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 599.500 - Definitions

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
For the purposes of this subchapter:
(a) Terms used in this subchapter that are
					 defined by the Public Employees' Medical and Hospital Care Act (Title 2,
					 Division 5, Part 5 (commencing with Section
					 22750) of the Government Code)
					 shall have the meanings therein set forth.
(b) "Employing office" means any office of
					 the state or contracting agency to which jurisdiction and responsibility for
					 health benefits action for the employee concerned have been delegated. For
					 annuitants, whether or not the annuitant is also an employee, the Health
					 Benefits Division of the Public Employees' Retirement System is the employing
					 office.
(c) "Payroll office" means
					 either the office of the State Controller for agencies participating under the
					 Uniform Payroll System, or the employing office for agencies not participating
					 under the Uniform Payroll System, irrespective of whether or not salary
					 warrants are issued by the State Controller.
(d) "Time." Whenever in this subchapter a
					 time is stated in which an act is to be done, the time is computed by excluding
					 the first day and including the last day. If the last day is a holiday, it is
					 also excluded.
(e) "Annuity period"
					 means the period for which a single installment of a retirement allowance or
					 annuity is customarily paid for annuitants.
(f) "Enroll" means to file with the employing
					 office a properly completed Health Benefits Plan Enrollment Form electing to be
					 enrolled in a health benefits plan.
(g) "Enrolled" means to be enrolled in a
					 health benefits plan approved by the Board under this subchapter.
(h) "Register not to enroll" means to file
					 with the employing office a properly completed Health Benefits Plan Enrollment
					 Form electing not to be enrolled in a health benefits plan.
(i) "Cancellation" is the act, by an enrolled
					 employee or annuitant who is eligible to continue enrollment, of filing a
					 Health Benefits Plan Enrollment Form, terminating enrollment in a health
					 benefits plan.
(j) "Administrative
					 action" is the completion or approval, by the Health Benefits Division, of a
					 Health Benefits Plan Enrollment Form terminating or changing the enrollment of
					 an employee, annuitant, or family member in accordance with the provisions of
					 this subchapter.
(k) "Eligible"
					 means eligible under the law and this subchapter to be enrolled.
(l) "Retirement System" means the Public
					 Employees' Retirement System, the State Teachers' Retirement System, the
					 Legislators' Retirement System, or the Judges' Retirement System, as the case
					 may be, under which a retired person has acquired the status of
					 "annuitant."
(m) Tenses and Number.
					 The present tense includes the past and future, and the future the present; the
					 singular includes the plural and the plural the singular.
(n) A "child," as described in Government
					 Code section
					 22775,
					 means an adopted, step, or recognized natural child until attainment of age 26,
					 unless the child is disabled as described in section
					 599.500, subdivision (p).
(o) In addition to a "child" as described in
					 Government Code section
					 22775,
					 "family member" also includes any child for whom the employee or annuitant has
					 assumed a parent-child relationship (PCR), in lieu of the relationship
					 described in subdivision (n), as indicated by intentional assumption of
					 parental status, or assumption of parental duties by the employee or annuitant,
					 as certified by the employee or annuitant at the time of enrollment of the
					 child, and annually thereafter up to the age of 26, unless the child is
					 disabled as described in section
					 599.500, subdivision (p). This
					 section should not be construed to include foster children.
Certification of the parent-child relationship by the
						employee or annuitant under this subsection shall be provided to the employing
						office and shall include:
(1) A
					 CalPERS-issued "Affidavit of Parent-Child Relationship," signed by the employee
					 or annuitant. The affidavit shall include all information required by this
					 section. The affidavit shall set forth information required to certify the
					 employee or annuitant has assumed the primary parental status or duties for the
					 dependent in a PCR. The employee or annuitant shall provide identifying
					 information for themselves and the dependent in a PCR, which shall include:
					 full name, social security number, date of birth, the date the employee or
					 annuitant assumed primary parental status or duties for the dependent in a PCR,
					 the relationship to the dependent in a PCR, and the residential address of the
					 dependent in a PCR.
(A) For a PCR dependent
					 age 18 and under:
1.Unless otherwise
					 specified in subparagraph F, a copy of the first page of the employee or
					 annuitant's federal or State income tax return from the previous tax year
					 listing the child as a tax dependent. In lieu of a tax return, for a time not
					 to exceed one tax filing year, and only during the child's initial enrollment
					 as a PCR, the employee or annuitant may submit other documents that
					 substantiate the child's financial dependence upon the employee or annuitant as
					 set forth in subparagraphs (C) and (D).