Cal Poly Pomona

Benefits Open Enrollment


September 10 - October 5, 2012

Open Enrollment is the annual opportunity for benefits eligible employees to review benefit and premium information for the upcoming plan year (2013 calendar year) in order to evaluate and make any necessary enrollment changes. 
During open enrollment you can enroll, change, or cancel the following benefits:

  • Health
  • Dental
  • Vision
  • Voluntary Benefits Plans
  • Dependent Care Reimbursement Account (DCRA)
  • Health Care Reimbursement Account (HCRA)
  • FlexCash

Effective date for all changes made during open enrollment will be January 1, 2013.

Open Enrollment is also the period when employees can enroll or re-enroll in the Health Care Reimbursement Account (HCRA) or Dependent Care Reimbursement Account (DCRA). IRS rules require re-enrollment each tax year to participate in HCRA and/or DCRA. Additional information is available regarding these accounts on the Benefits website at:  Flexible Benefit Programs:  HCRA/ DCRA .

Open Enrollment Links

If you do not wish to make any changes to your existing benefit enrollment(s), no action is required except enrollment into Flexible Spending Accounts (HCRA/DCRA) requires annual enrollment during open enrollment period.

How to File an Open Enrollment Change

  1. Complete a Open Enrollment Worksheet and/or HCRA/DCRA Enrollment Form
  2. Submit Completed Worksheet to Benefit Services no later than Friday, October 5, 2012, 10:30a.m.
  3. Sign official open enrollment documents no later than Tuesday, October 16, 2012, 10:30 a.m. The official enrollment documents will be prepared by Benefit Services after you submit your worksheet. Benefit Services will notify you when the documents are ready for you to sign.
  4. Check your enrollment choices against your paycheck stub at the end of December. Contact Benefit Services to report any descrepancies.

Other Important Open Enrollment Information and Links

  • CSU FlexCash Plan
  • Flexible Spending Accounts (HCRA & DCRA)
  • HCRA/DCRA Enrollment Form
  • Tax Advantage Premium Plan (TAPP)
  • CSU Voluntary Insurance Plans

    Open Enrollment & Voluntary Benefits Open House

    Have questions regarding the medical plans and/or voluntary plans - what they cover, how they work? Benefit Services has invited representatives from each of the insurance carriers on campus from 8:30 a.m. to 10:30a.m. on Wednesday, September 26, 2012 (Location: CLA Building 98, 8th Floor Heritage Conference Room), to answer your questions.   Employees are invited to this walk-in event (reservations are not necessary) and talk to one or all of the representatives.   The employee must coordinate directly with the voluntary plan carriers to request enrollment.  Some plans require eligibility.