2016 Open Enrollment

 
Monday, September 12, 2016 - Friday, October 7, 2016
 
Benefit Changes for 2017
How to make health/dental changes or add/delete eligible dependents
How to enroll for FlexCash
How to cancel FlexCash
HCRA/DCRA Enrollment & Re-enrollment process
CSU Voluntary Benefit Plans
 
The annual Open Enrollment period provides benefit eligible employee’s the opportunity to change their health/dental plans and enroll/re-enroll in the Flexible Spending plans for 2017. All plan changes and enrollments become effective January 1, 2017. Please check your January 1, 2017 pay warrant to confirm changes and enrollments. If you do not wish to make changes, additions or deletions, to your health plans no action is required.
**DEADLINE: All Open Enrollment Worksheets, FlexCash forms and Flexible Spending (DCRA & HCRA) forms must be submitted no later than 5:00 p.m. on Friday, October 7, 2016. Due to the State Controller’s and CalPERS deadlines, there are no exceptions.** 

During the open enrollment period, eligible employees may request to:

  • Enroll in a health or dental plan, change health or dental plans, and/or add or delete eligible family members to health or dental plans.
  • Enroll or cancel FlexCash – an employee that has an alternate non-CSU medical and/or dental plan may elect to receive FlexCash with appropriate proof of alternate non-CSU coverage.
  • Enroll or re-enroll in the flexible spending plans for the new 2017 tax year. Current participants who wish to continue the flexible spending plans in the 2017 tax year must re-enroll during the open enrollment period.
    • Health Care Reimbursement Account (HCRA) and/or
    • Dependent Care Reimbursement Account (DCRA).
Benefits Fair & Wellness Expo
Health plans and wellness providers will be on campus to provide you information to assist you in your Open Enrollment decision.
Wednesday, September 28, 2016 @ 10 a.m. - 1 p.m.
Satellite Student Union
 
Open Enrollment Workshops
Learn more about the health plans, new 2017 premium rates, dental plans, vision plans, CSU tax shelter annuity plan, voluntary plans (The Standard Life, MetLaw, AFLAC) and flexible spending plans (Health care & Dependent care). The benefits team will be available to assist you with Open Enrollment questions. Registration: Course Code #00647 

To register for one of the workshops log into myFresnoState, click on Employee Self-Service and select Learning & Development, click on Request Training Enrollment.

 Thursday, September 22, 2016 @ 11:15 a.m. - 12 p.m. (noon)
Leon S. Peters Building - University Business Center, Rm.192
Course Session #0005
 
Wednesday, October 5, 2016 @ 11:15 a.m. - 12 p.m. (noon)
Leon S. Peters Building - University Business Center, Rm.192
Course Session #0004
 
Benefit Changes for 2017

Blue Shield NetValue (HMO):  Is no longer being offered in 2017. If you are enrolled in Blue Shield NetValue, use the CalPERS Health Plan Search by zipcode tool. that will allow you to view health plans available in your area. If you do not make a change during Open Enrollment, you and your enrolled family members will be moved into the Blue Shield Access+ health plan. 

NOTE: Blue Shield NetValue participants changing to another HMO with the SANTE Medical Group (UnitedHealthcare HMO, Health Net SmartCare HMO or Anthem Blue Cross Traditional HMO) should verify with their current primary care physician and specialists prior to changing plans to confirm they are accepting these plans as of January 1, 2017.

UnitedHealthcare:  Is expanding into San Luis Obispo, Madera, Riverside, San Bernardino and San Diego counties.

Diabetes Prevention:  All health plans will implement a diabetes prevention program that meets the Center for Disease Control and Prevention’s “Diabetes Prevention Recognition Standards and Operating Procedures”, at no additional cost to you. This benefit is designed to reach pre-diabetic plan members to prevent or reduce the onset of Type 2 diabetes.       

New Pharmacy Benefits Manager:  Effective January 1, 2017, Optum Rx will be the new pharmacy benefits manager for all of CalPERS' health plans, with the exception of Kaiser HMO and Blue Shield of California Access+ HMO plans.

