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Health Benefits Program Summary

PROGRAM: A variety of health plans are available. Provisions of Collective Bargaining Agreement may modify the CSU health plan contribution level. (Hyperlink to Employee Cost Sheet).

ELIGIBILITY: Employees must be half-time or more in an appointment that exceeds six (6) months. Faculty (Unit 3) may qualify in two ways: 1. Those who are appointed to teach at least 7.5 units per academic year; or 2. Lecturers/Coaches who are appointed for at least six (6) weighted teaching units for at least one semester are benefits eligible. Note: It is the employees’ responsibility to request additions, deletions, or changes in their enrollment in a timely manner. (Hyperlink to CalPERS)

HEALTH PLANS: There are two (2) general types of health plans available. The two types of plans are Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). (Hyperlink to CalPERS)

NEW ENROLLMENTS: Employees have 60 calendar days from the date of eligibility to enroll in health benefits via the normal enrollment process. In order to enroll, employees must complete an Enrollment Worksheet available in Human Resources. If you are enrolling a spouse to your health insurance, please attach a copy of your marriage certificate or the top portion of your tax return to the Enrollment Worksheet. For staff and administrators coverage becomes effective the first of the month following the date the enrollment form is signed and submitted to Human Resources. Faculty who enroll within the first pay period of the fall semester are covered October 1.

Please note: If you miss the 60 day window to enroll in benefits you may be subject to serve a mandatory 90-day waiting period from the date of submission to Human Resources.

DEPENDENT ELIGIBILITY: (Hyperlink to CalPERS)

OPEN ENROLLMENT: If you wish to change health plans you may do so during the open enrollment period which is September through October with an effective date of January 1.

COBRA: You may elect to cancel your health insurance at any time. If you become ineligible because of a reduction in time base you may continue your coverage under the provisions of COBRA. If your dependents become ineligible the coverage may be continued under the provisions of COBRA. Please contact Human Resources for details.

DIRECT PAY: If you are on a formal leave of absence without pay or are in an approved non-pay status you may elect to pay the full premium for your coverage. Please contact Human Resources for details.

FlexCash Plan: Eligible employees may waive CSU group health in exchange for cash if you have other non-CSU coverage. Please see the CSU FlexCash Plan Brochure for details.