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Open Enrollment: Sept. 20, 2021 - Oct. 15, 2021

This page will continued to be updated as additional open enrollment information becomes available.

Open Enrollment is your annual opportunity to review, enroll, or make changes in the following plans to be effective January 1, 2022:

How to Enroll

  • Health, Dental and Flex Spending Accounts (HCRA/DCRA) plan enrollments and changes are made through My Cal Poly Portal. Click here for Step-by-Step Instructions

  • Premier Vision Plan enrollments and changes are made through the VSP website or by calling VSP directly at 800-400-4569

2022 Notable Plan Changes:

  • Health plan rates for many plans are changing
  • CalPERS 3 PPO Plans: PERS Care, PERS Choice and PERS Select will transition to two plans, PERS Platinum (Care and Choice) and PERS Gold (Select). If you are enrolled in PERS Care or PERS Choice and you do not make a change during Open Enrollment, you and your enrolled family members will automatically be moved to PERS Platinum. If you are enrolled in PERS Select and do not make a change during Open Enrollment, you and your enrolled family members will be moved to PERS Gold.
    Plan Name in 2021 Changes for 2022
    PERS Care Transition to PERS Platinum, Same 90/10 benefit design and network
    PERS Choice Transition to PERS Platinum, Offers a 90/10 benefit design (currently 80/20), Same network.
    PERS Select Transition to PERS Gold, Offers the same 80/20 benefit design and network
  • Vision Service Plans (VSP) Enhancements: increase in frame and lense allowances, UV protection at no cost or premium increase and VSP Primary EyeCare Plan which offers screenings and exams for members with diabetes, glaucoma, age-related macular degeneration. Will also cover treatment and diagnosis of some medical eye conditions

View our Benefits Events webpage for more open enrollment related events Benefits Events.

CalPERS Health Plans

2022 Health Plan Monthly Premium Costs for Employees
  HMO PPO
# of Enrollees Plan Year Anthem Traditional Blue Shield Access+ Blue Shield Trio United HealthCare PERS Select (PERS Gold in 2022) PERS Choice (PERS Platinum in 2022) PERS Care (PERS Platinum in 2022) PORAC*
  2021 vs 2022 Employee Monthly Contribution CSU Pays
1 Person 2022 2021 $382.07 $422.32 $84.22 $140.96 $0.00 $0.00 $2.03
$0.00
$0.00 $0.00 $130.78 $51.23 $130.78 $313.87 $0.00 $0.00 $816.00 $798.00
2 People 2022 2021 $848.14 $921.64 $252.44 $358.92 $0.00 $0.00 $88.06 $0.00 $0.00 $0.00 $345.56 $179.46 $345.56 $704.74 $0.00 $0.00 $1,548.00 $1,519.00
3+ People 2022 2021 $1,131.98 $1,235.83 $357.57 $504.30 $0.00 $0.00 $143.88 $27.59 $0.00 $0.00 $478.63 $271.00 $478.63 $953.86 $0.00 $59.00 $1,983.00 $1,937.00

For Unit 6 employees, subtract $5 for a 1 party plan, $10 for a 2 party plan, and $20 for a 3+ party plan


