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California State University, Long BeachCalifornia State University, Long Beach

Eligibility and Enrollment

Eligibility

Staff

To qualify for standard health benefits you must initially have an appointment that exceeds six continuous months and one day, at a time base of at least one-half (20 hours or more per work week), however, to continue benefits you only need to maintain an appointment of at least one-half.

Faculty

To qualify for standard health benefits you must initially have an Academic Year appointment at a time base of .50 weighted teaching units (7.5).

Lecturers covered under AB211

Lecturers and Coaches appointed for a minimum of one semester or two consecutive quarters at .4 timebase or greater are eligible for benefits. Coaches (Non-academic calendar year) and Lectures (12 month appointments) are eligible for benefits if appointed half-time or more for a period of more than six (6) months. Exclusions: Faculty appointed solely to teach summer session, extension or intersession are not eligible for standard benefits. View the faculty benefits eligibility details

Employees appointed on an hourly, intermittent basis do not qualify for benefits.

***If at anytime your appointment with the University no longer meets the above requirements, your benefits will automatically be cancelled and you will be given the opportunity to continue your benefits by enrolling into the COBRA program.

Affordable Care Act (ACA) Eligible Employees

Employees who do not qualify for standard benefit may qualify for ACA eligible health care.

Enrollment

The deadline for enrolling in health and dental plans is 60 calendar days from date of hire or eligibility. Employees must complete a Benefits Enrollment Worksheet. Enrollment in vision and life insurance is automatic for all eligible employees. Currently, there is no exclusion for pre-existing conditions. An open enrollment period for health and dental plans is usually scheduled in October of each year.

See Dependent Benefits Enrollment and Deletions for information on enrolling dependents.

Health Insurance Portability and Accountability Act (HIPAA)

HIPAA allows for "special enrollment" and "late enrollment" periods.

Special Enrollment

Allows the employee to enroll upon request, if a Declaration of Health Coverage form (HB-12A) is not already on file. Employees have 60 calendar days from the date of the event to enroll.

  • Loss of other coverage.
  • Non-enrolled employees acquiring a dependent or enrolled employee's non-enrolled spouse can enroll for self and all eligible dependents.
  • Court-ordered coverage.
  • Marital Status change (i.e. Marriage, Divorce, Dissolution of Domestic Partnership or Certification of Domestic Partnership)

Late Enrollment

Upon request, the employee and eligible dependents can enroll after a 90-day waiting period. The 90-day waiting period commences, upon receipt of the employee's completed and signed Benefits Enrollment Worksheet along with supporting documentation.

Continuation of Benefit Plans

IIf the employee or eligible dependents can no longer participate in a benefit plan due to a loss in eligibility, health, dental and/or vision plan coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) may be continued for a specified amount of time

Direct Pay

If you are on a Leave of Absence Without Pay or are otherwise in an approved non-pay status, you may elect to continue your dental coverage by paying the full premium for your coverage via the Direct Pay method. You should complete the necessary documents prior to your Leave. Please contact Benefit Services at (562) 985-7141 for further assistance.