You are here

Benefits Open Enrollment

2021 Annual Benefits Open Enrollment

Open enrollment period ended October 16, 2020. Coverage effective date for all changes starting January 1, 2021. Enrolling a spouse/registered domestic partner requires a copy of the marriage certificate/official documentation with the completed enrollment form.

On-line Portal

Please visit Open Enrollment (OE) portal for medical, dental, vision and FSA coverages. Download the CSURMA 2021 Open Enrollment Login Instructions (PDF) for instructions on how-to navigate portal. You must login and establish a password. Once in the portal, it will walk you through enrolling and/or making changes to your medical, dental, vision and/or FSA coverage for you and your eligible dependents, as applicable. If you wish to leave your health coverage as is, you do not need to do anything. If you would like to enroll in the FSA you will need to provide the required information. While navigating through the portal, please refer to the portal Forms Library for useful resources like the 2021 premium rate sheet and carrier benefit plan summaries, etc.

Health Coverage

No election form needed if not changing coverage.

Medical insurance carriers for employees.

  • Anthem Blue Cross PPO 80 OR Anthem Blue Cross Traditional HMO
  • Kaiser Permanente HMO

Opting out of medical and/or dental coverage?

You are required to complete and sign a 2021 Waiver of Health Insurance Form (PDF) (required each year with copy of current insurance card) and provide proof of non-Research Foundation health plan coverage.

If waiving medical and/or dental coverage you are entitled to receive monthly Flex Cash ,in the amount of $128.00 for medical and $12 for dental.Please review the Flex Cash Fact Sheet (PDF) and complete a Flex Cash Enrollment Form (PDF).

Premium Rates Effective 01/01/2021-12/31/2021
BLUE CROSS HMO Total Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Blue Cross HMO EE Only $692.50 $692.50 $0.00
Blue Cross HMO EE + 1 $1,384.50 $1,384.50 $0.00
Blue Cross HMO EE + 2 $1,959.50 $1,937.00 $22.50
KAISER HMO Total Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Kaiser EE Only $551.50 $551.50 $0.00
Kaiser EE + 1 $1,138.50 $1,138.50 $0.00
Kaiser EE + 2 $1,487.50 $1,487.50 $0.00
BLUE CROSS PPO Total Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Blue Cross PPO EE Only $864.50 $798.00 $66.50
Blue Cross PPO EE + 1 $1,730.50 $1,519.00 $211.50
Blue Cross PPO EE + 2 $2,448.50 $1,937.00 $511.50

Dental Coverage

No election form needed if not changing coverage.

2021 Dental Rates
Delta Total Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Delta EE Only $44.60 $44.60 $0.00
Delta EE + 1 $89.20 $66.90 $22.30
Delta EE + 2 $138.20 $91.40 $46.80

Vision Coverage

No election form needed if not changing coverage.

2021 Vision Rates
VSP Vision Care Total Monthly Carrier Premium Total Monthly Employer Contribution Total Monthly Employee Out-of-Pocket Responsibility
VSP EE Only $11.20 $11.20 $0.00
VSP EE + 1 $14.80 $13.00 $1.80
VSP EE + 2 $24.10 $17.66 $6.44

Flex Spending Account (FSA)

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. FSA accounts are provided through Benefit Coordinators Corporation (BCC)

OPTIONS - You may participate in all options that apply to you:

  1. 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.
  2. Flex Spending Account (Health Care) - enroll for pre-tax payroll deductions and elect up to $2,700/year to cover certain unreimbursed out-of-pocket healthcare expenses.
  3. 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.

Maximize your income with a Flexible Spending Account (PDF) guideline. To enroll, please complete a Flex Cash Enrollment Form (PDF).

Hartford Life Insurance

ELIGIBILITY - Full-time regular status Research Foundation employees in a benefitted category. Eligible employees had the option of electing life insurance coverage in the following amounts upon hire:

  • An amount of 2.5 times their annual salary up to $257,000 maximum or;
  • Flat $50,000 coverage

Please complete and return the Hartford Benefit Enrollment and Beneficiary form (PDF) for beneficiary update.

Hartford provides the following additional benefits to its insured

Hartford Long Term Disability (LTD/AD&D)

ELIGIBILITY - Full-time regular status Research Foundation employees in a benefitted category. Eligible employees are automatically enrolled upon hire. Premiums are paid by the employer on behalf of the employee. 

Employer Required Annual Notices

Please download the 2021 CSULB Research Foundation Annual Notice.

The notice covers:

  • Medicare Part D Notice
  • Women's Health and Cancer Rights Act
  • Newborns' and Mothers' Health Protection Act
  • HIPAA Notice of Special Enrollment Rights
  • Availability of Privacy Practices Notice
  • Notice of Choice of Providers
  • Michelle's Law
  • Premium Assistance Under Medicaid and the Children's Health Insurance Program (CHIP)
  • Nondiscrimination and Accessibility Requirements Notice