 1.401(a)(9)-1,
						Q&A-2(d).
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75005,
						  Government Code. Reference: Sections
						  20731,
						  75005,
						  75085.1
						  and
						  75088.3,
						  Government Code; Section
						  401(a)(9), Title
						  26, United States Code; and 26 C.F.R. part 1.401(a)(9)-1,
						  Q&A-2(d).
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.3 - Judges' Retirement System II Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement System II Fund › Section 599.140 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For the purpose of the regulations contained in this
						subchapter, the term "board" means Board of Administration, Public Employees'
						Retirement System; and the term "the plan" or "system" means the Judges'
						Retirement System II.
1. New
						subchapter 2.3, article 1 (sections
						599.140-599.146) and section filed
						2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121,
						  75502 and
						  75505,
						  Government Code. Reference: Sections
						  75502 and
						  75505,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.3 - Judges' Retirement System II Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement System II Fund › Section 599.141 - Compliance with Section 401(a) of the Internal Revenue Code

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The Judges' Retirement System II is intended to
						constitute a governmental plan within the meaning of Section
						414(d) of the
						Internal Revenue Code, and as such, the system and all benefits payable
						thereunder are intended to satisfy all requirements of Section
						401(a) of the
						Internal Revenue Code that apply to such a governmental plan.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75505,
						  Government Code. Reference: California Constitution, Article XVI, Section
						  17; Section
						  75505,
						  Government Code; and Sections
						  401(a) and
						  414(d), Title 26,
						  United States Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.3 - Judges' Retirement System II Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement System II Fund › Section 599.142 - Exclusive Benefit Requirement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pursuant to Internal Revenue Code Section
						401(a)(2), the
						corpus or income of the Judges' Retirement System II's trust may not be
						diverted to or used for purposes other than the exclusive benefit of the
						members or their beneficiaries, nor shall there be a reversion of trust funds
						except as permitted by IRS Revenue Ruling 91-4, 1991-1 C.B.
						57.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75505,
						  Government Code. Reference: California Constitution, Article XVI, Section
						  17; Section
						  75505,
						  Government Code; and Section
						  401(a)(1)-(2),
						  Title 26, United States Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.3 - Judges' Retirement System II Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement System II Fund › Section 599.143 - Vesting of Benefits upon Certain Events

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A member's right to his or her accrued benefits shall
						become nonforfeitable on (a) attainment of the normal retirement age required
						to entitle such a member to receive a service retirement allowance or (b)
						termination of the plan, to the extent funded, subject to Sections
						7522.70,
						7522.72,
						7522.74,
						75526,
						75562 and
						75563 of
						the Government Code, as applicable.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75505,
						  Government Code. Reference: Section
						  75505,
						  Government Code; Section
						  411(d)(3), Title
						  26, United States Code; and 26 C.F.R. part
						  1.411(d)-2.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.3 - Judges' Retirement System II Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement System II Fund › Section 599.144 - Minimum Required Distributions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Notwithstanding any other provision of the plan to the
						contrary, in complying with the requirements of Sections
						20731,
						75085.1
						and
						75088.3 of
						the Government Code, distributions from the plan shall be made in accordance
						with a reasonable and good faith interpretation of Section
						401(a)(9) of the
						Internal Revenue Code, including the incidental death benefit requirement in
						Section 401(a)(9)(G) and
						the Treasury Regulations thereunder, pursuant to 26 C.F.R. part 1.401(a)(9)-1,
						Q&A-2(d).
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75505,
						  Government Code. Reference: Section
						  75505,
						  Government Code; Section
						  401(a)(9), Title
						  26, United States Code; and 26 C.F.R. part 1.401(a)(9)-1,
						  Q&A-2(d).
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.3 - Judges' Retirement System II Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement System II Fund › Section 599.145 - Application of Compensation Limit in Section 401(a)(17) of the Internal Revenue Code

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Notwithstanding any other provision of the plan to the
						contrary, in complying with the requirements of Section
						75572 of
						the Government Code, the limitations of Section
						401(a)(17) of the
						Internal Revenue Code, as adjusted prospectively pursuant to Section
						415(d) of the
						Internal Revenue Code, are incorporated by reference.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75505,
						  Government Code. Reference: Section
						  75505,
						  Government Code; and Sections
						  401(a)(17) and
						  415(d), Title 26,
						  United States Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.3 - Judges' Retirement System II Fund Regulations › Article 1 - Plan Qualification Requirements for the Judges' Retirement System II Fund › Section 599.146 - Compliance with Section 401(a)(31)(B) of the Internal Revenue Code

