Benefits

Medical

Health plan options

The Corporation has elected to purchase coverage through AORMA (Auxiliary Organizations Risk Management Alliance), and organization consisting of CSU auxiliaries. By participating in the AORMA plans, we are able to reduce our costs as well as reduce the potential for increased premium in the future. The broker contracted by AORMA in securing these plans is Wells Fargo Insurance Services. Several health plans, including health maintenance organizations (HMO's) and preferred provider organizations (PPO's), are offered through AORMA.

Health Plan 2018

Blue Cross - HMO (certain areas only)

Blue Cross - PPO High Option (90/60)

Blue Cross - PPO Low Option (80/60)

Covered Prescription Drug Benefits

Each plan varies in coverage and cost; therefore, it is essential that you consider your personal and family needs before making a selection. An Evidence of Coverage Booklet will be mailed to you upon enrollment in a health plan. Additional copies are available upon request by contacting Corporation HR.

Coverage effective date

Initial health enrollments are generally effective the 1st day of the month following the date the enrollment form is received by CHR.

Please note: Enrollments are processed online. You will receive ID cards directly from your health plan within 2-3 weeks from when they receive the enrollment data. If you do not receive your ID card by your benefits effective date, you can print a temporary card from the Anthem Blue Cross Website.

Employee cost

The Corporation makes a substantial contribution toward the monthly gross premium cost. The employee is required to pay the difference (if any) between the Corporation’s contribution and total premium as shown in the rate sheet chart. Any out-of-pocket costs for monthly medical premiums will be automatically deducted from your paycheck on a pre-tax basis. Premiums and out-of-pocket costs are adjusted annually on January 1st. You may also have co-pays and deductibles depending on your plan.

Current medical premiums

2019 Medical premiums

Open Enrollment

Changing plans

An "open enrollment" period is conducted annually October 8, 2018 - October 31, 2018. At this time employees can change health plans, and add or delete dependents. Changes are effective on January 1st of the following year. Employees are advised to carefully consider all factors when choosing a health plan. Plan changes are only allowed during open enrollment or in the event of an address change. Please notify CHR if you move out of a zip code because this may affect the availability of your health plan.

--> ADP Self Service Open Enrollment!

Find a doctor

For Blue Cross PPO enrollees can go to the Anthem Blue Cross website. Then, click the icon to enter the site and then go to "find a doctor."

You have the option to become a registered user and obtain individualized information regarding your account at your convenience.

Prescription drug benefits

All medical plans provide prescription drug benefits, either through a participating pharmacy or mail service prescription drug program. Information is available in your Evidence of Coverage (EOC) booklet. You may also contact the CHR office for more information.

Dental/Vision

Dental plan

The Guardian dental plan includes a network of preferred dentists. If you receive treatment from preferred dentists, you will receive enhanced benefits. However, you also have the option of receiving treatment from the dentist of your choice who is not a member of the network. Benefits for treatment from non-preferred dentists will be paid at the lower reimbursement level and may be subject to usual, customary and reasonable benefit limitations.

Dental plan summary

Dental certificate of coverage

Dental coverage effective date

The Guardian dental plan includes a network of preferred dentists. If you receive treatment from preferred dentists, you will receive enhanced benefits. However, you also have the option of receiving treatment from the dentist of your choice who is not a member of the network. Benefits for treatment from non-preferred dentists will be paid at the lower reimbursement level and may be subject to usual, customary and reasonable benefit limitations.

Dental Employee Cost

The Corporation pays 100% of the premium for employees and all eligible benefits.

Dental plan changes

There is no "open enrollment" for dental benefits. If you or your dependents do not enroll when you first become eligible, benefits are drastically reduced upon subsequent enrollment. Only preventive benefits are paid for the first 6 months. Basic services are covered after 6 months. Major services are not covered until you have been insured under the plan for 12 consecutive months. All newly acquired dependents (spouse, newborn, adopted child, etc.) must be added to the dental plan within 31 days of eligibility (date of marriage, birth, adoption, etc.).

Dental providers

Participating Guardian Dental Providers

Claims Administration - Guardian Dental Claims Department

P.O. Box 2459 Spokane, WA 99210-2459 or call 1.800.541.7846

Vision

The Corporation pays 100% of the premium for employees and all eligible benefits. Enrollment is not automatic. The plan provides the following benefits:

  • Eye examination - once every 12 months ($10 Copay)
  • Standard lenses*/or contact lenses - once every 24 months
  • Standard frames every 24 months - Coverage available every 12 months if there is a change in prescription (Refer to summary of Benefits located in UHR for complete details)

Employees may use a participating or non-participating provider. However, if you use a non-participating provider, your benefits will be paid at a reduced rate. Participating provider directories are available in the Campus Service Center. Refer to the plan booklet for co-pay and maximum allowance details.

