Benefits Eligibility

Staff/Management Employees

• Appointed to at least half-time (0.50) or more, and

• An initial appointment duration of more than six months (six months and one day)

An employee who meets the following eligibility criteria is only eligible to enroll in a health plan or Flex Cash health under the Affordable Care Act (ACA):

• Appointed with at least a .75 time base and an initial appointment duration of less than six months and one day, or

• Appointed to work at least 130 hours per month

Note: Affordable Care Act does not provide dental or vision coverage.

• Appointed to at least half-time (7.5 WTU's' or greater), and

• An initial appointment duration of more than six months (six months and one day).

For further details, take a look at Benefits & Pay Summary for Faculty (PDF).

• Appointed to at least 0.4-time base (6.0 WTU's' or greater), and

• Initial appointment duration for at least one semester.

For further details, take a look at Benefits & Pay Summary for Lecturers (PDF).

Eligible dependents of an eligible employee include:

• Spouse (unless legally separated or divorced)

• Domestic partner: Must be registered through the Secretary of State process, (see eligibility criteria for enrolling your domestic partner (PDF)).

  • Registering your Domestic Partner into Medical and Dental is considered imputed income by the IRS. Each month, an employee who enrolls their Domestic Partner into their benefit plans will have additional taxes taken out of their warrant. For more information on Domestic Partnership enrollment, imputed tax income, and what the tax computation is, please visit the State Controller’s Office Domestic Partnership FAQs (PDF).

  • If a CSU employee claims their domestic partner and/or the domestic partner’s children as a dependent, the form Domestic Partner Tax Dependent Certification Form (PDF) must be completed and signed by the employee. The original form must be retained by the employer.

• Children (younger than 26): A dependent child includes a natural born child, adopted child, stepchild, or a child living with the employee in a Parent-Child Relationship (PDF) who is economically dependent upon the employee.

• Disabled Dependent (26 or older): Follow the instructions on the Disabled Dependent Member Questionnaire and Medical Report Form (HBD-34) (PDF) and the Authorization to Disclose Protected Health Information Form (PDF).

When enrolling any dependents, you will need to provide each dependent’s:

• Social Security Number

• A copy of a birth certificate for dependent children

• A copy of a marriage certificate for a spouse

• A copy of Domestic Partnership certification for a Domestic Partner.