Open Enrollment Period

What does the CSULB pay for your medical coverage?

2012 Employer contributions (for all EE’s except Unit 6):

• One-Party - $566
• Two-Party - $1,074
• Family - $1,382

2012 Employer contributions for Unit 6 employees:

• One-Party - $571
• Two-Party - $1,084
• Family - $1,402

Plan Coverage Changes for 2012

There are some important changes to your health benefits coverage effective January 1, 2012. To view the Evidence of Coverage (EOC) booklet click on the PDF below for a complete explanation of the benefits covered, as well as limitations and exclusions that may apply. Be sure to review this information carefully to determine whether you want or need to make a health plan change.

Blue Shield Access+/NetValue HMO Plans

• Will be withdrawing services from Santa Barbara county
• Adding providers in Los Angeles, Riverside, Orange and San Bernardino counties
• Retail co-payments for up to a 30 day supply of brand name drugs will increase by $5, it will now cost $20
• Retail co-payments for a 31 – 90 day supply of brand name drugs will increase by $10, they will now cost $40
• Retail co-payment for Non-Formulary drugs will increase by $75, they will now cost $100
• Members maintain access to brand name drugs when a FDA approved generic equivalent is available by paying the difference between the cost of the generic and brand name drug. A brand co-payment applies when a prior authorization for the brand name is obtained due to medical necessity

Kaiser HMO Plan

• Retail co-payments for up to a 30 day supply of brand name drugs will increase by $5, it will now cost $20
• Retail co-payments for a 31 – 90 day supply of brand name drugs will increase by $10, it will now cost $40
• Members maintain access to brand name drugs when a FDA approved generic equivalent is available by paying the difference between the cost of the generic and brand name drug. A brand co-payment applies when a prior authorization for the brand name is obtained due to medical necessity

PERS Care/Choice/Select PPO Plan

• Prescription drug administration will change from Medco to CVS Caremark
• Retail co-payments for up to a 30 day supply of brand name drugs will increase by $5, it will now cost $20
• Retail co-payments for a 31 – 90 day supply of brand name drugs will increase by $10, they will now cost $40
• Retail co-payment for Non-Formulary drugs will increase by $75, they will now cost $100
• Expanding the Value Based Site of Care program; and established a payment threshold for 3 additional elective procedures. When members receive service at an outpatient hospital rather than an ambulatory surgery center the following thresholds apply:
  • Arthroscopy — $6,000 limit
  • Cataract Surgery — $2,000 limit
  • Colonoscopy — $1,500 limit

PERS Select PPO Plan will:

• Expanding service to include Marin County

PORAC PPO Plan will:

• Has no changes.

Health Care Reimbursement Account (HCRA) Changes for 2012

The CSU is pleased to announce the implementation of a Flexible Spending Plan (FSA) debit Master card to HCRA enrollees, beginning in the 2012 plan year. The optional “FSA Benny Card” issued by ASIFlex, allows HCRA enrollees to pay for out-of-pocket medical expenses (i.e., health, dental, vision, etc.) when issued as payment at Health Care Providers and at certain retail locations that have implemented an Inventory Control System, per IRS regulations. There is a small, monthly administrative fee applicable to enrollees that choose the FSA debit card. Use of the debit card would eliminate the following:

1. The requirement for HCRA participants to pay for these eligible expenses out of pocket
2. The waiting period for HCRA claims to be processed and reimbursed by ASIFlex
3. The requirement to submit paper claims and documentation of certain transactions

Participants interested in the “Benny Card” can obtain the card by submitting a completed “FSA Debit Card Request” form directly to ASIflex and anytime it takes them 7 - 10 days to process your request for a card.

Dependent Social Security Numbers

We are required to collect the Social Security Number (SSN) of any individual(s) enrolled in a CalPERS health plan, CSU dental and/or vision plan as the dependent of a benefits eligible employee.

This policy is applicable to new hires and existing employees. If an employee elects coverage for his/her dependent(s) during open enrollment and does not provide valid Social Security Number(s) for the dependent(s), the campus should not process the open enrollment request until proper documentation is provided. If the dependent is deemed ineligible to qualify for a Social Security Number, we must document this information and contact CalPERS for the individual to be manually enrolled in health benefits.

Voluntary Benefit Plans Offering Enrollment during Annual Open Enrollment Period

On October 20, 2011 from 12PM - 2PM our Voluntary Benefit Plans will be at our annual benefits fair. Some of the vendors will allow enrollment into their plans during this open enrollment period. The vendors and plans that will be available are as follows:

MetLaw Legal Plan - offered by Hyatt Legal Plan, Inc.

For a low monthly premium of $19.70, they provide representation for many personal legal services for employees and their eligible dependents. Services for covered legal matters performed by a Network attorney are fully paid for by the plan. In addition to unlimited advice and consultation, the plan also has an Identity Theft component. You can only enroll in this plan during open enrollment or within sixty days of employment.

Critical Illness Plan - offered by Aflac

Provides a lump-sum benefit payment to cover out of pocket medical expenses and the costs associated with life-changes following the diagnosis of a covered critical illness. During our open enrollment period all CSU eligible employees will be provided a FINAL opportunity to enroll in the Aflac Critical Illness Plan with Guaranteed Issue-no health questions asked.

Voluntary Life Insurance - offered by The Standard

Offers the opportunity to purchase Voluntary Life Insurance at a competitive group rate. Effective January 1, 2012, the voluntary rates will decrease by an overall average of 15 percent. This plan does not have a formal open enrollment period. Eligible employees can enroll in the benefit at any time. If an employee chooses to enroll after the first sixty days of hire the employee is subject to Evidence of Insurability requirements. Monthly premium rates for employees that are currently enrolled in Voluntary Life Insurance and impacted by the rate decrease, will be automatically adjusted on the January 1, 2012 pay warrant.

Voluntary Long Term Disability Insurance - offered by The Standard

Provides loss of income protection (up to 60%) due to a qualified disability. The vendor offers two (2) different plan options which include a 30 or 90 day waiting period. Eligible employees can enroll in the benefit at any time during employment. If an employee chooses to enroll after the first sixty days of hire or eligibility, the employee will be subject to Evidence of Insurability (EOI) requirements.

Auto & Home Insurance - offered by California Casualty

Allows CSU eligible employees to obtain auto and home insurance policies at a discounted rate. The plan also has an identity theft component known as ID Defense. All policies are written for a 12-month period. Eligible employees can enroll in this benefit at any time during employment.

Office Information

Customer Service Representatives

Assisting Employees with Last Names A-L

Assisting Employees with Last Names M-Z