You don't need an ID card or a claim form. Just contact your VSP doctor and tell them you are a vsp member.

VSP Plan Summary

Vision coverage effective date

The effective date is generally the first of the month following the employee's start date.

Vision providers

Participating Vision Care providers in your area: www.vsp.com or call 800-877-7195.

Retirement plans

The retirement plan offered by the University Corporation at CSU Monterey Bay is a defined contribution plan (TIAA/CREF). The Corporation provides a 10% employer contribution, with a six month waiting period and immediate vesting upon eligibility.

Retirement and Voluntary Plan Summary

Eligibility

Eligible employees: Benefited regular full-time and regular part-time employees.

Eligibility date: The first of the month after fulfilling six months of service.

Providers

TIAA = Teachers Insurance and Annuity Association

CREF = College Retirement Equities Fund

For enrollment packet and additional information, please contact CHR.

Miscellaneous insurance

Basic term life insurance and accidental death and dismemberment insurance

Each eligible employee is covered for $50,000 at no cost, with an additional benefit for accidental death and dismemberment.

Optional life

Optional life is a voluntary program that allows you to purchase life insurance in addition to the basic life provided by the Corporation ($50,000) for yourself, spouse and/or dependents.

Long-term disability insurance

This plan provides partial income replacement benefits for disability resulting from injury or illness sustained on or off the job, following 180 days of disability. LTD benefits are coordinated with other benefits plan payments up to age 65. Coverage is automatic and provided at no cost to eligible employees.

Unemployment insurance

Unemployment insurance provides a weekly income to employees who are out of work through no fault of their own. If you become unemployed, contact the nearest Employment Development Department for eligibility and claim filing information.

Flexible spending accounts

University Corporation offers a Section 125 flexible spending plan. With this program you may pay for certain medical and dependent care expenses with pre-tax dollars that have been set aside from your paycheck. You may participate in either or both medical and dependent care expense programs, but money cannot be "transferred" from one to the other.

FSA detail sheet

Supplemental insurance

American Family Life Assurance Company of Columbus (AFLAC) - is a voluntary supplemental insurance providing cash benefits paid directly to you for medical bills incurred as a result of illness or disability, not covered by health insurance. There are several plan options with pre-tax and after-tax premium deductions. Employee is responsible for 100% of the premiums.

Disability and other leave

Worker's compensation disability leave

University Corporation employees are insured for work-related illness or injury that occurs while you are on the job. Employees must report a work-related injury or illness to their immediate supervisor or University Corporation Human Resources within 24 hours of the injury. The University Corporation will grant a workers' compensation disability leave to employees with occupational illnesses or injuries in accordance with state law.

Family and Medical leave

The Federal Family and Medical Leave Act and the California Family Rights Act provide employees with specific leave benefits. It is the intention of the Corporation that the policy described herein shall satisfy the provisions of both Acts concurrently. Regular employees with one year of employment are entitled to take a Family and Medical Leave. FML leave grants up to 12 weeks of paid or unpaid leave during a 12-month period to care for yourself, a child, spouse, parent, or domestic partner with a serious health condition. Medical certification is required. While on unpaid leave, the employee may request the Corporation to continue providing benefits coverage. The FML Act provides an employee with the right to reinstatement to the same or another position with equivalent benefits, pay and conditions of employment upon the employee's return to work at the end of the FML. Other than for pregnancy disability, FML is concurrent with other types of leaves listed here. Refer to the Department of Labor's website for a fact sheet or a list of frequently asked questions about family and medical leave.

Maternity/paternity/adoption leave

University Corporation employees shall be entitled to up to five (5) consecutive work days with pay for new parents for preparing for the arrival of a new infant and the care of a new infant. Paid maternity/paternity/adoption leave shall commence within sixty (60) days of the arrival of a new child. Such leave shall be in addition to available sick and vacation leaves. Paid maternity/paternity/adoption leave runs concurrently with any other related leaves for which the employee is eligible under the state and federal law.

Pregnancy disability leave

University Corporation employees who have become disabled due to pregnancy, childbirth, or related medical conditions, are eligible to take a Pregnancy Disability Leave (PDL) for up to four (4) months.

