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Health Care Plans

A selection of Heath Care plans available to CSUF Employees.

Faculty and staff are eligible for a wide range of valuable University-provided health benefits. Some benefits are provided automatically, while you must actively choose others. These are an important part of your total compensation package.

 


Dental Benefits

Delta Dental of California provides two types of plans: Delta Premier (basic and enhanced) (PPO/DPO Group 4018) is a fee for service plan. Delta Care USA (basic and enhanced) (Enhanced: 2M77 and Basic: 2M73) is a pre-paid plan. See a Comparison Chart of the two plans. The insurance premium is employer paid. Provisions of the Collective Bargaining Agreement may modify the CSU dental plan benefits.

Explanation of Plans

See the California State University Dental Plans Summary Sheet

Eligibility

Employees must be half-time or more in an appointment that exceeds six (6) months (7.5 teaching units per academic year for faculty, Unit 3). Note: It is the employees' responsibility to request additions, deletion, or changes in their enrollment in a timely manner.

New Enrollments

Employees have 60 calendar days from the date of eligibility to enroll self and dependents in dental benefits. In order to enroll, employees must complete an Enrollment Worksheet available in Human Resources. If you complete the enrollment documents by the end of the month coverage is effective the 1st of the second month. Do not use your dental insurance until the deduction appears on your pay stub.

Cobra

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 dental coverage in exchange for cash if you have other non-CSU coverage. Please see the CSU FlexCash Plan Brochure for details.

Health Benefits

A variety of health plans are available. Provisions of Collective Bargaining Agreement may modify the CSU health plan contribution level.

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. Go to CalPERS for additional information.

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). Go to CalPERS for additional information.

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

Please go to Cal/PERS for this information

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.

Health Care Reimbursement

FlexCash

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.

Vision Benefits

Retiree Voluntary Vision Plan

CSU is pleased to announce a new voluntary vision benefit for eligible California State University retirees and their dependents. The effective date of this new vision benefit is January 1, 2009.

Vision Service Plan (VSP), the same vision carrier for our active employees, will provide administration of the vision benefits and claims on behalf of CSU benefits eligible retirees. For additional information visit the VSP web page at www.vsp.com/go/csuretirees. To speak to a Member Services Representative at VSP call 1-800-877-7195.

Please note that this is a voluntary benefit and the premium will be fully paid by enrolled retirees with a monthly premium deducted from their retirement warrants. Monthly premium rates for the CSU Retiree Voluntary Vision Plan are as follows:

  • Retiree Only (One Party)......$6.21.
  • Retiree + One Dependent (Two Party)......$11.53.
  • Retiree + Family (Three Party)......$12.37.

Related Documents:

Flexible Benefit Plans

Flex Cash and Tax Advantage Premium Plan

Open Enrollment Period

2016 Open Enrollment Period

Begins September 14 - October 9, 2015

Frequently Called Numbers and Group Numbers

Blue Shield of California
Health Plans: Telephone: Group Number:
Blue Shield of California 800-334-5847 PH0001
Kaiser Permanente 800-464-4000 5701-00
PERS-Care
PERSChoice
PersSelect
877-737-7776 KB010A
CB010A
SB010A
PORAC (Unit 8 only) 800-655-6397 13079
Dental Providers: Telephone: Group Number:
Delta Dental 888-335-8227 4018
DeltaCare/PMI 800-422-4234 Basic: 2M73
Enhanced: 2M77
Vision Providers: Telephone: Group Number:
VSP 800-877-7195 12292796
FLEXIBLE SPENDING ACCOUNTS (HCRA/DCRA): Telephone: Group Number:
ASI
PO Box 6044
Columbia, MO 65205-6044
http://www.asiflex.com
Online Claims Submission: my.asiflex.com
Email Address: asi@asiflex.com
Claims Fax Number
800-659-3035