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In complying with the requirements of Section
						7513 of
						the Government Code and Section
						401(a)(31)(B) of
						the Internal Revenue Code (and subject to Section
						75613 of
						the Government Code), in the event of a mandatory distribution greater than
						$1,000 where the member does not elect to have such distribution paid directly
						to an eligible retirement plan specified by the member in a direct rollover or
						to receive a distribution directly, such distribution shall be paid in a direct
						rollover to an individual retirement plan designated by the
						board.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  20121 and
						  75505,
						  Government Code. Reference: Sections
						  7513,
						  75521 and
						  75505,
						  Government Code; and Section
						  401(a)(31)(B),
						  Title 26, United States Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.4 - Legislators' Retirement Fund Regulations › Article 1 - Plan Qualification Requirements for the Legislators' Retirement Fund › Section 599.160 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For purposes of the regulations contained in this
						subchapter, the term "the plan" or "system" means the Legislators' Retirement
						System.
1. New
						subchapter 2.4, article 1 (sections
						599.160-599.164) and section filed
						2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  9353,
						  9354.1 and
						  20121,
						  Government Code. Reference: Sections
						  9350.2 and
						  9353,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.4 - Legislators' Retirement Fund Regulations › Article 1 - Plan Qualification Requirements for the Legislators' Retirement Fund › Section 599.161 - Compliance with Section 401(a) of the Internal Revenue Code

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The Legislators' Retirement System is intended to
						constitute a governmental plan within the meaning of Section
						414(d) of the
						Internal Revenue Code, and as such, the system and all benefits payable
						thereunder are intended to satisfy all requirements of Section
						401(a) of the
						Internal Revenue Code that apply to such a governmental plan.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  9353,
						  9354.1 and
						  20121,
						  Government Code. Reference: California Constitution, Article XVI, Section
						  17; Sections
						  9353 and
						  9354.1,
						  Government Code; and Sections
						  401(a) and
						  414(d), Title 26,
						  United States Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.4 - Legislators' Retirement Fund Regulations › Article 1 - Plan Qualification Requirements for the Legislators' Retirement Fund › Section 599.162 - Exclusive Benefit Requirement

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Pursuant to Internal Revenue Code Section
						401(a)(2), the
						corpus or income of the Legislators' Retirement System's trust may not be
						diverted to or used for purposes other than the exclusive benefit of the
						members or their beneficiaries, nor shall there be a reversion of trust funds
						except as permitted by IRS Revenue Ruling 91-4, 1991-1 C.B.
						57.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  9353,
						  9354.1 and
						  20121,
						  Government Code. Reference: California Constitution, Article XVI, Section
						  17; Sections
						  9353 and
						  9354.1,
						  Government Code; and Section
						  401(a)(1)-(2),
						  Title 26, United States Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.4 - Legislators' Retirement Fund Regulations › Article 1 - Plan Qualification Requirements for the Legislators' Retirement Fund › Section 599.163 - Vesting of Benefits upon Certain Events

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
A member's right to his or her accrued benefits shall
						become nonforfeitable on (a) attainment of the normal retirement age required
						to entitle such a member to receive a service retirement allowance or (b)
						termination of the plan, to the extent funded, subject to Sections
						7522.70,
						7522.72
						and
						7522.74 of
						the Government Code, as applicable.
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  9353,
						  9354.1 and
						  20121,
						  Government Code. Reference: Sections
						  9353 and
						  9354.1,
						  Government Code; Section
						  411(d)(3), Title
						  26, United States Code; and 26 C.F.R. part
						  1.411(d)-2.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 2.4 - Legislators' Retirement Fund Regulations › Article 1 - Plan Qualification Requirements for the Legislators' Retirement Fund › Section 599.164 - Minimum Required Distributions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Notwithstanding any other provision of the plan to the
						contrary, in complying with the requirements of Section
						20731 of
						the Government Code, distributions from the plan shall be made in accordance
						with a reasonable and good faith interpretation of Section
						401(a)(9) of the
						Internal Revenue Code, including the incidental death benefit requirement in
						Section 401(a)(9)(G) and
						the Treasury Regulations thereunder, pursuant to 26 C.F.R. part 1.401(a)(9)-1,
						Q&A-2(d).
1. New
						section filed 2-23-2015; operative 4-1-2015 (Register 2015, No.
						9).
Note: Authority cited: Sections
						  9353,
						  9354.1 and
						  20121,
						  Government Code. Reference: Sections
						  9353,
						  9354.1 and
						  20731,
						  Government Code; Section
						  401(a)(9), Title
						  26, United States Code; and 26 C.F.R. part 1.401(a)(9)-1,
						  Q&A-2(d).
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.501 - Coverage

