What happens if I do not provide the required documents during the re-verification cycle?

If you provide re-verification documents for dis-enrolled, eligible dependents after receiving the final CalPERS notice during your birth month but before the re-verification due date, your campus benefit office may rescind the dependent deletion. You may incur an accounts receivable for the unpaid premium for the month after your birth month.

If you provide re-verification documents for dis-enrolled, eligible dependents after the re-verification due date, your benefit office re-enrolls the family members prospectively for health and/or dental benefits. This will result in a gap in the dependents benefit coverage.