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Print FormReset FormCSTATE OF CALIFORNIA DEPARTMENT OF HUMAN RESOURCESCASH OPTION ENROLLMENT AUTHORIZATION STD 701C (REV 4/2017)FLEXELECT PROGRAMPlease type or use ballpoint pen, print clearly. Return.

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For 2020, the state will contribute about $609 per month for most individual employees, ing to CalHR. For an employee plus a dependent, the state's contribution is $1,223. Health insurance premiums for CalPERS' 2020 plans range from $404 per month to about $1,116 per month per person.

The California Public Employees' Retirement System (CalPERS) administers health insurance coverage for state employees. Employees can choose from a broad range of health insurance plans. The state pays a portion of the premium.

​​​​​​​​​​​​​​​The FlexElect Program allows state employees to set aside money in a reimbursement account to pay for certain kinds of expenses. Deductions occur before tax withholding, reducing your tax liability. Medical Reimbursement Accounts - Set aside money for eligible medical expenses.

​​​​​​​​​​​​​​​The FlexElect Program allows state employees to set aside money in a reimbursement account to pay for certain kinds of expenses. Deductions occur before tax withholding, reducing your tax liability. Medical Reimbursement Accounts - Set aside money for eligible medical expenses.

The State of California offers employees the FlexElect program with two types of benefits: ✓ Reimbursement accounts for out-of-pocket medical and dependent care expenses. These accounts let you set aside money on a pre-tax basis. This increases your take-home pay and decreases your taxable income.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232