• Program: Child Dependent Health Premium Benefit Program (CDHP)

• Insurance Name: Child Dependent Health Insurance

• Cost Name: Dependent Health Care Premium

• Technical process: Child Dependent Health Insurance Remission

• Form: Child Dependent Health Insurance Attestation Form (CDHIA); aka “Form”

For this program, eligibility is as follows:

1. The GSR/ASE is eligible to receive a health insurance premium remission under the CBAs through a GSR/ASE appointment, or through a combination of GSR and ASE appointments.

2. The GSR/ASE is a registered graduate student with GSR/ASE appointment(s) totaling 25% or more of full-time for a given term in a State-supported or Self-Supporting Program.

3. The GSR/ASE’s income exceeds the designated Medi-Cal eligibility threshold.

   1. If the GSR/ASE has a spouse, and the combination of their income places the GSR/ASE’s family over the designated Medi-Cal eligibility threshold then the GSR/ASE is not eligible for the child dependent premium remission.

   2. Information about Medi-Cal eligibility can be found here: https://www.dhcs.ca.gov/services/medi-cal/Pages/DoYouQualifyForMedi-Cal.aspx

4. The GSR/ASE enrolls eligible child dependents in UCSHIP. Eligible child dependents are defined by UCSHIP plan regulations.

Reimbursement Process for Staff

1. Receive form and documentation from your student and review form for completion

   1. Reimbursement Process for Students: Support for Student Parents

2. Process reimbursement in UCPath

   1. Process mimics that for Childcare Reimbursement

   2. NTF (non-taxable fringe) Earn Code

Timeline for Reimbursement

Reimbursement will be processed and paid via payroll on the employee’s regularly scheduled pay period following the approved submission, but no later than sixty (60) calendar days.

Academic Home Departments

• Direct students to resource pages

• MAY be responsible for processing reimbursements

Hiring Departments

Hiring departments of the appointment from which the student earned the benefit should process the payment in UCPath and coordinate the funding entries for the proportional split of expenses across funding sources

1. If multiple departments have hired the students - 

   1. Academic Home Department (degree-conferring department) + outside department, Academic Home Department should process payment in UCPath and coordinate the funding entries for the proportional split of expenses across funding sources

   2. Outside department + outside department, department with the preponderance of effort (by combination of effort and length of service) should process the payment in UCPath and coordinate the funding entries for the proportional split of expenses across funding sources