Benefits Open Enrollment Center Home for
Regular Salaried Employees
Make Your Changes Now Through November 15, 2011
Open Enrollment is your annual opportunity to review and update your health and dental plan benefits to meet your family's needs.
During Open Enrollment you may:
- Review what's new in 2012
- Enroll or re-enroll in a Flexible Spending Account (FSA) for health care and dependent care expenses for 2012. Use the Benefits Enrollment/Change/Decline Form (PDF Format 590 KB)** to enroll or re-enroll in an FSA.
- Change health plans
- Enroll in or drop coverage for health or dental insurance
- Add or remove dependents (including domestic partners) from coverage
- Purchase additional life and accidental death and dismemberment
insurance for you and your family
All changes made during this year's Open Enrollment are effective January 1, 2012.
What Action Do I Need To Take Before November 15, 2011?
- If you are enrolled in Delta Dental, you must complete a new enrollment form (PDF Format 590 KB) ** electing dental coverage through SDSURF's new dental carrier, United Concordia (UCCI). You may enroll in UCCI's DHMO plan option or the PPO option. Your plan option election will remain for the year. You may not switch between the options during the year. To help make your decision, please review the dental plan summaries and frequently asked questions in the What's New section of this website..
- No action is required if you are enrolled in Kaiser, Health Net HMO, or Health Net PPO and want to stay with the same carrier and coverage that will renew in 2012.
- If you want to participate in the Flexible Spending Account (FSA) in 2012, you must submit a new Benefits Enrollment/Change/Decline Form (PDF Format, 590 KB), **even if you are currently enrolled. The annual medical FSA maximum you can contribute in 2012 will increase to $3,000.
- If making changes, download the appropriate form(s), complete, and send by Friday, November 15, 2011, to:
SDSU Research Foundation Human Resources
MC 1945, or
5250 Campanile Drive
San Diego, CA 92182-1945, or
fax to 619-594-3763
FRIENDLY REMINDER: NEVER USE EMAIL TO SEND BENEFITS ENROLLMENT INFORMATION TO HR
What Forms Do I Use to Make Changes to Health & Dental Plans?
- Add Health and/or Dental
- Employee only:
- Benefits Enrollment / Change Form (PDF Format, 590 KB)**
- Dependents:
- Benefits Enrollment / Change Form (PDF Format, 590 KB)**
- Dependent Eligibility Proof Documents**
- Domestic Partner:
(Multiple Forms Required)
- Benefits Enrollment / Change Form (PDF Format, 590 KB)**
- Domestic Partner Forms**
- Dependent Eligibility Proof Documents**
- Employee only:
- Change from One Plan to Another
- Benefits Enrollment / Change Form (PDF Format, 590 KB)**
- Benefits Enrollment / Change Form (PDF Format, 590 KB)**
- Drop Health and/or Dental for Yourself and Your Dependent(s)
- Benefits Enrollment / Change Form (PDF Format, 590 KB)**
What Forms Do I Use to Make Health Care & Dependent Care FSA Changes?
- Add Health Care or Dependent Care FSA
- Yourself and Dependents:
- Benefits Enrollment/Change/Decline Form (PDF Format, 590 KB)**
- Yourself and Dependents:
- Continue Current Health Care or Dependent Care FSA (Required even if amount remains the same as 2012)
- Yourself and Dependents:
- Benefits Enrollment/Change/Decline Form (PDF Format, 590 KB)**
- Yourself and Dependents:
For more benefit information, visit the Benefits/FSA portion of the SDSU Research Foundation website.
**This document may not be accessible to machine-reading devices, if you are experiencing difficulties accessing this information please contact HR at 619-594-4139.
** Note: Documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view. Download Adobe Acrobat Reader.
DISCLAIMER
Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, Human Resources reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. The provisions of the plans are subject to change.