What do you want to do?
- Make changes to my health plan
- Make changes to my dental plan
- Enroll in Vision Premier plan
- Enroll/Re-enroll in Health Care/Dependent Care Reimbursement Accounts
- Participate in FlexCash
How do I make changes to my Health Plan?
- Print and complete the Benefits Worksheet (PDF, 237KB).
- If adding a spouse, you will need to submit a copy of your Marriage Certificate.
- If adding a domestic partner, you will need to submit a copy of the approved Declaration of Domestic Partnership.
- If adding a dependent child (under 26 years of age), you will need to submit a copy of the child's Birth Certificate.
- Submit all forms and supporting documents to Human Resources via MOVEit Transfer found in myCI to Diana Enos at diana.enos@csuci.edu by Friday, October 13, 2023.
To get more information on CalPERS health plans and compare your health plan options, please refer to the CalPERS open enrollment materials.
How Do I Make Changes To My Dental Plan?
- Print and complete the Benefits Worksheet (PDF, 237KB).
- If adding a spouse, you will need to submit a copy of your Marriage Certificate.
- If adding a domestic partner, you will need to submit a copy of the approved Declaration of Domestic Partnership.
- If adding a dependent child (under 26 years of age), you will need to submit a copy of the child's Birth Certificate.
- Submit all forms and supporting documents to Human Resources via MOVEit Transfer found in myCI to Diana Enos at diana.enos@csuci.edu by Friday, October 13, 2023.
For information on CSU dental plans, including limitations and exclusions, go to the Delta Dental website.
Enroll in Vision Premier Plan
You can enroll in the new VSP premier vision plan two ways:
- Over the Phone: 800-400-4569
- Online: csuactives.vspforme.com
For more information about the basic and premier VSP plans, review the VSP benefits summary (PDF, 634 KB).
How Do I Enroll or Re-enroll in Health Care/Dependent Care Reimbursement Accounts?
- All employees must complete and print a Heath Care/Dependent Care Reimbursement Account Plans Enrollment Authorization form (PDF, 197K) to enroll in either program for 2024 regardless of participation in 2023.
- Submit all forms and supporting documents to Human Resources via MOVEit Transfer found in myCI to Diana Enos at diana.enos@csuci.edu by Friday, October 13, 2023.
For more information about Health Care/Dependent Care Reimbursement Accounts go to the CSYou Benefits Open Enrollment Page.
How Do I Elect to Participate in the FlexCash Program?
- Complete the Benefits Worksheet (PDF, 237KB)
- Copy your insurance card, showing proof of insurance, and include the copy with the completed form.
- Submit all forms and supporting documents to Human Resources via MOVEit Transfer found in myCI to Diana Enos at diana.enos@csuci.edu by Friday, October 13, 2023.
FlexCash is an option for eligible employees who are interested in waiving their CSU health and dental coverage in exchange for a monthly cash payment. To determine whether you are eligible to participate in this program and get more information go to the FlexCash Program page.