PDF
Word
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?A: CALHR006 is the form used for Premium Only Plan (Pop) Automatic Pretax Disenrollment in California.
Q: What is a Premium Only Plan?A: A Premium Only Plan (POP) is a type of benefit plan that allows employees to pay their share of certain benefits with pre-tax dollars.
Q: What does Automatic Pretax Disenrollment mean?A: Automatic Pretax Disenrollment means that employees are no longer eligible to have their benefits paid with pre-tax dollars.
Q: Who can use CALHR006?A: CALHR006 is used by employees in California who wish to discontinue using pre-tax dollars to pay for their benefits.
Q: How do I submit CALHR006?A: CALHR006 can be submitted to your employer's human resources or benefits department.
Q: Can I re-enroll in a Premium Only Plan after disenrollment?A: Yes, you can typically re-enroll in a Premium Only Plan at a later date if you wish to resume using pre-tax dollars for your benefits.
Form Details:
- Released on August 1, 2021;
- 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
1
2
