Health Insurance

Enroll or Make Changes

You may enroll yourself and your eligible family members. Eligible family members generally include your spouse or registered domestic partner, and children under the age of 26, (regardless of marital status). When using the form linked below, employees must use their Cal Poly email address. The use of personal emails will cause the document to be placed in an error folder and potentially lost.

• Guidelines for enrolling family members
• State of California - Domestic Partners Registry
• Health plan search by your Zip Code
• Imputed Taxes Charged for Registered Domestic Partner Benefits: 2024 Rates

Prescription Information

FlexCash Plan

Flex Cash plan offers a cash payment instead of health and/or dental coverage. Employees can enroll if they have medical and/or dental coverage not offered by the CSU, Medi-care, Medi-Cal, Tri-Care or California Care. Proof of other coverage is required and enrollment form must be submitted to HR by the 8th of the month to start coverage the first of the following month.FlexCash Brochure

If an employee chooses to participate in FlexCash, the following monthly after-tax payments are made to the employee:

Health Plan Premiums are deducted pre-tax

Health premiums are deducted from your paycheck on a pre-tax basis through the CSU Tax Advantage Premium Plan (TAPP). All employees are enrolled automatically into TAPP. If you prefer to pay your premiums on an after-tax basis, please contact benefits@calpoly.edu.

Premium Assistance Available for Family and Children's Health Insurance

Medicaid and the State Children’s Health Insurance Program Notice

Medicare

Active employees and/or their spouses/domestic partners who become Medicare eligible at age 65 and are currently enrolled in one of the CSU group health plans do not need to enroll in Medicare before retirement. There will be no penalties assessed to these employees and/or their dependent spouses/domestic partners when they elect to enroll later. You may enroll in Medicare Part A (Hospital). (See "Special Enrollment Period" on the Social Security website by viewing the Medicare Enrollment Flyer.)

If retired, at age 65, by law, you must enroll in both Part A (hospital) and Part B (medical) of Medicare in order to maintain your eligibility for health benefits under CalPERS. Enrollment is not automatic, and the retiree must contact Social Security directly for enrollment information.

Note: FERPs are retired, and therefore must enroll themselves and/or their 65-year-old spouses/domestic partners in Medicare.

The Evidence of Coverage Publications for the Medicare Health Plan Supplements can be found on CalPERS Plans and Rates.

CalPERS Dependent Eligibility Verification

Dependent Eligibility Verification (DEV) is the process of verifying the eligibility of your spouse, domestic partner, children, stepchildren, and domestic partner children (family members) enrolled for state health and dental benefits enrollment. Government Code section 22843.1 mandates that you verify the eligibility of your family members. Government Code section 22959 authorizes the review of your family members' dental benefits enrollment.