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  • Coben 2012 - Dpa - State Of California

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A, you have the opportunity to select your health and dental benefits from a variety of plan options offered by the State. You choose the plans and coverage levels that best meet your needs. Depending on your plan choices, you share the cost of those benefits with the State. Consolidated Benefits (CoBen), which is part of the State's FlexElect Program, offers two types of employee benefits: Consolidated Benefits Allowance - the State will provide you with a total benefit allowance, rather t.

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How to fill out the Coben 2012 - DPA - State Of California online

This guide provides comprehensive instructions on how to effectively fill out the Coben 2012 - DPA - State Of California form online. Designed for users with varying levels of legal experience, this guide aims to be clear, informative, and supportive throughout the process.

Follow the steps to complete the Coben 2012 - DPA - State Of California form successfully.

  1. Click the ‘Get Form’ button to access the Coben 2012 - DPA - State Of California form and open it in your preferred online editor.
  2. Read the introduction section carefully to understand your benefits options. This section provides crucial information about the Consolidated Benefits (CoBen) allowance.
  3. Identify your eligibility based on your employment classification and designated bargaining unit. Ensure you check if you are part of units 2, 7, 8, 16, 17, 18, or 19.
  4. Fill out the necessary personal information fields. This typically includes your name, employee ID, and contact information.
  5. Review the health and dental benefit plans available to you. Make sure to calculate your total premium costs using the worksheet provided in the form.
  6. Specify your selection regarding the Cash Option if you have coverage through another source. Indicate whether you are choosing to decline state-sponsored health coverage for a cash allowance.
  7. After filling out all sections, review the form for accuracy. Double-check that all fields are correctly completed and necessary selections are made.
  8. Once you are satisfied with the information provided, save your changes. You will have the option to download, print, or share the completed form as needed.

Start filling out your Coben 2012 - DPA - State Of California form online today for a streamlined benefits selection experience.

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The 2024 CoBen allowance is $842 for self only, $1,624 for self plus one dependent, and $2,100 for self plus two or more dependents.

A CoBen Benefit Allowance is a combined employer contribution towards your health, dental, and vision benefits. This is the amount the state provides you to pay the premiums for your health, dental and vision plans. The benefit allowance is automatically established in the State Controller's (SCO) payroll system.

The 2025 employer contribution through the Consolidated Benefits (CoBen) allowance to be used for health, dental and vision benefits effective January 1, 2025 will increase by nearly 8 percent to $907 (Single)/$1750 (2-Party)/$2262 (Family).

If you have qualifying group health or health and dental coverage through another source, such as your spouse, you may opt to receive cash in lieu of both your state-sponsored health and dental coverage or for your state-sponsored health coverage only.

For every dollar spent on a jackpot lotto game, a certain percentage is placed immediately into a cash pool. When you win the jackpot and choose the cash option, you will get the entire amount in the cash pool, minus taxes.

The CoBen Program Cash Option is a cash payment option which is paid in lieu of maintaining state-sponsored health or health and dental benefits. This option is available to eligible state employees.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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