Benefits Open Enrollment

2025 Benefits Information

Welcome to Open Enrollment! From October 1st to October 31st, 2024, our benefit plans allow for you to make changes to your existing elections. You can explore your options and visit the On-line Portal below to make election changes for the upcoming plan year. Any requested changes must be made by October 31, 2024. If you wish to keep your current benefit elections, no further action is needed unless you are waiving coverage (see the Health Coverage option below for information about opting out). Enrolling a spouse or registered domestic partner will necessitate the submission of a marriage certificate or official documentation alongside the completed enrollment form, while enrolling dependent children will require a birth certificate.

This year we are introducing a new benefit option in partnership with California State University Risk Management Authority (CSURMA) - Long-Term Care with Life Insurance. Click on the Long-Term Care option below to explore this one-time opportunity to sign up during open enrollment without having to answer any pre-existing health questions. All future enrollments (after 10-1-2024 - 10-31-2024) will require medical review.

Important notice to ºÃÉ«ÏÈÉú State employees: Please visit instead.

Please visit portal to make changes or enroll in medical, dental, vision and FSA coverages. Download the CSURMA 2025 Open Enrollment Login Instructions (PDF) for instructions on how-to navigate portal. You must login and establish a password. Once in the portal, it will walk you through enrolling and/or making changes to your medical, dental, vision and/or FSA coverage for you and your eligible dependents, as applicable. If you wish to leave your health coverage as is, you do not need to do anything in the portal. If you would like to enroll in the FSA, you will need to provide the required information.

No election form needed if not changing coverage.

Medical insurance carriers for employees.

Opting out of medical and/or dental coverage?

You are required to complete and sign a 2025 Waiver of Health Insurance Form (PDF) (required each year with copy of current insurance card) and provide proof of non-Research Foundation health plan coverage.

If waiving medical and/or dental coverage you are entitled to receive monthly Flex Cash, in the amount of $128.00 for medical and $12 for dental. Please review the Flex Cash Fact Sheet (PDF) and complete a Flex Cash Enrollment Form (PDF).

Blue Cross HMO Premium Rates Effective 01/01/2025-12/31/2025
BLUE CROSS HMOTotal Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Blue Cross HMO EE Only$827.50$827.50$0.00
Blue Cross HMO EE + 1$1,653.50$1,653.50$0.00
Blue Cross HMO EE + 2$2,342.50$2,342.50$0.00
Kaiser HMO Premium Rates Effective 01/01/2025-12/31/2025
KAISER HMOTotal Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Kaiser EE Only$660.50$660.50$0.00
Kaiser EE + 1$1,361.50$1,361.50$0.00
Kaiser EE + 2$1,779.50$1,779.50$0.00
Blue Cross Premium PPO Rates Effective 01/01/2025-12/31/2025
BLUE CROSS PPOTotal Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Blue Cross PPO EE Only$1,032.50$1,032.50$0.00
Blue Cross PPO EE + 1$2,068.50$2,039.00$29.50
Blue Cross PPO EE + 2$2,925.50$2,551.00$374.50

Delta Dental PPO Plan B Benefit Summary 2025 (PDF). No election form needed if not changing coverage.

2025 Dental Rates
DeltaTotal Monthly
Carrier Premium
Total Monthly
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
Delta EE Only $43.10$43.10$0.00
Delta EE + 1$86.10$64.60$21.50
Delta EE + 2$133.30$88.20$45.10

Delta Dental Life Perks - A new program offered to all Delta Dental members that offers lifestyle savings with their partners for Lasik eye surgery and hearing aids (PDF).

VSP Vision Choice Plan C with Tints & CVC Benefit Summary 2025 (PDF). No election form needed if not changing coverage.

2025 Vision Rates
VSP Vision Care Total Monthly 
Carrier Premium
Total Monthly 
Employer Contribution
Total Monthly Employee
Out-of-Pocket Responsibility
VSP EE Only $11.20$11.20$0.00
VSP EE + 1$14.80$13.00$1.80
VSP EE + 2$24.10$17.66$6.44

The Research Foundation offers a Flexible Benefits Plan which is administered by Benefit Coordinators Corporation (BCC)/SmartCare to all FTR and PTR benefitted employees. In addition to pre-tax health care premium benefits, our Flexible Spending Accounts (FSAs) allow for pre-tax deductions up to $3,200 annually for health-related expenses and up to $5,000 annually for dependent care expenses. Benefitted FTR and PTR benefitted employees are eligible for participation in the FSA during Open Enrollment each year (January 1st). This benefit requires that participants enroll annually. 

Please download the 2025 FSA Enrollment Form (PDF).

Please download the 2025 ºÃÉ«ÏÈÉú Research Foundation Annual Notice (PDF).

The notice covers:

  • Medicare Part D Notice
  • Women’s Health and Cancer Rights Act
  • Newborns and Mothers’ Health Protection Act
  • HIPAA Notice of Special Enrollment Rights
  • Availability of Privacy Practices Notice
  • Notice of Choice of Providers
  • Premium Assistance under Medicaid and the Children’s Health Insurance Program (CHIP)
  • Notice of Certain Deadline Extensions and Summary of Material Modifications
  • ACA Disclaimer
  • The ‘No Surprises’ Rules

Open enrollment questions, please to contact Laura Ficke at laura.ficke@csulb.edu or 562.985.1603.