Leave without pay (LWOP)

An employee with one or more years of continuous service credit who works a regular schedule of 30 hours or more per week may request a personal leave of absence. The University Corporation does not pay your share of the foundation-sponsored insurance program while you are on personal leave. Coverage may be continued if you write to the Human Resources department 14 days prior to the beginning of the leave period to make arrangements for all premium payments.

Funeral leave

In the event of a death in your immediate family, you may take up to 5 days paid time off from work to attend the funeral and to make any necessary arrangements.

Military leave

The University Corporation observes all federal and state laws regulating absence from work for military service. An unpaid leave of absence is granted to any employee fulfilling reserve training, National Guard duties, or active duty service requirements.

Jury duty/witness

All employees on active employment status are eligible for jury duty. Time off with pay for jury duty will be only for those hours the employee was scheduled to work. You will receive your regular University Corporation paycheck while on approved jury duty.

Personal and sick time

The Corporation provides sick time to all eligible employees for periods of temporary absence due to illnesses, injuries, medical, vision, or dental appointments. Sick leave accrual may vary based on employee status and appointment.

Holidays

The Corporation normally observes thirteen full-day holidays per year and each employee is entitled to one personal holiday. If a personal holiday is not taken by December 31, it is forfeited. Eligible employee classifications include: Full-time Regular and Part-time Regular benefited employees. Prior to the beginning of each calendar year, a list of the dates on which holidays will be observed by the Corporation will be distributed to all employees.

Vacation

Vacation is an accrued benefit which provides time off with pay with management approval. Eligible employee classifications include: Full-time Regular and Part-time Regular benefited employees. Vacation time may be used upon completion of one month of continuous service.

Miscellaneous benefits

Employee assistance program (EAP)

The Corporation recognizes that life at work and at home can be full of challenges. It’s important to know you are not alone. As a Corporation employee, you and any member of your household can turn to The Hartford's Employee Assistance Program for help 24 hours a day, 365 days a year. You choose up to 5 in-person or phone sessions per incident with a provider from The Hartford’s extensive network to help you resolve a broad range of issues including:

  • Stress
  • Family or parenting issues
  • Alcohol or drug dependencies
  • Marital or relationship issues
  • Adjusting to change
  • Self -improvement
  • Child and elder care
  • Pre and postnatal concerns
  • Grief
  • Work/ life balance

All services are kept strictly confidential. Face-to-face counseling with qualified local counselors is also available and provided at no charge. To reach the Hartford provider, call 1-800-96-HELPS or visit them online at www.guidanceresources.com. Please see brochure for additional information.

The Hartford brochure

Otter Sports Center and Otter Aquatics Center

The Otter Sports Center houses a 10,000-square-foot gymnasium available for basketball, volleyball, badminton, indoor soccer, aerobics, dance, sports games and special events. There are also three racquetball courts, a 2,500-square-foot fitness room with cardiovascular and weight training equipment, and locker/shower/ sauna facilities. Vending machines with snacks and beverages are on site. Please contact the Otter Sports Center at 831.582.3031 for the latest information.

The Otter Aquatics Center is an outdoor heated 25 meter by 25 yard eight lane swimming pool that is NCAA short course swimming and diving compliant. The pool's depth ranges from 3 1/2 feet to 13 feet deep and and includes two diving boards, a 1 meter and a 3 meter. Lap swim, open swim, and swim lessons are a few of the programs offered. Please contact the Aquatics Center at 831-582-4552 for more information.

Special discounted membership rates for University Corporation employees are available. For more information regarding class schedules, times and fees, please give them a call or visit https://csumb.edu/facilities/otter-sports-center.

Campus Health Center

The mission of the CSUMB Campus Health Center is to provide the highest standard of medical service while encouraging patients to be active participants in their health care. The Campus Health Center is primarily student focused. The center's staff includes a broad range of health professionals who have expertise in primary care and women's health services. All clinical staff are licensed or registered in California

The Campus Health Center is available to:

  • All full-time or part-time CSUMB students who have registered and paid on-campus health fees
  • CSUMB faculty and staff
  • The dependents of CSUMB students, faculty, and staff
  • Local residents and visitors to the university

Some of the services provided at the clinic are:

  • Medical services
  • Communicable disease control
  • Women's health services

The Campus Health Center may be reached at 831-582-3965 or https://csumb.edu/health.