California Notice of Election to Make Voluntary Plan Applicable to All Employees, DE 2520CV

Entity Mandating Notice: California Employment Development Department.

Applicability: Whenever 85 percent of employees have consented to a voluntary plan for payment of disability insurance and paid family leave benefits instead of state disability insurance coverage, the employer, or 75 percent of the employees who have consented to the plan, or both, may elect to make the voluntary plan applicable to all employees to whom it is available.

Distribution Specifications: Each employee at the time of employment must be given a written notice specifying:

  • His or her right to consent to or to reject such a plan; and
  • A written statement setting forth the essential features of the plan.

Obtaining This Notice: An employer may download this notice directly from the California Employment Development Department's website.

Additional Resources

California Employment Development Department