CMS Login

Enroll in Training

Open Enrollment Frequently Asked Questions

  1. What is "Open Enrollment"?
  2. When is the annual Open Enrollment Period?
  3. How can I choose or compare the available plans?
  4. How are my premium rates calculated?
  5. What is new with the health plans this year?
  6. Can I view my benefits information on the portal?
  7. How do I change my plan?
  8. If I make changes during open enrollment period, what is the effective date of my plan coverage?
  9. What if I don't do anything or don't want to make any changes?
  10. When will I see the new rate change on my paycheck?
  11. Which family members are eligible for plan enrollment?
  12. What supporting documentation and information are required to enroll my family members?
  13. I intend to enroll in an HMO plan.  How do I select a primary care physician (PCP)/Medical group?
  14. Will I receive new health insurance cards?
  15. Can I submit documents after open enrollment?
  16. Are there other times that I can make changes?
  17. How do I get more information?


1.  What is "Open Enrollment"?

Open enrollment is the annual period in which you can enroll, cancel or change health plans or add family members not currently enrolled on your health/dental or vision plans. This is also the time that you would enroll in the available Flexible Spending Accounts. See the Campus Open Enrollment web page for more information.

Back to top

2.  When is the annual Open Enrollment Period?

This year’s open enrollment period is September 11, 2017 – October 6, 2017 (noon).

Back to top

3.  How can I choose or compare the available plans?

Back to top

4.  How are my premium rates calculated?

The California Public Employees' Retirement System (CalPERS) Board of Administration sets health rates every year. Multiple factors influence rates. The rate development process is dynamic and subject to changes in population demographics and health status, provider contracts, drug patents, federal regulations and the market, etc. and as such is different from year to year. For more information, please contact CalPERS at 1.888.225.7377.

Carefully review the monthly employee cost and Maximum Out-of-Pocket limits to make an informed decision.

Back to top

5.  What is new with the health plans this year?

  • New Vision Service Plan (VSP) Premier Plan
    • The VSP Basic Plan is still available at no cost to you (premium paid by CSU).
    • The VSP Premier Plan allows higher allowances for frames and contacts every calendar year (vs. every two years).
    • VSP Premier costs:
      • Member Only - $4.33/month
      • Member + 1 - $16.13/month
      • Family - $30.52/month
    • To enroll in the VSP Premier Plan, visit VSP at csuactives.vspforme.com or call 1 (800) 400-4569.
  • Health Care Reimbursement Account (HCRA)
    • All employees who are currently using the ASIFlex Benny Master Card will be issued a new ASIFlex Visa Debit Card by January 2018. You may now contribute up to $2,600 each plan year through payroll deductions.
    • Remember that HCRA requires annual re-enrollment during Open Enrollment.

Back to top

6.  Can I view my benefits information on the portal?

At this time, Medical, Dental, Vision, and Flex Cash, along with any covered dependents can be viewed. The employer paid Life Insurance and Long Term Disability (LTD) enrollments can also be viewed in the system. Visit the Self Service Benefits Information page for more information.

Back to top

7.  How do I change my plan?

To make a change to your health, dental, vision, or FlexCash please complete a Benefits Worksheet in its entirety. Make sure to include any supporting documentation for spouse, domestic partner or dependent enrollment. See page two of the Benefits Enrollment/ Change Worksheet.

The Flexible Spending Accounts (Dependent Care Reimbursement Accounts and Health Care Reimbursement Accounts) require annual re-enrollment. Please complete the 2018 Health and Dependent Care Reimbursement Account Form.

All Benefits Open Enrollment forms can only be accepted at Kendall Hall, Room 220 between Monday, September 11 and noon, Friday, October 6, 2017.

Back to top

8.  If I make changes during the open enrollment period, what is the effective date of my plan coverage change?

Changes made during the open enrollment period become effective on January 1, 2018.

Back to top

9.  What if I don't do anything or don't want to make any changes?

There will be no change to your benefit coverage if you do nothing. However, the Flexible Spending Accounts (Dependent Care Reimbursement Accounts and Health Care Reimbursement Accounts) require annual re-enrollment.

Back to top

10.  When will I see the new rate change in my paycheck?

You will see the change on your check for the December pay period, issue date 1/1/2018.

