Additional Costs For Stnc/professional Expert Employees Template
Download a blank fillable Additional Costs For Stnc/professional Expert Employees Template in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Additional Costs For Stnc/professional Expert Employees Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Additional Costs for STNC/Professional Expert Employees
Please complete this form and attach to the PAF for any STNC or Professional Expert employee
working for 130 or more hours per month for greater than two months AND/OR any employee being
PAF’ed for greater than 1,000 hours per fiscal year. Any PAFs that require this form will be rejected
without it.
Medical Benefits Coverage
Under the Affordable Care Act (ACA), any employee who works 130 hours per month for greater than
two months is entitled to medical coverage. Departments wanting to work employees 130 hours per
month will be responsible for providing the funding for this coverage. Per the ACA legislation, this
employee may be eligible for continuation of coverage beyond your department’s assignment,
regardless of hours worked. If this occurs, your department will continue to be responsible for those
costs from your discretionary budgets. The current cost is approximately $6,400 per year.
Employee Name: _______________________Effective Date: ___________ End Date: ____________
Signature: _________________________________________________________Date:____________
Name: _________________________________________ Title: ______________________________
VP approval: _______________________________________________________ Date: ___________
By signing this form, the department is acknowledging that they will be responsible for funding the
medical coverage of the employee while they are employed by the District unless the employee qualifies
for coverage in another department by working 130 hours per month for longer than two months.
Retirement
If an employee is employed for greater than 1,000 hours in a fiscal year, they are mandated to be
enrolled in CalPERS. If a department PAFs an employee for greater than 1,000 hours, the employee will
be enrolled in CalPERS immediately. If the employee works greater than 1,000 hours on multiple PAFs,
they will be enrolled into CalPERS when they have worked 1,000 hours. If this occurs while the employee
works in your department, you will be responsible for the additional CalPERS costs (currently at 13.88%
of salary) from your discretionary budgets.
Employee Name: _______________________Effective Date: ___________ End Date: ____________
Signature: _________________________________________________________Date:____________
Name: _________________________________________ Title: ______________________________
VP approval: _______________________________________________________ Date: ___________
By signing this form, the department is acknowledging that they will be responsible for funding the
District’s retirement costs of the employee.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business