Newly eligible employees
If you are a newly eligible excluded employee, you have 60 days to enroll once your appointment is keyed by your personnel office into the State Controller's Office system, or you can enroll during the open enrollment period that is conducted every 18 to 24 months. You may access the online Enrollment and Change Form. Please complete the form online, then print, sign and return it to your department's Personnel Office for processing. You may want to keep a copy for your files.
Subject to the Active Work Requirement, LTD insurance will become effective as follows:
Premiums for the Voluntary LTD coverage will be deducted from your paycheck on an after-tax basis.
No, evidence of insurability is not required.
An enrolled member may terminate coverage at any time. Increases and decreases of coverage may only be done during a designated open enrollment period.
No, dependent spouse and children are not eligible for Long Term Disability insurance.
Please visit the State of California, Department of Personnel Administration website or call the State of California, Customer Service line at 888.641.7193.