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each employee
					 or annuitant other than those excluded by subsections (b) or (c) below, is
					 eligible to be enrolled in a health benefits plan at the times and under the
					 conditions prescribed in this subchapter, provided however that no person shall
					 be enrolled in a supplemental plan who at the time of enrollment is not also
					 enrolled under Part A and Part B of Medicare. An eligible employee or annuitant
					 enrolled in both Parts A and B of Medicare, or who has a family member who is
					 so enrolled, may be enrolled in a basic plan contracted for by the Board with
					 respect to persons not enrolled in Parts A and B, and in a supplemental plan
					 with respect to all persons enrolled in Parts A and B.
(b) Employees in the following groups are not
					 eligible:
(1) Employees serving under:
(A) Intermittent appointments except where
					 employment is on a permanent basis.
(B) Appointments to positions for which
					 contributions are made by the employer to health and welfare programs providing
					 prepaid hospital and medical care in accordance with Sections
					 14876 and
					 19831 of
					 the Government Code, or other similar provisions; or appointments to positions
					 for which salary payment is made in lieu of payment to health and welfare
					 programs providing prepaid hospital and medical care; or
(C) Appointments to positions not exceeding
					 six months duration unless the employee is enrolled prior to beginning service
					 under such appointment or unless the appointment is in lieu of a permanent
					 appointment pending establishment of and certification from a list from which
					 the position may be filled.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.502 - Enrollment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Type of
					 Enrollment. An eligible employee or annuitant may enroll for self alone, self
					 and one family member or self and two or more family members. If he or she
					 enrolls for other than self alone, he or she shall enroll all eligible family
					 members. All eligible family members shall be enrolled under the enrollment of
					 only one employee or annuitant. The following family members are not required
					 to be enrolled:
(1) A family member covered
					 under another basic group plan that is not contracted for or approved by the
					 Board;
(2) A family member who is a
					 spouse not living in the member's household; or
(3) A family member who is a child who has
					 attained the age of 18; or
(4) A
					 family member who is a member of the armed forces.
(5) A plan shall not be liable for benefits
					 for a family member, other than as provided in Sections
					 599.502(e)(1)(E)
					 and 599.503(c), nor
					 shall an employee or annuitant be obligated for an increased premium or charge
					 because of such member unless he or she has been included by name in the
					 employee's or annuitant's enrollment.
(6) Upon discovery that a family member
					 required to be enrolled has not been so included, except as provided in
					 Sections 599.502(e)(1)(E)
					 and 599.503(c), the
					 employee or annuitant shall be given notice that all coverage of family members
					 will cease on the last day of the following month unless he or she has changed
					 his or her enrollment to include such family members prior to the cessation of
					 such coverage.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.505 - Cancellation of Enrollment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An enrolled employee or annuitant may
					 cancel his or her enrollment at any time by filing with his or her employing
					 office a properly completed Health Benefits Plan Enrollment Form requesting
					 such cancellation. The effective date of cancellation shall be midnight of the
					 last day of the month in which the enrollment form is received by the employing
					 office.
(b) Upon cancellation, an
					 employee or annuitant and the members of his or her family are not entitled to
					 convert to an individual health benefits contract.
1.
						Amendment of subsections (a) and (c) filed 6-15-79; designated effective 8-1-79
						(Register 79, No. 24). For prior history, see Register 69, No. 8.
2.
						Amendment of subsections (a) and (c) filed 6-27-80; designated effective 8-1-80
						(Register 80, No. 26).
3. Repealer of subsection (c) filed 6-9-86;
						effective thirtieth day thereafter (Register 86, No. 24).
4. Change
						without regulatory effect amending NOTE filed 10-31-2006 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2006, No. 44).
Note: Authority cited: Sections
						  22794,
						  22796 and
						  22846(a),
						  Government Code. Reference: Section
						  22846(a),
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.506 - Termination of Enrollment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 An employee's enrollment ceases at midnight of the earliest of the following
					 dates:
(1) The last day of the month
					 following the month in which:
(A) employment
					 is terminated either by resignation or by his or her agency for reasons other
					 than for cause;
(B) the last
					 payroll deduction was taken when payroll deduction was discontinued through
					 administrative error if such deduction was not taken for a continuous period of
					 six months;
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.507 - Conversion

