Newly Eligible Benefits Packet Contents

Welcome Letter

Enrollment Forms

• CSU Benefits Plan - Cost Share
• Retirement (DCP, PERA (if eligible))
• New Benefits Discount
• Savings Bonds
• Life Insurance

Benefits Plan Booklet
Summary of health, dental, life, disability, flexible spending accounts, personal accident, retirement, and tax-deferred plans

 

Domestic Partner Information

• Dependent Eligibility for University Benefits and Federal Tax Dependent (Qualified vs. Non-Qualified)
• Domestic Partner Certification of Dependency for University Benefits
• Affidavit of Domestic Partnership
• Affidavit of Termination of Domestic Partnership
• Imputed Income Tax Consequences
  • Medical Plans
  • Dental Plan

Common Law Affidavit Information (State of Colorado Residents)

• Affidavit of Common Law Marriage

Anthem (Medical plan administrator)

• Anthem Rewards
• Healthy Solutions
• Special Offers
• 24-hr Nurse Line

Certificates of Insurance

• Anthem Gold Plan
• Anthem Green Plan
• Anthem POS Plan
• Basic Life Insurance
• Voluntary Term Life Insurance

EBMS (Dental plan administrator)

• miBenefits Brochure
• Welcome Letter

Required Notices

• HIPAA (Health Insurance Portability and Accountability Act)
• Privacy Practices
• Privacy Notices
• Medicare Part D