877-879-9038
 
Other Numbers: Telephone: Group Number:
California Casualty Auto, Home Insurance and Identity Protection Insurance
www.calcas.com
866-680-5143  
AFLAC - Critical Illness Plan
www.aflac.com/csu/
877-801-7931  
CalPERS Health Benefits Service Division
www.calpers.ca.gov
888-225-7377  
CalPERS Orange Regional Office
500 North State College Blvd., Suite 750
Orange, CA 92868
888-225-7377  
CalPERS Long Term Care 800-982-1775  
Medicare 1-800-MEDICARE
(1-800-633-4227)
 
METLaw - Legal Plan
www.metlife.com
877-963-8932  
Savings Plus (401K, 457 plans) & PST
https://www.savingsplusnow.com
855-616-4776  
Social Security Administration 800-772-1213  
Standard Insurance Company
- Basic (employer paid)
- Voluntary (employee paid)
- Long Term Disability (employer paid)

800-378-4668
800-378-5745
800-524-0450
 
University of California Defined Contribution Plan (UC/DC) 800-888-8267  

Employee Benefits: Frequently Asked Questions

Q.   I am getting married soon. Can I add my new spouse and/or stepchild(ren) to my coverage or do I have to wait until there is an open enrollment period?
A.  
You have 60 days from the date of marriage to add your spouse and/or stepchild(ren) to your health and/or dental coverage. After 60 days you can add them during the annual open enrollment period or a "late enrollment" event the latter applies to health coverage only. You must provide a copy of your marriage certificate and birth certificates for all dependent children as well as social security numbers for enrollees.

Q.   I am establishing a domestic partnership. Can I add my new domestic partner and or child(ren) of my domestic partner to my coverage or do I have to wait until there is an open enrollment period?
A.  
For benefits eligibility, the CSU recognizes same sex domestic partnership and for opposite sexes one or both of the persons must be over age 62. You must establish the domestic partnership with the Secretary of State. You have 60 days from the date the Secretary of State has registered the domestic partnership to add your domestic partner and/or stepchild(ren) to your health and/or dental coverage. After 60 days you can add them during the annual open enrollment period or a "late enrollment" event the latter applies to health coverage only. You must provide a copy of your domestic partnership registration certificate and birth certificates for all dependent children as well as social security numbers for enrollees. Please note, the Internal Revenue Service has ruled that the actual cost of adding a domestic partner to your benefit results in taxable income to you. The taxable income will be the cost difference between the employee only and the employee plus one dependent premium rate. You can avoid the tax liability if you can designate your dependent as a tax dependent for income tax purposes.

Q.   I am expecting or adopting a baby soon. Can I add my baby to my coverage?
A.  
You have 60 days from the date of birth or adoption placement to add a child to your medical and/or dental coverage. After 60 days, you can add the child during the annual open enrollment period or a "late enrollment" event. The latter applies to health coverage only. The effective date will be the first of the month following the child's birth date or date of adoption. You must provide a copy of the birth certificate and or adoption papers and social security numbers for the enrollee.

Q.   My dependent child just turned age 19. Is he/she still covered?
A.  
Dependent children may be covered to age 26. Special rules apply if mentally or physically challenged.

Q.   Can my grandchild or niece/nephew be covered under my health plan?
A.   If the child is under age 18, unmarried, living in a parent-child relationship and is economically dependent upon the employee he/she may be covered under the employee's health plan. Please contact Human Resources to complete the required documents, including an "Affidavit of Eligibility".

Q.   Can my dependent parent's be covered?
A.   No. Even if totally dependent on the employee, parents are not eligible for coverage.

Q.   I am resigning or my appointment expires at the end of the month. How long will my coverage be I effect?
A.   Coverage is effective through the end of the following month in which you resign or the appointment ends. If you work a few days into a pay period, the State Controller's Office will deduct any required premiums as long as there is enough net pay to cover the premium.

Q.   Can I continue my health benefits if I resign or when my appointment expires?
A.   Yes. COBRA provides you the option of continuing your medical, dental and/or vision plans for up to 18 months (or longer in some cases). You would be responsible for paying the entire premium amount to the carriers, plus a 2% administrative fee. COBRA also applies to dependents who lose coverage.