Open Enrollment is Now Closed
The effective date for all changes made during the Open Enrollment period will be January 1, 2022. Please check your January 1, 2022 pay to confirm change(s).
Open Enrollment Benefits Worksheet (DocuSign)
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 2022 (DocuSign)
Enroll or cancel Flexcash
· FlexCash Brochure
Open Enrollment Flexible Spending Account for HCRA and/or DCRA (DocuSign)
Enroll or re-enroll in a Flexible Spending Account:
· Dependent Care Reimbursement (DCRA)
· Health Care Reimbursement (HCRA)
Click Here to Enroll or dis-enroll in VSP Premier
The CalPERS Board of Administration administers the health plans on behalf of the CSU. The 2022 monthly rates will increase for most plans.
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
Preferred Provider Organization (PPO)
CalPERS three PPO plans—PERSCare, PERS Choice and PERS Select—will transition to two plans, PERS Platinum and PERS Gold. If you are enrolled in PERS Care and PERS Choice, if you do not make a change during Open Enrollment, you and your enrolled family members will automatically be moved to PERS Platinum. If you are enrolled in PERS Select, and do not make a change during Open Enrollment, you and your enrolled family members will automatically be moved to PERS Gold.
The change is the result of a year-long analysis to stabilize the basic plan portfolio, which included engaging with members, employers, and stakeholders. The two PPO plans will offer more distinction in beneﬁt design, networks and premium pricing.
Delta Dental (PPO) and Delta Care USA (HMO)
No changes to these employer-paid plans.
· Dental Comparison HMO vs PPO 2022
· SmileWay Flyer (PPO)
· Be Network Saavy Flyer (PPO)
· Delta Dental Value Added Features
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 $2,750 for the 2021 plan year through payroll deduction. Enrollment in the Health Care Reimbursement Account (HCRA) is required each year along with your designated contribution amounts. The 2022 monthly maximum is $229.16. 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 2022 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: Enrollment and cancellation may only be done during Open Enrollment. Call our 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 (Voluntary Life, AD&D, Disability, Critical Illness & Accident Insurance)
Click here to visit the Standard website.