WebState of California and VSP® Vision Care. The State of California offers you a choice of two vision plans. The Basic Vision Plan will be provided at no cost to you or, you can upgrade to the Premier Vision Plan for a small monthly premium. To upgrade to the Premier Vision Plan, you may enroll through your department's personnel office within ... WebThe following tips can help you fill out Calhr 774 quickly and easily: Open the template in the full-fledged online editor by clicking on Get form. Fill out the requested boxes which are colored in yellow. Click the arrow with the inscription Next to move from box to box. Go to …
Human Resources Manual - CalHR - California
WebJun 21, 2024 · FlexElect Reimbursement Claim Form (CalHR 351) Group Legal Services Insurance Plan Enrollment Form – Access Code 10202soc; Health Benefit Plan Enrollment Form (PERS-HBD-12) ... Premier Vision Plan Enrollment Authorization (CalHR 774) Premium Assistance Under Medicaid and the Children’s Health Insurance Program … WebQuick steps to complete and e-sign Calhr 774 online: Use Get Form or simply click on the template preview to open it in the editor. Start completing the fillable fields and carefully type in required information. Use the Cross or Check marks in the top toolbar to select your … hyper tough jigsaw
Human Resources Manual - CalHR - California
WebInformation requested on this form is used by the vision plan vendor and the vision insurance company for the purposes of identification and coverage processing. It is mandatory to furnish all information requested on this form except for employee's gender … WebEvaluations may be completed using CalHR Form 273. Departments are no longer required to submit a request to CalHR for approval to transition the employee to the non-LEAP appointment upon completion of the JEP. Confidentiality. Only authorized persons shall have access to information regarding a candidate’s participation in LEAP. hyper tough impact