You are here

Benefits Open Enrollment

2022 Benefits Information

OPEN ENROLLMENT HAS ENDED

IMPORTANT NOTICE TO CSULB STATE EMPLOYEES: Please visit MyBeach Open Enrollment Site (SSO) instead.

Open enrollment took place October 1st - October 15th, 2021. Coverage effective date for all changes starting January 1, 2022. 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 2022 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 2022 Premium Rate Sheet (PDF) and carrier benefit plan summaries, etc.

Health Coverage

No election form needed if not changing coverage.

Medical insurance carriers for employees.

Opting out of medical and/or dental coverage?

You are required to complete and sign a 2022 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 01/01/2022-12/31/2022
BLUE CROSS HMO Total Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Blue Cross HMO EE Only $631.50 $631.50 $0.00
Blue Cross HMO EE + 1 $1,262.50 $1,262.50 $0.00
Blue Cross HMO EE + 2 $1,787.50 $1,787.50 $0.00
KAISER HMO Total Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Kaiser EE Only $503.50 $503.50 $0.00
Kaiser EE + 1 $1,038.50 $1,038.50 $0.00
Kaiser EE + 2 $1,357.50 $1,357.50 $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 $788.50 $788.50 $0.00
Blue Cross PPO EE + 1 $1,578.50 $1,548.50 $30.50
Blue Cross PPO EE + 2 $2,232.50 $1,983.00 $249.50

Dental Coverage

Delta Dental PPO Plan B Benefit Summary 2022 (PDF). No election form needed if not changing coverage.

2022 Dental Rates
Delta Total Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Delta EE Only $42.90 $42.90 $0.00
Delta EE + 1 $85.80 $64.36 $21.44
Delta EE + 2 $132.90 $87.90 $45.00

Vision Coverage

VSP Vision Choice Plan C with Tints & CVC Benefit Summary 2022 (PDF). No election form needed if not changing coverage.

2022 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

Employer Required Annual Notices

Please download the 2022 CSULB Research Foundation Annual Notice (PDF).

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
  • Premium Assistance under Medicaid and the Children’s Health Insurance Program (CHIP)
  • Notice of Certain Deadline Extensions and Summary of Material Modification