CAL POLY POMONA

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EMPLOYMENT SERVICES

BENEFITS

CUSTOMER SERVICE

INFORMATION

Cal Poly Pomona Foundation, Inc.

Health & Welfare Benefits

Medical Insurance

Kaiser Traditional Permanente / Kaiser Deductible Permanente https://healthy.kaiserpermanente.org/
EPO Plan - HealthScope website - www.healthscopebenefits.com

Dental Insurance

Cigna DHMO - Premiums paid by Foundation - www.cigna.com
Foundation PPO - Premiums paid by Foundation - www.healthscopebenefits.com

Vision Plan

Reimbursable Plan - Premiums paid by Foundation - (download form below)

Short Term Disability

California SDI - www.edd.ca.gov/disability/

Long Term Disability

Offered by Mutual of Omaha and paid by Foundation (download form below)
Provides for up to 60% of salary for qualifying disability

Flex Spending Account

Unreimbursed Medical Expenses $2550 per year
Dependent Care Account $5000 per year
Claim forms (download below)
For more information on these benefits visit healtscope website - www.healthscopebenefits.com

Benefits Offered by AFLAC

(Benefits are provided in addition to Foundation benefits)

Life Assurance
Personal Short Term Disability Insurance
Critical Illness (Heart attack, Stroke, