Benefits
Benefits Information by Category
- Cobra
- Fee Waiver
- Flexible Spending Benefits
- Forms
- Health Insurance
- Health Insurance Portability and Accountability Act (HIPAA)
- Leave Programs
- Life Insurance
- Open Enrollment
- Overviews by Unit and Chancellor’s Office Summaries
- Plan Enrollments (New Hires)
- Pre-Tax Savings Plans
- Retirement
All documents must be submitted using the MOVEit, a secure document transfer software. The step-by-step instructions for submitting documents to the Benefits team is provided here.
Benefits Documents:
- Benefits Worksheet
- Family Status Changes Benefits Worksheet with documents (add/delete dependent(s), marriage, domestic partnership , divorce, death, gain or loss of non-CSU health coverage)
- New hire Benefits Worksheet with documents (birth certificate, marriage certificate, domestic partnership)
- Dependent Eligibility Verification Affidavit and supporting documents
- CalPERS Parent-Child Relationship Affidavit and supporting document(s)
- CalPERS Service Purchase Requests
- Fee Waiver - Employee and Dependent forms with class schedule
- FlexCash forms and supporting documents (eligible requests due to gain or loss of coverage or new hire)
- Health Care Reimbursement Account (HCRA) and Dependent Care Reimbursement Account (DCRA) [eligible requests to stop/start/change deduction]. Please review HCRA and/or DCRA Brochure.
COVID-19 LEAVE Requests:
- If you have been exposed to someone who has tested positive or is strongly suspected to have COVID-19, or have symptoms - Complete the online form. Once the initial report is received by Environmental Health and Safety (EH&S), someone will contact you regarding quarantine/isolation period. Please notify your supervising manager. Human Resources will be notified by EH&S.
- Request due to school/daycare closure
* Staff & MPPs - hr@mail.fresnostate.edu
* Faculty (Unit 3) & Unit 11 – facultyaffairs@mail.fresnostate.edu