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Open Enrollment 2014

Medical Plan Changes After Open Enrollment

November 26, 2013 - March 31, 2014

If you find that you have defaulted into a medical plan or selected a plan that is not the one you want for 2014, please review the following instructions and resources to select a different plan. UCSC staff and faculty may change to a different medical plan until March 31, 2014.

How to change your 2014 medical plan

Submit a UPAY 850 Enrollment Form to the Benefits Office by Monday, March 31 2014 to enroll in a different medical plan.

Section 1 - Enter your personal information

Section 3 - In Change column, select Other

Section 3 - Comments:

  • Write "Change after Open Enrollment."
  • Write whether or not you have used medical or drug services in 2014 as follows:
    • "Medical or drug services used on (date)."  OR
    • "No medical or drug services have been used in 2014."

Section 4 - Select the medical plan in which you want to enroll.

Section 7 - Enter the information for ALL eligible family members you want enrolled in the medical plan.

  • If you are enrolling in Health Net Blue & Gold HMO or Kaiser HMO, enter the Primary Care Physician for each family member. This is not required if you are enrolling in UC Care, Blue Shield Health Savings Plan or Core

Section 8 - Sign and Date the form

Submit the UPAY 850 form to the Benefit Office

FAX: 831-459-3683
Inter-campus Mailstop: Benefits Office
U.S. Mail: UCSC Benefits Office, 1156 High street, Santa Cruz, CA 95064
FedEx delivery (physical location): UCSC Benefits Office, 1201 Shaffer Road #182, Santa Cruz, CA 95060

Questions and Additional Resources

If you have questions about completing this form, please contact Debbie Barilati Lebarre at 831-459-4995 or barilati@ucsc.edu.

If you have questions about the effective date, please contact Marianne McIvor at 831-459-3993 or memcivor@ucsc.edu.

Medical Plan Resources and Additional Contacts: http://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

 

Town Hall Meeting Video Presentation

View our 2014 Health Plan Choices in this easy-to-follow presentation!

Town Hall Meeting with Representatives from UC Office of the President

Sponsored by UCSC Staff Human Resources, Academic Personnel Office, and Staff Assembly, the town hall meeting allows you to hear from UCOP representatives why changes are being made and information about the new medical plans.

At Your Service - UCOP Open Enrollment Announcements

Continuing Plans in 2014:

  • Health Net Blue & Gold (Santa Cruz County)
  • Core (Santa Cruz County)
  • WHA
  • Kaiser

Plans Being Discontinued in 2014:

UCSC employees enrolled in these plans will need to select new plans for 2014.

  • Health Net HMO (full network)
  • Anthem Blue Cross PPO
  • Anthem Blue Cross Lumenos
  • Anthem Blue Core Plus


 New 2014 Plans:

  • UC Care
  • Blue Shield PPO with a Health Saving Account


UC Care is a new three-tier health plan created just for UC employees, retirees and families which incorporates care from UC doctors and UC medical centers as well as the entire Blue Shield network.

  • Tier 1: has fixed co-pays and UC Care providers in Santa Cruz County include: Dominican Dignity Hospital, Sutter Maternity & Surgery Center, the Palo Alto Medical Foundation, and any Physicians Medical Group doctor who has a PPO contract with Blue Shield.
  • Tier 2: as with most PPO plan provides a 80/20 split co-insurance model when using the other 65,000 Blue Shield nationwide provider network including Watsonville Hospital in Santa Cruz County.
  • Tier 3: allows you to go out-of-network (non-Blue Shield providers) with s 50/50 split co-insurance model.

The Blue Shield PPO with Health Saving Account is a high-deductible PPO plan paired with a health savings account (HSA) in which you pay out-of-pocket health care costs with tax-free dollars.  UC provides an initial contribution to the HSA while employees also make pre-tax contributions.  HSA funds can be used for qualified medical expenses or can be saved for future health care needs.  HSA balance carries over from year-to-year and employee owns the balance in the account, even if employee transfers to another medical plan or leaves UC.