Benefits
All Employees
- (requires 91ÁÔÆæOne/CSU login)
- COBRA Continuation Requirements [pdf]
- COBRA Continuation Election Form [docx]
- Disclosure of Privacy Information [pdf]
- eBenefits Self-service Electronic Signature Authorization Form [pdf]
- New Health Insurance Coverage Options and Your Health Coverage [doc]
- Request for Access to Inspect and Copy Personal Health Plan Information [pdf]
- Request for Accounting of Non-Routine Disclosures of Personal Health Plan Information [pdf]
- Request for Confidential Communications of Personal Health Plan Information [pdf]
- Request for Restricted Use of Personal Health Plan Information [pdf]
- Request to Amend Personal Health Plan Information [pdf]
- Revised CSU Privacy Policy [pdf]
- Tax Sheltered Annuity Final Settlement Deductions [pdf]
- (requires 91ÁÔÆæOne/CSU login)
- VSP Computer Vision Glasses Confirmation Form [pdf]
Faculty Specific
(includes Librarians, Counselors and some Coaches)