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An employee or annuitant whose enrollment is terminated
						other than by cancellation or withdrawal of his or her employer from
						participation in the Public Employees' Medical and Hospital Care Act, and any
						family member whose coverage terminated because of termination of enrollment of
						an employee or annuitant or because of loss of family member status, is
						entitled to the issuance of a conversion plan provided that application is made
						and the premium or other periodic charge is paid within one month of the date
						of termination of enrollment or termination of family member status, in which
						event coverage under the conversion plan shall become effective at 12:01 a.m.
						the day following such termination.
1.
						Amendment filed 7-31-68 as an emergency; effective upon filing. (Register 68,
						No. 29). For prior history, see Register 67, No. 43.
2. Certificate
						of Compliance--Section
						11422.1,
						Gov. Code, filed 11-27-68 (Register 68, No. 45).
3. Amendment filed
						6-15-79; designated effective 8-1-79 (Register 79, No. 24).
4.
						Amendment filed 6-27-80; designated effective 8-1-80 (Register 80, No.
						26).
5. Amendment filed 6-9-86; effective thirtieth day thereafter
						(Register 86, No. 24).
6. Change without regulatory effect amending
						NOTE filed 10-31-2006 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2006, No. 44).
Note: Authority cited: Sections
						  22794,
						  22796 and
						  22842,
						  Government Code. Reference: Section
						  22842,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.510 - Minimum Scope and Content of Basic Health Benefits Plans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No contract shall be made or approved for
					 a basic health benefits plan which does not include in its coverage the
					 following benefits. The payment schedule for such benefits must be sufficient
					 in the judgment of the Board to meet the major share of usual, customary or
					 reasonable charges for such services.
(1)
					 Hospital benefits.
(A) In-hospital.
Coverage must be extended to enrolled employees,
						annuitants, and family members to provide benefits in the event of confinement
						in a hospital because of injury or sickness.
Hospital "room and board benefits" must be provided for
						at least the first 31 days of hospital confinement. "Miscellaneous hospital
						benefits" must be provided for hospital charges incurred over and above those
						for room and board, such as charges for the use of operating and cystoscopic
						rooms, anesthetic supplies, anesthesia when supplied by the hospital as a
						regular service and administered by a salaried employee, ordinary splints,
						plaster casts, and surgical dressings.
(B) Outpatient--hospital.
Coverage must be extended to enrolled employees,
						annuitants, and family members to provide benefits because of accidental bodily
						injury, surgery or emergency treatment for sickness when not admitted to a
						hospital or confined as a registered bed patient. Such benefits shall include
						but are not limited to:
1. Charges for
					 use of operating and cystoscopic rooms,
2. Charges for anesthetic supplies and
					 anesthesia when supplied by the hospital as a regular service and administered
					 by a salaried employee, and
3.
					 Charges for ordinary splints, plaster casts and surgical
					 dressings.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.511 - Alternative Benefit Plans

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) To be qualified to be approved, or
					 contracted for, by the Board, an alternative benefit plan must comply with the
					 Public Employees' Medical and Hospital Care Act and this subchapter.
(b) Notwithstanding any other provision of
					 this subchapter, only employees and annuitants of contracting agencies and
					 their family members shall be eligible to enroll in an alternative benefit
					 plan.
(c) Notwithstanding any other
					 provision of this subchapter, the Board may elect to offer one or more
					 alternative benefit plans to contracting agency employers either in lieu of, or
					 in addition to, any other health benefits plans approved or contracted for by
					 the Board.
(d) In the event that
					 the governing board of a contracting agency that is subject to the Public
					 Employees' Medical and Hospital Care Act elects to provide an alternative
					 benefit plan(s) to its employees or annuitants, it must file a resolution with
					 the Office of Employer and Member Health Services of the Board. The resolution
					 shall be effective on the first day of the second month following the month in
					 which the resolution is received in the office of the Board.
1. New
						section filed 4-13-2004 as an emergency; operative 4-13-2004 (Register 2004,
						No. 16). A Certificate of Compliance must be transmitted to OAL by 8-11-2004 or
						emergency language will be repealed by operation of law on the following day.
						For prior history, see Register 86, No. 24.
2. Certificate of
						Compliance as to 4-13-2004 order transmitted to OAL 8-3-2004 and filed
						9-15-2004 (Register 2004, No. 38).
3. Change without regulatory
						effect amending NOTE filed 10-31-2006 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2006, No. 44).
Note: Authority cited: Sections
						  22794 and
						  22796,
						  Government Code. Reference: Sections
						  22850(f)(2)
						  and
						  22864(b)(3),
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.513 - Public Employees' Contingency Reserve Fund

