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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CALHR006
for the current year.
Form CALHR006 Premium Only Plan (Pop) Automatic Pretax Disenrollment - California
What Is Form CALHR006?
This is a legal form that was released by the California Department of Human Resources - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is CALHR006 Premium Only Plan (Pop) Automatic Pretax Disenrollment?
A: CALHR006 Premium Only Plan (Pop) Automatic Pretax Disenrollment is a form used in California to disenroll from a Premium Only Plan.
Q: Who can use this form?
A: This form can be used by California state employees who want to disenroll from a Premium Only Plan.
Q: What is a Premium Only Plan?
A: A Premium Only Plan is a pre-tax benefit plan that allows employees to pay their share of the health insurance premiums with pre-tax dollars.
Q: Why would someone want to disenroll from a Premium Only Plan?
A: There could be various reasons why someone would want to disenroll from a Premium Only Plan, such as changing employment or opting for a different health insurance plan.
Q: Is this form specific to California employees only?
A: Yes, this form is specific to California state employees.
Form Details:
- Released on July 1, 2016;
- The latest edition provided by the California Department of Human Resources;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CALHR006 by clicking the link below or browse more documents and templates provided by the California Department of Human Resources.
Download Form CALHR006 Premium Only Plan (Pop) Automatic Pretax Disenrollment - California
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