For additional information, please review CalPERS website at: www.calpers.ca.gov

 
Dental Benefit 2017
There are no changes to the CSU dental plans: Delta Dental PPO and DeltaCare USA HMO. The monthly premiums for both plans continue to be employer-paid. http://www.fresnostate.edu/adminserv/hr/benefits/health/dental.html
 
Vision Service Plan (VSP) 2017
There are no changes to the VSP plan. The monthly premium for this plan continues to be employer-paid. www.vsp.com     
 

Clicking on these "How to" drop downs, will provide you with required forms and instructions on how to complete the forms.

How to make Health/Dental plan change or add/delete eligible dependents

Complete the Open Enrollment Benefits Worksheet and CalPERS HBD-12A form.

Open Enrollment Benefits Worksheet:

  1. Complete Section 1.
  2. Select the type of transaction(s) in Section 2. (If electing to cancel or enroll in FlexCash, please follow the process under “FlexCash Enroll or Cancel.")
  3. Select your NEW plan in Section 3.
  4. In Section 4 list yourself, current and new dependents, if applicable. Then circle the “Action” for each dependent and self (add, delete).  Circle “NA” if there are no health plan changes for your dependent(s).
  5. Sign and date the form.
  6. Submit the completed Open Enrollment Benefits Worksheet and HBD-12A forms with required documentation (i.e., copy of dependent birth certificate, marriage certificate, Domestic Partnership).

*Social security numbers are required for each dependent. 

Open Enrollment documents must be submitted to Human Resources, Joyal Administration, Room 211 no later than 5:00pm on Friday, October 7, 2016.  Due to the State Controller’s and CalPERS deadlines, there are no exceptions.

Please check your January 1, 2017 pay warrant to confirm change(s).

How to enroll for FlexCash & cancel Health/Dental

Complete the Open Enrollment Benefits Worksheet, CalPERS HBD-12A form and the FlexCash Enrollment Authorization form. 

Open Enrollment Benefits Worksheet:

  1. Complete Section 1.
  2. Complete Section 2 and select “Enroll in FlexCash” and cancel health (name) and/or dental plan (name).
  3. Sign and date the form.  

FlexCash Program Enrollment Authorization Form:

  1. Mark “Annual/Open Enrollment Newly” box.
  2. Complete Sections 2-4.  
  3. In Section 5, place the dollar figure in the box “Cash in lieu of…” for the plan you are waiving (medical or dental) and total the monthly amount in box 5C: $128.00 for waiving the CSU medical plan and/or $12.00 for waiving the CSU dental plan.
  4. Sign and date the form.
  5. Attach proof of alternate non-CSU medical and/or dental plans.

Submit the completed Open Enrollment Benefits Worksheet, HBD-12A form and FlexCash Program Enrollment Authorization with required documentation (copy of alternate non-CSU plan and if covered by spouse’s alternate plan, a copy of Marriage Certificate/Domestic Partnership).

*Note: The following individual health insurance policies are not qualifying group health plan coverage for purposes of the FlexCash Benefit Program:Covered California plans, another insurance marketplace or coverage under Tricare, Medicare and Medi-Cal.

Open Enrollment documents must be submitted to Human Resources, Joyal Administration, Room 211 no later than 5:00pm on Friday, October 7, 2016.  Due to the State Controller’s and CalPERS deadlines, there are no exceptions.

Please check your January 1, 2017 pay warrant to confirm change(s).

How to cancel FlexCash & enroll in Health/Dental

Complete the Open Enrollment Benefits Worksheet, CalPERS HBD-12A form and the FlexCash Enrollment Authorization form.

Open Enrollment Benefits Worksheet:

  1. Complete Section 1-4. *(In Section 2, select “Cancel FlexCash” and Enroll in health and/or dental.)
  2. Sign and date.

