Monday September 19, 2022 through Friday October 14, 2022 by 5 PM
Open Enrollment is your annual opportunity to review your benefits, your family's needs and your benefits package to match. Many life events can occur during the year that can affect the types of plans and amount of coverage you need. Think about the changes you and your family have experienced in the past year or anticipate in the coming year.
This year all Open Enrollment forms have been set-up via Adobe Sign. This process will provide a secure platform for submitting forms with confidential information and allow for signatures. The effective date for all changes made during the Open Enrollment period will be January 1, 2023. Please check your January 1, 2023 pay to confirm change(s).
During Open Enrollment you can:
· enroll, change or cancel your health, dental and/or Flex cash option
· add/delete eligible dependents
· enroll or re-enroll in a Flexible Spending Accounts: Dependent Care Reimbursement (DCRA), Health Care Reimbursement (HCRA) or
enroll or dis-enroll in a voluntary benefits plan
No action is required, if you do not wish to make health plan changes, adding or deleting dependents or do not wish to enroll/re-enroll in the Flexible Spending Accounts for 2023.
The effective date for all 2022 Open Enrollment changes will be January 1, 2023. Please check your January 1, 2023 pay to confirm change(s).
Open Enrollment Benefits Worksheet - Adobe Sign
Medical, Dental and/or FlexCash Changes. Complete this worksheet if you would like to:
· Enroll, cancel or make changes to your medical, dental and/or FlexCash option (requires additional form)
· Add/delete eligible dependents
FlexCash Form - Adobe Sign
Enroll or cancel Flexcash
Open Enrollment Flexible Spending Account form for HCRA and/or DCRA - Adobe Sign
Enroll or re-enroll in a Flexible Spending Account.
Click Here to enroll or dis-enroll in VSP Premier
CSU Health Plans
· HMO—Health Maintenance Organization. Requires you to receive care through a network of providers. You must select a primary care physician, who is responsible for coordinating your health care, including referrals to specialists.
· PPO—Preferred Provider Organization. Lets you choose from a network of preferred providers. A primary care physician is not required and no referrals are necessary for other in-network providers. You pay more to use an out-of-network provider.
Delta Dental (PPO) and Delta Care USA (HMO)
No changes to these employer-paid plans.
Vision Basic Plan and Vision Premier Plan
Employees will enjoy new plan enhancements such as higher frame and lenses allowance, ultraviolet (UV) protection and VSP Primary Eyecare Plan which includes, for members with diabetes, it offers retinal screenings and additional exams.
There are also services available to members with glaucoma or age-related macular degeneration, and the treatment and diagnosis of eye conditions like pink eye, vision loss and cataracts, at no additional cost or premium increase.
Health Care Reimbursement Account Plan - This plan allows you to set aside a portion of your pay on a pretax basis to reimburse yourself for eligible health, dental and vision care expenses for you, your spouse/registered domestic partner and eligible dependent(s). You may contribute up to $2,850 for the 2023 plan year through payroll deduction. Enrollment in the Health Care Reimbursement Account (HCRA) is required each year along with your designated contribution amounts. The 2023 monthly maximum is $237.50. ASIFlex is the claims administrator for this plan.
Dependent Care Reimbursement Account Plan - The Dependent Care Reimbursement Account plan (DCRA) allows you to set aside a portion of your pay on a pretax basis to reimburse yourself for childcare expenses for your eligible dependent child(ren) under the age of 13. Additionally, if you have an older dependent who lives with you and requires assistance with day-to-day living and is listed as a dependent on your annual tax return, you can claim these eligible expenses through your DCRA. You may contribute up to $5,000 each plan year ($2,500 if married, ﬁling a separate tax return) through payroll deduction. Neither contributions nor reimbursements are taxed. Enrollment in the DCRA is required each year along with your designated contribution amounts. The 2023 monthly maximum amount is $416.66. ASIFlex is the claims administrator for this plan.
The Open Enrollment period also provides you with the opportunity to enroll or cancel in the following voluntary plans.
- Pet Insurance: Nationwide is offering two benefit options for your pets. This insurance can cover
your pet’s accidents, illness and even preventive care and wellness services. Plans
are available for dogs, cats, birds, small mammals and exotics (such as reptiles).
To learn more about this plan and/or to enroll, visit the Nationwide Website or call
Click here to visit the Nationwide Pet Insurance website.
- MetLife Legal Plan: The MetLife legal plan provides representation for many personal legal services
for you and your eligible dependents. Covered legal services performed by a network
attorney are fully paid for by the plan. Employees may enroll or cancel during Open
Enrollment only. Enrollment is a two-step process. Once you have registered, you must log in again
to complete the enrollment process. To learn more about this plan and/or to enroll, go to www.metlife.com/mybenefits or call Client Service Center at 800-438-6388 and say “legal” (Monday – Friday, 8
am to 8 pm EST/EDT). Use 'California State University' as Metlife log-in.
Click here to visit the MetLife website.
- The Standard Insurance: The Standard offers a variety of insurances including:
. Voluntary Life
. Accidental Death & Dismemberment
. Long Term Disability
. Critical Illness & Accident Insurance
Click here to visit the Standard website.
Resources & Brochures