An Employee is required to be:

• An active and permanent employee. Inactive owners, part time, contracted (1099), temporary, employees eligible for health care coverage offered by or through a labor union, seasonal or substitute workers are not eligible.

• Considered eligible for coverage based on your employer's hourly work requirements.

• Employed by your company for the pre-established length of time or waiting period.

• At least 18 years of age or older. No minimum age requirement for PPO benefit designs.

Coverage for your Spouse
If you enroll, your spouse may be eligible for coverage.

Spouse: Must be legally married to you.

Coverage for your Domestic Partner
If you enroll, your Domestic Partner may also be eligible for coverage.

At time of Employee eligibility for enrollment, the Employee and Domestic Partner must fall into ALL of the following requirements:

• Share a common residence.
• Neither is married under either statutory, common law or part of another domestic partnership.
• Employee and Partner are both 18 years of age or older.
• Share an intimate and committed relationship.
• Agree to be jointly responsible for each other's basic living expenses incurred during the domestic relationship.
• Both be mentally competent.
• Not related by blood to a degree of closeness that would prohibit marriage in the law of the state in which they reside

AND possess any 3 of the following items.

• Proof of joint or common leasehold interest in real property.
• Proof of common ownership of an automobile.
• Proof of a will designating domestic partner as primary beneficiary.
• Proof of Durable Power of attorney for property and health care.

Coverage for your Dependent Children
If you enroll your Dependent Children may also be eligible for coverage.

Effective 10/1/2010 for New and Renewing Groups

For Medical, Chiro, Vision and SMILESAVER Dental:

• Must be born to, a step-child or legal ward of, or adopted by eligible employee, employee spouse or domestic partner.
• Under age 26*

For AMERITAS Dental:

• Must be born to, a step-child or legal ward of, or adopted by eligible employee, employee spouse or domestic partner.

• Financially Dependent upon the Employee per IRS Guidlines.
• Unmarried financially dependent children under age 19,* or unmarried children under age 25* who are full-time students at an accredited college and who are fully supported by you can be covered.

An Employee is required to notify CaliforniaChoice^® immediately upon any of the above statements no longer being true.

*Dependents incapable of self-support because of continuous and pre-existingmental or physical disability are eligible for coverage until the incapacity ends. Documentation to prove disability may be requested.

Continuity of Care
If you are in the middle of treatment AND your current physician is not contracted with the Health Plan you wish to select, please contact our Customer Service Center at (800) 558-8003 for further information and assistance.