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, 2007
| Medical Carriers | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Blue Shield HMO | $444.83 | $889.66 | $1,156.57 |
| Kaiser | $409.72 | $819.45 | $1,065.28 |
| PERSCare | $777.12 | $1,554.24 | $2,020.51 |
| PERSChoice | $459.68 | $919.37 | $1,195.17 |
| Delta Dental Basic | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Public Safety (Unit 8) | $27.49 | $51.93 | $104.28 |
| Excluded (E99) | $27.49 | $51.93 | $104.28 |
| Delta Dental Enhanced Level I | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| CMA Engineers (Unit 10) | $33.46 | $63.29 | $130.45 |
| Teaching Associates (Unit 11) | $33.46 | $63.29 | $130.45 |
| Delta Dental Enhanced Level II | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Executive (M98) | $41.40 | $78.11 | $152.61 |
| Management Personnel Plan (M80) | $41.40 | $78.11 | $152.61 |
| Confidential (C99) | $41.40 | $78.11 | $152.61 |
| Physicians (Unit 1) | $41.40 | $78.11 | $152.61 |
| CSEA (Units 2,5,7 & 9) | $41.40 | $78.11 | $152.61 |
| Faculty (Unit 3) | $41.40 | $78.11 | $152.61 |
| Academic Support (Unit 4) | $41.40 | $78.11 | $152.61 |
| Skilled Crafts (Unit 6) | $41.40 | $78.11 | $152.61 |
| PMI Delta Care Basic | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| CMA Engineers (Unit 10) | $17.88 | $29.50 | $43.61 |
| Teaching Associates (Unit 11) | $17.88 | $29.50 | $43.61 |
| Public Safety (Unit 8) | $17.88 | $29.50 | $43.61 |
| PMI Delta Care Enhanced | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| Executive (M98) | $23.76 | $39.22 | $57.99 |
| Management Personnel Plan (M80) | $23.76 | $39.22 | $57.99 |
| Confidential (C99) | $23.76 | $39.22 | $57.99 |
| Physicians (Unit 1) | $23.76 | $39.22 | $57.99 |
| CSEA (Units 2,5,7 & 9) | $23.76 | $39.22 | $57.99 |
| Faculty (Unit 3) | $23.76 | $39.22 | $57.99 |
| Academic Support (Unit 4) | $23.76 | $39.22 | $57.99 |
| Skilled Crafts (Unit 6) | $23.76 | $39.22 | $57.99 |
| Vision Service Plan | 1 Party | 2 Party | 3 Party |
|---|---|---|---|
| All Employees | $9.31 | $9.31 | $9.31 |