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2018 Annual Benefit Open Enrollment

Open Enrollment Period – November 7, 2017 through November 20, 2017.

NO ENROLLMENT FORMS WILL BE ACCEPTED AFTER NOVEMBER 20TH.

PREMIUMS HAVE INCREASED FOR 2018

PLEASE SEE PREMIUM RATE SHEET

OPEN ENROLLMENT IS NOW CLOSED!!

  • Coverage Effective Date for All Changes – January 1, 2018
  • Enrolling a spouse/registered domestic partner requires a copy of the marriage certificate/official documentation with the completed enrollment form.
  • Enrolling a dependent child requires a copy of the birth certificate or proof of legal Guardianship and social security number.
  • No election form needed if not changing coverage.

    COVERAGE

    2018 EMPLOYER CONTRIBUTION

    One Party (Employee only) $707.00
    Two Party (Employee + 1) $1349.00
    Family (Employee + 2 or more) $1727.00

    Links to 2018 benefits summary and carrier information:

    VOLUNTARY WAIVER OF MEDICAL COVERAGE – Required to sign “Waiver of Health Coverage 2018” and provide proof of non-Research Foundation health plan coverage in order to avoid incurring a tax penalty.

    No election form needed if not changing coverage.

    No election form needed if not changing coverage.

    Individuals enrolling a spouse/domestic partner must provide a copy of their marriage certificate/official documentation with the completed enrollment form. If enrolling a dependent child, a copy of the birth certificate or proof of legal Guardianship is required.

    All fees, rates and employer contributions are subject to change at any time during the plan year.

    ANTHEM BLUE CROSS HMO
    MONTHLY CARRIER PREMIUM
    RFND MAX MONTHLY CONTRIBUTION
    EMPLOYEE OUT-OF-POCKET PER MONTH
    Employee only $697.80 $707.00 $0.00
    Employee + 1 Dependent $1465.38 $1349.00 $116.38
    Employee + 2 or more Dependents $2093.39 $1727.00 $366.40

     

    KAISER HMO
    MONTHLY CARRIER PREMIUM
    RFND MAX MONTHLY CONTRIBUTION
    EMPLOYEE OUT-OF-POCKET PER MONTH
    Employee only $556.17 $707.00 $0.00
    Employee + 1 Dependent $1167.95 $1349.00 $0.00
    Employee + 2 or more Dependents $1529.44 $1727.00 $0.00

     

    ANTHEM BLUE CROSS PPO
    MONTHLY CARRIER PREMIUM
    RFND MAX MONTHLY CONTRIBUTION
    EMPLOYEE OUT-OF-POCKET PER MONTH
    Employee only $818.71 $707.00 $111.72
    Employee + 1 Dependent $1623.42 $1349.00 $274.42
    Employee + 2 or more Dependents $2279.43 $1727.00 $552.44

     

    DELTA (DENTAL)
    CODE
    TOTAL MONTHLY CARRIER PREMIUM
    EMPLOYEE MONTHLY
    Employee only Single $49.60 $0.00
    Employee + 1 Dependent Two Party $90.15 $20.28
    Employee + 2 or more Dependents Family $145.99 $48.20

     

    VSP (VISION)
    CODE
    TOTAL MONTHLY CARRIER PREMIUM
    EMPLOYEE MONTHLY
    Employee only Single $6.53 $0.00
    Employee + 1 Dependent Two Party $9.48 $1.48
    Employee + 2 or more Dependents Family $16.99 $5.24

    Benefit Coordinators Corporation (BCC) Health/Dependent Flexible Spending Accounts

    ENROLLMENT REQUIRED EVERY YEAR

    ELIGIBILITY-Part-time regular and full-time regular status Research Foundation employees in a benefitted category. Enrollment is only available during the annual Open Enrollment period and will be effective on January 1st. Once enrolled, you cannot stop participation without a qualifying event.

    Pre-tax Election for Group Health Insurance Premiums - if you participate in our group medical, dental or vision insurance programs, your monthly out-of-pocket premiums, if any, will be processed through the FSA Plan as a pre-tax deduction.

    Flex Spending Account (Health Care) - enroll for pre-tax payroll deductions and elect up to $2,650/year to cover certain un-reimbursed out-of-pocket healthcare expenses.

    Flex Spending Account (Dependent Care) - enroll for pre-tax payroll deductions and elect up to $5,000/year ($2,500/year if married, filing separate), to cover dependent care expenses for children under the age of 13.

    Contact the Research Foundation HR Office with questions

    Stephanie Moreno
    Director of Human Resources
    stephanie.moreno@csulb.edu
    (562) 985-7949

    Rhonda Jensen
    Human Resources Assistant
    rhonda.jensen@csulb.edu
    (562) 985-7950