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For all plans approved or contracted for
					 under this part, there shall be established a Public Employees' Contingency
					 Reserve Fund in accordance with Section
					 22910 of the Public Employees'
					 Medical and Hospital Care Act.
(b)
					 Contribution shall be made by the employers during each calendar year to the
					 Public Employees' Contingency Reserve Fund on account of each approved or
					 contracted plan, in the amount authorized by law.
(c) The contributions made to the Contingency
					 Reserve Fund in (b), above, shall not be used for administrative expense
					 purposes. They may be utilized to defray increases in future rates, to reduce
					 the contributions of employees and annuitants and the employers, or to increase
					 the benefits provided by any plan to the extent that amounts in the Fund are
					 derived from that plan, upon determination by the Board.
1.
						Amendment filed 7-31-68 as an emergency; effective upon filing (Register 68,
						No. 29). For prior history, see Register 65, No. 20.
2. Certificate
						of Compliance--Section
						11422.1,
						Gov. Code, filed 11-27-68 (Register 68, No. 45).
3. Amendment of
						subsection (a), (b), (d)(1) and (d)(3) filed 6-15-79; designated effective
						8-1-79 (Register 79, No. 24).
4. Amendment filed 6-27-80; designated
						effective 8-1-80 (Register 80, No. 26).
5. Amendment filed 6-9-86;
						effective thirtieth day thereafter (Register 86, No. 24).
6. Change
						without regulatory effect amending subsection (a) and NOTE filed 10-31-2006
						pursuant to section
						100, title 1, California Code of
						Regulations (Register 2006, No. 44).
Note: Authority cited: Sections
						  22796,
						  22800 and
						  22831,
						  Government Code. Reference: Sections
						  22870,
						  22885,
						  22890,
						  22901,
						  22910 and
						  22913,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.514 - Application for Approval of Major Medical Plans Offered by Employee Organizations. [Repealed]

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
1.
						Amendment filed 7-5-74 as an emergency; effective upon filing (Register 74, No.
						27).
2. Certificate of Compliance filed 9-6-74 (Register 74, No.
						36).
3. Repealer of subsection (c) and renumbering of subsection (d)
						filed 6-15-79; designated effective 8-1-79 (Register 79, No. 24).
4.
						Repealer filed 6-9-86; effective thirtieth day thereafter (Register 86, No.
						24).
Note: Authority cited: Sections
						  20120 and
						  22775,
						  Government Code. Reference: Sections
						  22775 and
						  22776,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.517 - Termination of Enrollment in Basic Health Benefits Plan for Failure to Enroll in Part A and Part B of Medicare

