[UCRDBR] Updated Group Insurance Regulations (GIRs) now available

[Departmental Benefits Representatives]

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February 14, 2023

To:
UC Riverside Emeriti and Retirees
From:
Central HR Benefits Office on behalf of the UC Office of the President
Re:
Updated Group Insurance Regulations (GIRs) now available
____________________________________________________________________________


This is to notify you that the Group Insurance Regulations (GIRs) have been revised and effective as of September 1, 2022.  The GIRs have been updated to address Active Employee benefits.



The GIRs are posted on UCnet at: https://ucnet.universityofcalifornia.edu/tools-and-services/administrators/health-welfare-benefits.html

The following lists content changes to the GIRs:

Part I - No Changes



Part II

*        Inclusion of Volunteer Clinical Professor Series appointments as categorically ineligible for Health & Welfare (H&W) benefits

*        Inclusion of "WOS" (without salary) job code appointments as categorically ineligible for H&W benefits

o   Separate and distinct from WOS Pay Group

*        Rephrase to describe initial eligibility for UCRP & offer of Full Benefits

*        Clarification on 750/1000 Rule & SMP (standard measurement period) for H&W benefits

*        Appointment Reductions


Part III

*        Supplemental Health Plans

o   Aligning Supplemental Health Plans with 120 Day Rule

o   Direct Pay managed by via UCPath

*        Inclusion of Zero FTE (full-time equivalent) and impact on H&W benefits

*        Inclusion of Pay Group changes to WOS and impact on H&W benefits

*        Additional PIE (period of initial eligibility) for leaving HMO (Health Maintenance Organization) service area

*        Effective Date for PIEs and Medical Plan changes

*        Short Work Break and PIEs

*        DepCare FSA (flexible spending account) and Health FSA and when coverage ends due to Leave Without Pay

*        PIEs during Leave Without Pay and effective date for plan changes

*        Clarification on duplicate coverage between Faculty/Staff and Postdoc

Administrative Supplements

*        Administrative Supplement II-A Eligibility Requirements

o   Strips out old PPS (Payroll Personnel System) terminology

o   Updated to reflect UCPath processes

?  References to Job Aids, EMPL classes, and appointment clusters

*        Administrative Supplement II-C Direct Payment of Premiums

o   Addition of WOS Pay Group & 0 FTE

o   Plan changes through Direct Payment of Premiums

*        Administrative Supplement II-I Measurement Period

o   Describes location responsibilities and links to job aids

o   Clarification on 501 hours and Concurrent Appointments

o   Intermittent leave hours included in I-181 report

o   Employees Off Pay Status and Falling Below SMP

o   750/1000 Hours & SMP for H&W benefits

*        Administrative Supplement III-A Medical Plan Contingency Fund

o   Updated to reflect UCPath processes

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