Benefits Resource Center

PLEASE NOTE: The links on this page open in a new window & the majority are PDFs.

Eligibility Information

To be eligible to enroll in your employer’s benefit plans, you must be a full time W-2 employee working 30 or more hours a week for the company and satisfy the new hire probation period.

Please refer to the Probation Calendar below and contact the person responsible at your employer for your company benefits. Also refer to the enrollment guidelines in the next section.

FOMA 60D Probation Calendar for those hired May 1st 2015 and later

Benefit Resource Center Flyer for Employees

Enrollment Guidelines

Please read the Enrollment Guidelines to learn when you can come on the plan, add dependents and make other changes.

Health Plan Enrollment Guidelines

Premium Charts

Request for Custom Premium Worksheet

Opt 1 Please complete the above form and email to us.
Opt 2 Employers can register at www.calchoice.com and access custom worksheets 24×7

COBRA Center

Our records show your group is subject to Fed COBRA

The Initial Notice should be provided to the employee AND spouse (if covered) within 90 days of becoming covered. One notice to the home is allowed if both live at the same address but it must be addressed to both parties.

Please contact your employer for more information.

Initial Fed-COBRA Notice

COBRA QE Letter for Qualifying Events

Cal Choice Fed-COBRA Enrollment Form

Choice Builder Fed-COBRA Enrollment Form

Help & Support

PLAN DEPARTMENTS PHONE/MEMBER SERVICES PLAN/POLICY #
Cal Choice Main Member Services # 1-800-558-8003 42160
Anthem Member Services 1-866-524-5659
Health Net Member Services 1-866-524-5659
Health Net Member Services 1-800-464-4000
Choice Builder Customer Service Center 1-866-412-9279 B04021
Delta USA DHMO Automated System 1-800-422-4234 SSN
Ameritas Dental 1-800-487-5553
Wayco Insurance Services, Inc. (Broker) 1-951-699-6000 x10 john@wayco.com

Cafeteria Plan

Your Cafeteria “Section 125” Pre-Tax Premium plan allows payroll deductions to be taken “off the top line” before taxes are calculated ~ saving from 25% to 40% depending on your personal tax bracket.

Example of Cafeteria Plan Savings

Medical Plan

Dental & Life Plan

BENEFIT SUMMARIES FORMS LIBRARY WEB SITE LINKS
Choice Builder Dental Summary & Premiums
(Based on 26 pay periods/after employer benefit allowance.) Employer provides $10,000 of Group Life.  (Use the same enrollment form as dental.)
Dental & Life Enrollment Form Provider Search Tools / Choice Builder Web Link
Effective 5-1-2023 to 4-30-25 Dental & Life Change Form Dental Provider Search Tips
Termination Form (Employer Use)