Making Changes to Your Benefits Coverage
If you wish to make any benefit plan changes, complete the appropriate form(s) from the Related Documents & Forms section of this page.
Changing your existing coverage
- Use the - for Health, Dental, and FlexCash enrollments/changes
- Use the - for any Dental plan changes
- Use the - if you have non-CSU health or dental coverage and wish to enroll in FlexCash (if changing from a CSU health or dental plan, you must fill out a health and/or dental form to terminate your enrollment before you can be enrolled in the Flexcash program)
- Use the CalPERS Health Plan Search by Zip Code found on the CalPERS website to help you identify what health plans you are eligible to enroll in, or view the CalPERS 2018 Health Plan Summary booklet.
- For - contact VSP directly to enroll, change, or cancel coverage by either using their website or by calling them at 1-800-400-4569.
Health Care & Dependent Care (HCRA/DCRA) reimbursement accounts
To enroll or re-enroll in the Health Care and/or Dependent Care Reimbursement Accounts for 2018, please complete the following enrollment form(s):
- - participation in these plans must be renewed annually during Open Enrollment
- - This 'opt in' benefit is optional for HCRA enrollees; if you already have the Benny card, you will be sent a new ASIFlex Debit Card and do not need to re-enroll.