2022 Plan Coverage Information: 2022 Health Plan Coverage Comparison Chart

Health and Dental Plan Information
Plan Plan Details
Anthem Traditional HMO
  • Visit Website
  • 2022 Benefit Guide
  • 2022 Summary & Glossary
  • 2022 Evidence of Coverage
  • Search for Providers
  • Blue Shield Access+ HMO
  • Visit Website
  • Plan Presentation Video
  • 2022 Summary & Glossary
  • 2022 Evidence of Coverage
  • Search for Providers
    (When prompted select your Plan: CalPERS, and Sub Plan: CalPERS Access+ HMO)
  • UnitedHeathcare HMO
  • Visit Website
  • Open Enrollment Brochure
  • 2022 Summary & Glossary
  • 2022 Evidence of Coverage
  • Search for Providers (UHC website)
    (Select 'Find a Doctor…' link. Enter your zip code. Click on 'X' in upper right corner.)
  • Search for Providers on CCPN Provider webstite
  • Blue Shield Trio HMO
  • Visit Website
  • Plan Presentation Video
  • 2022 Summary & Glossary
  • 2022 Evidence of Coverage
  • Search for Providers
    (When prompted select your Plan: CalPERS, and Sub Plan: Blue Shield Trio HMO)
  • PERS Platinum PPO (PERS Care and Choice in 2021)
  • Visit Website
  • 2022 Plan Presentation Slides
  • 2022 Benefit Guide
  • 2022 Summary & Glossary
  • 2022 Evidence of Coverage
  • Search for Providers
  • PERS Gold PPO (PERS Select in 2021)
  • Visit Website
  • 2022 Plan Presentation Slides
  • 2022 PERS Gold Benefit Guide
  • 2022 Summary & Glossary
  • 2022 Evidence of Coverage
  • Search for Providers
  • All Delta Dental PPO Plans
  • Visit Website
  • PPO Evidence of Coverage
  • All Delta Care HMO Plans
  • Visit Website
  • HMO Evidence of Coverage
  • Vision Service Plan (VSP)
  • Visit Website
  • Basic Evidence of Coverage
  • Premier Evidence of Coverage
  • Search for Providers

  • Dental Plans

    Cal Poly continues to offer HMO and PPO plans through Delta Dental. Premiums for dental plans continue to be fully paid by Cal Poly for employees and covered dependents.

    For plan details, please visit the Delta Dental website.

    Cal Poly Paid Monthly Dental Contribution - No Employee Contribution
    Dental Plan Plan Level* Employee Only Employee + One Employee + Two +
    Delta Dental PPO Basic $30.45 $57.52 $115.49
    Enhanced I $37.04 $70.08 $144.49
    Enhanced II $45.85 $86.52 $169.03
    Delta Dental HMO  Basic $18.85 $31.08 $45.97
    Enhanced $25.04 $41.33 $61.12
    *Plan Level of coverage depends upon employee group/bargaining unit.

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    Flexible Spending Accounts: Health Care Reimbursement Account (HCRA) & Dependent Care Reimbursement Account (DCRA)

    No Plan Changes for 2022

    Important reminder: HCRA and DCRA deductions do not automatically continue into the next plan year. If you want deductions to continue for 2022, you must submit your elections via My Cal Poly Portal during the Open Enrollment period.

    HCRA is a voluntary benefit plan offering eligible employees the ability to pay for qualifying out-of-pocket health care expenses with pre-tax dollars. Employees may elect a monthly deduction amount of as little as $20 per month up to a maximum $229.19 per month. .

    DCRA is a voluntary benefit plan offering eligible employees the ability to pay for qualifying out-of-pocket dependent care expense with pre-tax dollars. Employees may elect a monthly deduction amount of as little as $20 per month up to a maximum of $416.66 per month.

    2022 HCRA Plan Brochure 2022 DCRA Plan Brochure

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    Vision Service Plan

    VSP Premier Plan- enroll or cancel only during Open Enrollment

    Employees may purchase Vision Service Plan (VSP) Premier coverage as an enhancement to the basic coverage. The VSP Premier plan offers a higher level of benefits for lenses, contact lenses and frames.

    See VSP Member Plan Summary to compare: VSP Member Plan Summary

    Employees may enroll in or cancel their VSP Premium Plan by calling (800) 400-4569 or online at http://csuactives.vspforme.com only during Open Enrollment.

    Premiums for the VSP Basic Plan will continue to be fully paid by Cal Poly for employees and their dependents. If an employee enrolls in the VSP Premier plan, all benefits eligible dependents must also be enrolled or they will be removed from the basic plan.