Back to top

11.  Which family members are eligible for plan enrollment?

Eligible family members include:

  • Your spouse or registered domestic partner. (former spouses and former domestic partners are not eligible)
  • Your children, adopted children, or stepchildren under age 26 (regardless of whether or not they are living with you).
  • A child over age 26, who is incapable of self-support due to a mental or physical condition that existed prior to age 26, may be included when you first enroll (enrollment must be approved by CalPERS prior to enrollment and must be updated upon request).
  • Another person's child under age 26 may be eligible for coverage if a parent-child relationship exists.

Split Enrollments: Members who are married or in a registered domestic partnership and both work, or worked, for agencies in the CalPERS Health Program can enroll separately. If you and your spouse or domestic partner enroll separately, you must enroll all other family members, regardless of the relationship, under only one of you. Dependents cannot be split between parents. If split enrollments are found, they will be retroactively corrected. You will be responsible for all costs incurred from the date the split enrollment began.

Back to top

12.  What supporting documentation and information are required to enroll my family members?

A list of required supporting documentation is included on page two of the Benefit Enrollment/Change Worksheet.

Back to top

13.  I intend to enroll in an HMO plan.  How do I select a primary care physician (PCP)/medical group?

When you enroll in an HMO plan, the carrier will select a PCP for you and each of your dependents.  You and your covered dependents have the option to select a different PCP/medical group.  After your coverage effective date, you may change your doctor online or by contacting the plan directly.  You can change doctors as often as you’d like, and the change will become effective the first day of the following month.

Back to top

14.  Will I receive new health insurance cards?

HEALTH PLAN

If you made a plan change you will receive insurance cards with the new plan information, usually in December. When visiting your physician, make sure to present their office with your new card.

DENTAL PLAN

  • Delta Dental PPO #4018 - You will not receive insurance cards.  During your first appointment, you will need to provide your dentist with your Delta Dental PPO group number (#4018); your employer’s name (The California State University); your social security number (which must also be used by your dependents); your date of birth; and any other dental coverage you may have.
  • DeltaCare USA HMO #02034 - You will receive an identification card and an Evidence of Coverage booklet describing your benefits.  You can make an appointment once you have received confirmation of your enrollment.  You may change contract dentists by notifying Delta Care USA by phone or in writing.  DeltaCare USA must receive the DeltaCare USA enrollment materials and/or contract dentist change request by the 21st day of the month for coverage to be effective the 1st day of the following month.

VISION PLAN

No, you will not receive insurance cards. VSP network doctors contact VSP to verify your eligibility, plan coverage, and to obtain authorization for services. To find and select a network provider, you may visit www.vsp.com or call (800) 877-7195. Services provided by a non-VSP provider must be paid in full by you. For reimbursement coverage questions, please contact VSP or complete a VSP Out-of-Network Reimbursement form.

Back to top

15.  Can I submit documents after open enrollment?

No, the deadline to submit open enrollment change requests is noon on October 6, 2017. CalPERS does not allow for any flexibility to this deadline.

Back to top

16.  Are there other times that I can make changes?

Life events such as marriage, registration of domestic partnership, birth or adoption of a child, divorce, termination of domestic partnership, or death of a family member will impact dependent benefit eligibility.  You will need to contact the Benefits Unit immediately if any of these life events occur.

Back to top

17.  How do I get more information?

Campus Resources

  • Visit the Benefits office during our Walk-in times (Monday, Tuesday, Thursday or Friday 9:00am – 11:00am) throughout the Open Enrollment period.
  • For specific questions or to schedule an appointment with a Benefits representative, email benefits@csuchico.edu or call 898-5436.

CalPERS Online Tools

  • Visit the CalPERS open enrollment website for links to resources and additional information.
  • The Health Plan by Zip helps you find CalPERS health plans available in your area, enter the ZIP Code of your home or work address, choose Member Category, and select a Search Year
  • The Health Plan Chooser tool lets you compare and rank health plans and search for specific doctors.
  • The Health Benefit Summary provides a side-by-side comparison of health plans and benefits, covered services, and co-payment
  • The CalPERS Compare is a one-stop-shop for current subscribers of the Basic PERSCare, PERS Choice, and PERS Select health plans

Systemwide Open Enrollment CSYou Website

Need Help?

Detailed benefit information is available at Benefits website:  www.csuchico.edu/hr/benefits/index.shtml

Important Note:  If there is a discrepancy between this information and the official plan documents and contracts, the official documents will always govern.

Back to top