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Except as otherwise provided under federal law or
						regulation, specified employees, annuitants and their family members who become
						Medicare-eligible, as defined below, may not be enrolled in a basic health
						benefits plan. Failure of a Medicare-eligible basic plan member to enroll in
						Part B of Medicare and in a Medicare Plan will result in termination of basic
						plan coverage.
(a) As used in this
					 section and in Government Code section
					 22844:
(1) "Post-1997 Basic Health Plan Enrollees"
					 means those annuitants and their family members who (a) have been continuously
					 enrolled in a basic health benefits plan on or after January 1, 1998, and (b)
					 turned 65 on or after January 1, 1998 and before January 1, 2005.
(2) "Post-2000 CSU Basic Health Plan
					 Enrollees" means those annuitants of the California State University and their
					 family members who (a) have been continuously enrolled in a basic health
					 benefits plan on or after January 1, 2001, and (b) turned 65 on or after
					 January 1, 2001 and before January 1, 2005.
(3) "Prospective Medicare Beneficiary" means
					 an annuitant, employee or family member who is enrolled in a basic health
					 benefits plan and, at the time of notification hereunder, is within the
					 Medicare Initial Enrollment Period.
(4) "Medicare-Eligible" means eligible for
					 Medicare Part A without cost and Part B.
(5) "Medicare Plan" means a Medicare
					 supplement or Medicare-risk health benefits plan approved or contracted for by
					 the board.
(6) "Deferral of Part B
					 Enrollment" means deferral of Part B enrollment by a Medicare-eligible state or
					 a contracting agency employee who, pursuant to federal law and regulations, has
					 deferred enrollment in Part B of Medicare because he or she is actively
					 employed and covered by a basic health benefits plan by virtue of that
					 employment.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 1 - Definitions, Coverage, Enrollment, Conversion, Minimum Standards, Alternative Benefit Plans, Contributions, Contingency Reserve Fund, Contracting Agency Participation and Medicare Part B › Section 599.518 - Coverage: Member Health Appeals Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Prior to appealing to the board and accorded an
						opportunity for a fair hearing pursuant to Government Code section
						22848, an
						employee or annuitant must complete the requirements in subsections (b) and
						(c), if applicable.
(a) As used in
					 this section and Government Code section
					 22848:
(1) "Administrative hearing" means the fair
					 hearing described in Government Code section
					 22848.
(2) "Administrative review" means the process
					 by which an employee or annuitant appeals to the board as permitted under
					 Government Code section
					 22848.
(3) "Complaint" means the same as
					 "grievance."
(4) "Coverage" means a
					 health benefit provided by a plan to employees and annuitants and their family
					 members and described in the plan's evidence of coverage.
(5) "Dissatisfied with any action or failure
					 to act" means a complaint or grievance an employee or annuitant may have
					 regarding his or her coverage or the coverage of his or her family
					 members.
(6) "Evidence of coverage"
					 means a booklet provided by a plan to employees and annuitants and their family
					 members describing their coverage and in effect for the period when an employee
					 or annuitant has a complaint or grievance.
(7) "Grievance" means a written or oral
					 expression of dissatisfaction regarding coverage and shall include a complaint,
					 dispute, request for reconsideration or appeal made by an employee or
					 annuitant. Where it is not possible to distinguish between a grievance and an
					 inquiry, it shall be considered a grievance.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 2 - Prefunding Plan for Health Care Coverage for Annuitants › Section 599.550 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For purposes of this article:
(a) "Health care coverage for annuitants"
					 means post-employment healthcare benefits and other postemployment benefits
					 provided to terminated or retired employees and their dependents and
					 beneficiaries. For purposes of this definition, "postemployment healthcare
					 benefits" means medical, dental, vision, and other health-related benefits, and
					 "other postemployment benefits" means postemployment benefits other than
					 pension benefits, including life insurance, disability, and long-term care
					 benefits."
(b) "Participating
					 employer" means an employer, as defined at Government Code section
					 22942,
					 that has elected to participate in the prefunding plan and that contracts with
					 CalPERS, which contract sets forth the terms and conditions of the
					 participating employer's participation in the prefunding plan.
(c) "Prefunding plan" means the Annuitants'
					 Health Care Coverage Fund that is a trust fund intended to meet the
					 requirements of Section
					 115 of the Internal Revenue Code
					 and that is established pursuant to Government Code section
					 22940 to
					 provide healthcare coverage for annuitants. The prefunding plan is sometimes
					 referred to as the California Employers' Retiree Benefit Trust or
					 CERBT.
1. New
						article 2 (sections
						599.550-599.554) and new section
						filed 1-26-2007; operative 1-26-2007 pursuant to Government Code section
						11343.4
						(Register 2007, No. 4).
2. New section heading and amendment of
						subsections (b) and (c) and NOTE filed 3-28-2011; operative 4-27-2011 (Register
						2011, No. 13).
Note: Authority cited: Section
						  22796,
						  Government Code. Reference: Sections
						  22940 and
						  22942,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 2 - Prefunding Plan for Health Care Coverage for Annuitants › Section 599.552

