California Health Care Benefits Policy

[Company Name] offers [health care benefits/medical, dental, and vision insurance benefits] plans to eligible employees. The company reserves the right to prospectively add, change, delete or modify the benefits offered to employees as it deems appropriate. This policy is only a general summary of the health care benefits offered. Employees should consult the applicable plan document for information regarding eligibility, coverage and benefits. It is the plan document that ultimately governs employee entitlement to benefits.

All regular, [full-time] employees [who have completed their introductory/probationary period].

[If the company has an introductory, probationary or other waiting period at the beginning of employment during which employees are not eligible for health care benefits: During the [introductory/probationary] period employees are not eligible for health care benefits. After completing the [introductory/probationary period], employees will have the opportunity to enroll in the company’s [health care benefits/medical, dental, and vision insurance benefits] plans.]

The company’s open enrollment period generally begins on [date]. During open enrollment, eligible employees will have the opportunity to review the [health care benefits/medical, dental, and vision insurance benefits] plans and make any benefits election changes they wish to make for themselves, their spouses, domestic partners and dependent children.

Additionally, upon the occurrence of a qualifying change in status, eligible employees may make benefits election changes. For more information regarding benefits election change opportunities, please contact [human resources/other job title].

As detailed in the applicable company leave policies, when employees are on a leave of absence, the company maintains health care benefits for employees as required under applicable law and offers continuation coverage as required under applicable law.