FlexCash Program Enrollment Authorization Form:

  1. In section 1, mark the “Cancellation box."
  2. Complete Sections 2-4.  
  3. In Section 5, place a "-0-" in the box “Cash in lieu of…” for the plan (medical or dental) you are cancelling.  NOTE: If you are cancelling only one of two FlexCash plans, please note the "-0-" and continued FlexCash amount: $128.00 for waiving the CSU medical plan or $12.00 for waiving the CSU dental plan. In 5C, please total the monthly amount. 
  4. Sign and date the form.

Submit the completed Open Enrollment Benefits Worksheet, HBD-12A form and FlexCash Program Enrollment Authorization with required documentation (i.e., copy of dependent Birth Certificate(s), Marriage Certificate/Domestic Partnership).

*Social security numbers are required for each dependent.

Open Enrollment documents must be submitted to Human Resources, Joyal Administration, Room 211 no later than 5:00pm on Friday, October 7, 2016.  Due to the State Controller’s and CalPERS deadlines, there are no exceptions.

Please check your January 1, 2017 pay warrant to confirm change(s).

How to enroll or re-Enroll in the Flexible Spending Plan(s)

If you are currently participating in one of these flexible spending plans and wish to continue your deduction for the next tax year or would like to start participating:

Complete the Dependent Care/Health Care Reimbursement Account Plans Enrollment Authorization form:

  1. Completed sections 1-4.
  2. Initial section 5.
  3. Place monthly deduction amount in section 7.
  4. Sign and date after reading Section 8.
Maximum pre-tax deduction amounts for 2017:
  • HCRA amount is $212.50 monthly ($2,550 annual maximum).
  • DCRA amount is $416.66 monthly ($5,000 annual maximum).

Submit the completed form to Human Resources.

Open Enrollment documents must be submitted to Human Resources, Joyal Administration, Room 211 no later than 5:00pm on Friday, October 7, 2016.  Due to the State Controller’s and CalPERS deadlines, there are no exceptions.

Please check your January 1, 2017 pay warrant to confirm change(s).

*If you participated in 2016 and re-enrolled in the HCRA plan for 2017 tax year, the remaining balance as of December 31, 2016 will be used to pay for eligible HCRA expenses incurred during the 2 ½ month grace period of January 1, 2017 through March 15, 2017.

ASIFlex VISA Debit Card (HCRA only):This card provides you the option to have HCRA-related expenses automatically deducted from your HCRA account. To request the ASIFlex Debit Card, complete the “ASIFlex Debit Card Application” form and submit the form to ASIFlex. Two (2) cards will be issued. The fee of $12.00 for this card is deducted directly from your HCRA account by ASI Flex as a non-refundable, one-time, lump sum amount.

 

CSU Voluntary Benefit Plans

The Open Enrollment period also provides you with the opportunity to enroll in the following voluntary plans.

The Standard Insurance Enhancement:  During this Open Enrollment period, The Standard Insurance will allow employees the opportunity to enroll or increase Supplemental Life insurance up to $100,000 (employee only) coverage without providing Evidence of Insurability.  Prior declined employees will need to provide satisfactory Evidence of Insurability.  To learn more about this benefit and/or to enroll, go to www.standard.com/mybenefits/csu or call (800) 378-5745. 

Aflac Critical Care Illness Insurance:  During this Open Enrollment Aflac will allow employees the opportunity to enroll or increase Group Critical Illness Insurance with coverage up to $20,000 for employee only, and $10,000 of coverage for their spouse/domestic partner without providing Evidence of Insurability. To learn more about this plan and enroll, go to www.aflac.com/csu or call (800) 433-3036.

 MetLaw, Legal Services:  This plan provides representation for many personal legal services for you and your eligible dependents. Covered legal services performed by a network attorney are fully paid for by the plan. Current employees may only enroll or cancel during open enrollment. To learn more about this plan and enroll, go to www.metlife.com/mybenefits or call (800) 438-6388. 

California Casualty Insurance:  This plan provides employees with group auto and home insurance at a discounted rate.   Employees are eligible to enroll in the plan at any time. To learn more about this program, or to enroll, go to www.calcas.com/csu or call (866) 680-5142.

 

For additional information, please review the CSU Open Enrollment website http://csyou.calstate.edu/openenrollment