    Vision Service Plan Rates
    Employer Paid Basic VSP Rate for Employee + Family
    Basic Coverage $0.00/month (employer contribution $7.47/month)
    Voluntary Employee Paid Premier VSP Rate
    Employee Only $4.11/month
    Employee + One $15.32/month
    Employee + Family $28.99/Month

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    Voluntary Benefit Plans

    Nationwide Pet Insurance

    Nationwide Pet Insurance - Enroll Anytime

    Pet health insurance gives you the freedom to use any vet, anywhere, including specialist and emergency providers. Plans are available for dogs, cats, birds, small mammals and exotics (such as reptiles). Nationwide reimburses 70% or 50% of every eligible veterinarian bill up to $7,500 a year. There is no network so employees can select a veterinarian of their choice.

    For more information or to enroll, please call 1-877-738-7874 or visit www.petinsurance.com/calstate.

    MetLife

    MetLife Legal - Enroll or Cancel only during Open Enrollment

    For $21.70 per month, the MetLife Legal plan provides representation for many personal legal services for employees and their eligible dependents.Services for covered legal matters performed by a Network attorney are fully paid for by the plan. Out-of-Network attorney fees for covered services are reimbursed based on a set fee schedule. The MetLife Legal Plan covers telephone and office consultations for an unlimited number of matters, even if the matter is not fully covered, so long as it is not excluded.

    Open enrollment is your annual opportunity to enroll or discontinue enrollment in the MetLife Legal plan.

    MetLife Legal Plan Flyer

    For more information or to enroll/cancel, please call 1-800-438-6388 or visit www.metlife.com/csu, Organization Code: Cal Poly, San Luis Obispo.

    The Standard

    The Standard

    Voluntary Life Insurance or Long Term Disability Insurance - Apply anytime

    The Standard offers Group Life Insurance as well as Accidental Death and Dismemberment (AD&D) coverage for you and your eligible dependents.

    Voluntary Long Term Disability (LTD) administered by The Standard provides loss of income protection (up to 60%) due to a qualified disability. Eligible employees (those not covered by The Standard LTD employer paid plan) can apply at any time during employment.

    Group Critical Illness - Enroll or Cancel only during Open Enrollment

    Group Critical Illness Insurance provides a lump-sum payment to cover out-of-pocket medical expenses and costs associated with life changes following the diagnosis of a covered critical illness. In addition, there are cash benefits for specified health screenings. You and/or your spouse/registered domestic partner must be between the ages of 18-64 and enrolled in a health insurance plan to participate in this plan.

    Group Critical Illness Insurance Brochure

    Accident Insurance - Enroll or Cancel only during Open Enrollment

    Accidents can happen when least expected, and while they can’t always be prevented, you can have the financial support to make your recovery less expensive and stressful. Accident Insurance can help with out-of-pocket expenses such as deductibles, copays, transportation to medical centers, and more.

    Accident Insurance Brochure

    For more information or to apply, please call 1-800-378-5745 or visit www.standard.com/mybenefits/csu.

    California Casualty

    California Casualty - Enroll anytime

    The Auto, Home and Renter's Insurance plan offered by California Casualty allows CSU eligible employees to obtain auto and home insurance policies at a discounted rate. The plan also has an identity theft component known as ID Defense. All policies are written for a 12-month period. Eligible employees can enroll in this benefit at any time during employment.

    For more information or to enroll, please call 1-866-680-5142 or visit www.calcas.com/csu.

    Fidelity SavingsPlus

    Tax Deferred Savings - Enroll anytime

    Employees are eligible to enroll in a 401(k), 457 and/or a 403(b) plan at any time during the year. Please visit our Tax Deferred Savings page for more information and plan details.

    Scholar Share

    Scholar Share - Enroll anytime

    A 529 plan is an account that allows you to invest specifically for future education expenses. 529 plans are aimed at helping families save for college. The accounts are administered at the state level, and are managed by a financial services company, TIAA-CREG Tuition Financing Inc. You can open an account with as little as $25 dollars per investment portfolio, or $15 dollars per pay period through payroll deduction.

    For more information or to enroll, please call 1-800-544-5248 or visit https://www.scholarshare.com/.

    Retiree Open Enrollment

    Every year the CSU reviews the benefit plans offered to retirees and their eligible dependents. Learn more about retiree plans and the open enrollment period at CSU Retirees Page

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