If you are the employee of California State University, Long Beach (CSULB) covered by a health, dental and/or vision plan, you have the right to choose this continuation coverage if you lose your group coverage because of a reduction in your hours of employment or the termination of your employment (for reasons other than gross misconduct on your part).
If you are the spouse/dependent of an employee covered by the health, dental and/or vision plans, you have the right to choose continuation coverage for yourself if you lose group coverage under the health, dental and/or vision plans for any of the following reasons:
In the case of a dependent child of an employee covered by the health, dental and/or vision plans, he/she has the right to continuation coverage if group coverage under the health, dental and/or vision plans is lost for any of the following reasons:
The death of a parent,
A termination of a parent's employment (for reasons other than gross misconduct) or reduction in a parent's hours of employment with CSULB,
Parent's divorce or legal separation,
A parent becomes entitled to Medicare, or
The dependent ceases to be a "dependent child" under the health, dental and/or vision. plans. (Age 23, unless permanently disabled and unable to be self supporting).
Under the law, the employee or family member has the responsibility to inform California State University, Long Beach, Payroll & Benefit Services Office of a divorce, legal separation, a child losing dependent status, or Social Security Disability determination within sixty (60) days of the event or the date on which coverage would be lost under the health, dental and/or vision plans, whichever is later.
Effective January 1, 2009
| Medical Carriers | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Blue Shield HMO | $515.10 | $1,030.24 | $1,339.31 |
| Blue Shield NetValue | $455.33 | $910.66 | $1,183.85 |
| Kaiser | $481.31 | $962.61 | $1,251.40 |
| Kaiser Out-of-State | $673.53 | $1,347.05 | $1,751.17 |
| PERS Care | $757.26 | $1,514.52 | $1,968.88 |
| PERS Choice | $487.25 | $974.51 | $1,266.86 |
| PERS Select | $457.64 | $915.29 | $1,189.87 |
| PORAC | $493.68 | $927.18 | $1,174.02 |
| Delta Dental Basic | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Public Safety (Unit 8) | $29.66 | $56.03 | $112.52 |
| Excluded (E99) | $29.66 | $56.03 | $112.52 |
| Delta Dental Enhanced Level I | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| CMA Engineers (Unit 10) | $36.10 | $68.29 | $140.76 |
| Teaching Associates (Unit 11) | $36.10 | $68.29 | $140.76 |
| Delta Dental Enhanced Level II | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Executive (M98) | $44.68 | $84.29 | $164.67 |
| Management Personnel Plan (M80) | $44.68 | $84.29 | $164.67 |
| Confidential (C99) | $44.68 | $84.29 | $164.67 |
| Physicians (Unit 1) | $44.68 | $84.29 | $164.67 |
| CSEA (Units 2,5,7 & 9) | $44.68 | $84.29 | $164.67 |
| Faculty (Unit 3) | $44.68 | $84.29 | $164.67 |
| Academic Support (Unit 4) | $44.68 | $84.29 | $164.67 |
| Skilled Crafts (Unit 6) | $44.68 | $84.29 | $164.67 |
| Delta Care USA Basic | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| CMA Engineers (Unit 10) | $19.01 | $31.37 | $46.37 |
| Teaching Associates (Unit 11) | $19.01 | $31.37 | $46.37 |
| Public Safety (Unit 8) | $19.01 | $31.37 | $46.37 |
| Delta Care USA Enhanced | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Executive (M98) | $25.26 | $41.70 | $61.66 |
| Management Personnel Plan (M80) | $25.26 | $41.70 | $61.66 |
| Confidential (C99) | $25.26 | $41.70 | $61.66 |
| Physicians (Unit 1) | $25.26 | $41.70 | $61.66 |
| CSEA (Units 2,5,7 & 9) | $25.26 | $41.70 | $61.66 |
| Faculty (Unit 3) | $25.26 | $41.70 | $61.66 |
| Academic Support (Unit 4) | $25.26 | $41.70 | $61.66 |
| Skilled Crafts (Unit 6) | $25.26 | $41.70 | $61.66 |
| Vision Service Plan | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| All Employees | $9.31 | $9.31 | $9.31 |