10-07-2025, 03:39 AM
(This post was last modified: 10-07-2025, 03:40 AM by rabiasr1996.)
Employees who enroll or make changes to their FlexElect during the open enrollment period and employees who are automatically reenrolled into the Cash Option are allowed by Internal Revenue Code to cancel or change their elections until December of the current plan year. A new STD. C and/or STD. R must be completed AND signed by the employee by December No new enrollments or changes will be allowed in any options not elected during the open enrollment period. Once the new plan year begins, employees may not cancel or change their FlexElect enrollment unless they experience a valid change in status. Please see Section , Election Changes/Change in Status Events, for more information regarding valid changes in status.
The correcting form must be received by SCO no later than January (or the next business day if January falls on a weekend or holiday). Correcting forms received by SCO by December or the next b2b email list business day if December falls on a weekend or holiday) will be reflected on the December pay warrants dated January Correcting forms received after December will require retroactive adjustments. It is not necessary to send these types of correcting forms to CalHR for approval; SCO will process.
![[Image: b2b-email-list-5.png]](https://i.postimg.cc/9FsgmTBs/b2b-email-list-5.png)
Forms Completion
Cancellations - STD. C and/or STD. R
Employee completes a new STD. C and/or STD. R. If an enrollment form was actually completed indicate at the top "Cancelling Open Enrollment Form". If employee is completing a STD. C to cancel his/her automatic reenrollment, indicate at the top "Cancelling Automatic Reenrollment".
Items , and , must be completed and the employee must sign and date in Item
On the STD. C, Sections A, B and C must also be completed to indicate what Cash Option amount is to be cancelled by zeroing out the cancelled portion.
The Personnel Office must complete their appropriate sections and forward to SCO.
Changes - STD. C and/or STD. R
Employee completes a new STD. C and/or STD. R. Indicate at the top "Changing Open Enrollment Form".
All sections on the form must be completed just as if the election had been made during the open enrollment period. The information on the form should reflect the changes you are requesting. For example, if you are deleting the dental cash, but maintaining the medical cash, the amount of $ should be listed on A as well as the total on C of the STD. C. For a change in a reimbursement account, simply list the correct deduction amount(s) on lines A and/or B on the STD. R.
The Personnel Office will complete their appropriate sections and forward to SCO.
If the HBD- (Health) and STD. (Dental) forms were completed cancelling coverage and the employee now wants to maintain coverage, new forms reenrolling the employee must be completed and forwarded along with the STD. C.
The correcting form must be received by SCO no later than January (or the next business day if January falls on a weekend or holiday). Correcting forms received by SCO by December or the next b2b email list business day if December falls on a weekend or holiday) will be reflected on the December pay warrants dated January Correcting forms received after December will require retroactive adjustments. It is not necessary to send these types of correcting forms to CalHR for approval; SCO will process.
![[Image: b2b-email-list-5.png]](https://i.postimg.cc/9FsgmTBs/b2b-email-list-5.png)
Forms Completion
Cancellations - STD. C and/or STD. R
Employee completes a new STD. C and/or STD. R. If an enrollment form was actually completed indicate at the top "Cancelling Open Enrollment Form". If employee is completing a STD. C to cancel his/her automatic reenrollment, indicate at the top "Cancelling Automatic Reenrollment".
Items , and , must be completed and the employee must sign and date in Item
On the STD. C, Sections A, B and C must also be completed to indicate what Cash Option amount is to be cancelled by zeroing out the cancelled portion.
The Personnel Office must complete their appropriate sections and forward to SCO.
Changes - STD. C and/or STD. R
Employee completes a new STD. C and/or STD. R. Indicate at the top "Changing Open Enrollment Form".
All sections on the form must be completed just as if the election had been made during the open enrollment period. The information on the form should reflect the changes you are requesting. For example, if you are deleting the dental cash, but maintaining the medical cash, the amount of $ should be listed on A as well as the total on C of the STD. C. For a change in a reimbursement account, simply list the correct deduction amount(s) on lines A and/or B on the STD. R.
The Personnel Office will complete their appropriate sections and forward to SCO.
If the HBD- (Health) and STD. (Dental) forms were completed cancelling coverage and the employee now wants to maintain coverage, new forms reenrolling the employee must be completed and forwarded along with the STD. C.