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The board may,
					 in its discretion and upon terms and conditions set by the board, authorize an
					 employer to participate in the prefunding plan.
(b) The governing body of a participating
					 employer shall enter into a contract with the board, setting forth the terms
					 and conditions of the employer's participation in the prefunding plan. The
					 contract may be in the form of a resolution adopted pursuant to Section
					 22922.
(c) Upon approval by the board, an employer
					 subject to the Public Employees' Medical and Hospital Care Act may file a new
					 resolution with the board or amend an existing resolution on file with the
					 board, to allow the employer to become a participating employer.
1. New
						section filed 1-26-2007; operative 1-26-2007 pursuant to Government Code
						section
						11343.4
						(Register 2007, No. 4).
Note: Authority cited: Sections
						  22796 and
						  22922,
						  Government Code. Reference: Sections
						  22922,
						  22940 and
						  22942,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 2 - Prefunding Plan for Health Care Coverage for Annuitants › Section 599.553

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The terms and
					 conditions of the contract or resolution for participation in the prefunding
					 plan shall include, but not be limited to, the following:
(1) Disbursements from the prefunding
					 plan;
(2) The methodology and
					 assumptions used to calculate the actuarial accrued liability for health care
					 coverage for annuitants;
(3) The
					 method of payments to and disbursements from the prefunding plan;
(4) The frequency and content of reports from
					 the participating employer to the prefunding plan;
(5) The frequency and content of reports from
					 the prefunding plan to the participating employer;
(6) The allocation of prefunding plan
					 investment income to the participating employer;
(7) The allocation of administrative costs
					 and expenses of the prefunding plan to the participating employer;
(8) The circumstances and requirements for
					 transfer of assets into or out of the prefunding plan, provided that any such
					 transfers:
(A) must be in accordance with the
					 terms of the contract or resolution, and
(B) must satisfy the requirements of Section
					 115 of the Internal Revenue
					 Code.
(9) The board may
					 terminate the participation of a participating employer in the prefunding plan
					 if:
(A) a participating employer elects to
					 terminate participation in the prefunding plan;
(B) the board finds that the participating
					 employer has failed to satisfy the terms and conditions required by this
					 article, by board rules or regulations, or by the contract or resolution
					 approved by the governing body of the participating employer and filed with the
					 board; or
(C) the board terminates
					 the prefunding plan.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 2 - Board of Administration of Public Employees' Retirement System › Subchapter 3 - Public Employees' Medical and Hospital Care Act Regulations › Article 2 - Prefunding Plan for Health Care Coverage for Annuitants › Section 599.554

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The board shall determine the amount of administrative
						costs and expenses of the prefunding plan to be paid to the board by each
						participating employer in accordance with the terms of the contract or
						resolution.
1. New
						section filed 1-26-2007; operative 1-26-2007 pursuant to Government Code
						section
						11343.4
						(Register 2007, No. 4).
Note: Authority cited: Sections
						  22796 and
						  22922,
						  Government Code. Reference: Sections
						  22922 and
						  22940,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 3 - Department of Human Resources › Subchapter 1 - General Civil Service Rules › Article 1 - Definitions › Section 599.600 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Unless context requires otherwise, the definitions herein
						govern the construction of these rules.
1. New
						Subchapter 1 heading and new Article 1 (Sections
						599.600-599.611) filed 9-6-83;
						effective thirtieth day thereafter (Register 83, No. 37). For prior history of
						Chapter 3, see Registers 83, No. 17 and 82, No. 42.
CROSS REFERENCE:
						See Title 2, Division 1, Chapter 1, Subchapter 1, Sections
						1-8.
2. Change without
						regulatory effect amending chapter heading, section and NOTE filed 9-9-2014
						pursuant to section
						100, title 1, California Code of
						Regulations (Register 2014, No. 37).
Note: Authority cited: Sections
						  18502 and
						  19815.4(d),
						  Government Code. Reference: Section
						  18520,
						  Government Code.
California Code of Regulations › Title 2 - Administration › Division 1 - Administrative Personnel › Chapter 3 - Department of Human Resources › Subchapter 1 - General Civil Service Rules › Article 1 - Definitions › Section 599.601 - Act

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
"Act" means Part 2.6 of Division 5 of Title 2 of the
						Government Code of the State of California.
1. Change
						without regulatory effect amending NOTE filed 9-9-2014 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2014, No. 37).
Note: Authority cited: Sections
						  18502 and
						  19815.4(d),
						  Government Code. Reference: Part 2.6 (commencing with Section
						  19815), Division 5, Title 2,
						  Government Code.