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Overview

Academic Student Employees (ASEs) and Graduate Student Researchers (GSRs) employed in qualifying appointments are eligible to receive 100% premium remission for child dependents enrolled in UCSHIP if the employee's income exceeds the designated Medi-Cal eligibility threshold as specified in the collective bargaining agreements (CBAs).

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

The benefits described on this page follow the parties’ collective bargaining agreements. The CBAs are the controlling documents, and this program overview is not meant to replace or contradict the language that is contained in the CBA or applicable University policy and is not a substitute for reviewing contract articles carefully. This program overview will be interpreted as consistent with the CBAs and, in the event of a conflict, the language of the CBAs or applicable policy will control.

Read the Settlement Document here.

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titleTerminology
  • 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”

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titleEligibility

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.

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titleReimbursement Process

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 as Additional Pay

    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.

Funding for Reimbursement

The hiring department is responsible for the cost of the reimbursement. Where multiple appointments or salary fund sources are used, hiring departments should work together in good faith to provide funding information to UCPath preparers. If funding is not available, hiring departments are to work with Department Chairs and academic home departments to bring funding requests to the cognizant Dean of the School.

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titleRoles and Responsibilities

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

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titleAdditional Support

Determining Eligibility

ASEs/GSRs must self-certify eligibility and may ask for support determining their eligibility for Medi-Cal; in those cases, the following information may be provided to them:

To find out if you are financially or medically qualified for California State Medi-Cal benefits, please contact the ACCESS Customer Service Center.
Access Customer Service is available for questions about public assistance like CalWORKs, CalFresh, MediCal, Cash Assistance for Immigrants (CAPI), County Medical Services, General Relief, etc.
To speak with someone on the phone, call (866) 262-9881, Monday through Friday from 7 a.m. to 5 p.m. (except County holidays).
For help in person, visit one of the County’s Family Resource Centers. Please note, all calls are routed through the ACCESS Customer Service Center at (866)262-9881 or send ACCESS Customer Service an email.

https://www.sandiegocounty.gov/content/sdc/hhsa/contact_us.html

UC San Diego Student Health Services

  • UC San Diego link for student’s to enroll themselves or dependents voluntarily: https://shwadmin.ucsd.edu/uc-ship/non-registered/index.html

    • The application includes the information on who qualifies and what proof is necessary to validate (overall, not specific to the ASE/GSR contract):

  • Students may connect with SHS directly by phone or email: 858-534-2124, ship3@ucsd.edu