好处
所有员工
- Affidavit of Marriage/Domestic Partnership [pdf]
- Affidavit of Parent-Child Relationship [pdf]
- Authorization to Use and/or Disclose Personal Health Plan Information (需要菠菜网lol正规平台One/CSU登录)
- 好处 Accounts/Receivable Agreement [DocuSign]
- COBRA延续要求 [pdf]
- COBRA Continuation Election Form [docx]
- Declaration of Domestic Partnership
- Dependent Re-verification Affidavit [DocuSign]
- Disclosure of 隐私 Information [pdf]
- e好处 Self-service Electronic Signature Authorization Form [pdf]
- Election to Continue Direct Pay for 员工 on 离开 of Absence [DocuSign]
- 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 隐私 Policy [pdf]
- Tax Sheltered Annuity Final Settlement Deductions [pdf]
- VSP Out-of-Network Reimbursement Form [pdf] (需要菠菜网lol正规平台One/CSU登录)
- VSP Computer Vision Glasses Confirmation Form [pdf]
教师具体
(includes Librarians, Counselors and some Coaches)
- 教师 Early Retirement Program Request Form [DocuSign]
- Pre-Retirement Time Base Reduction Program Request form [DocuSign]
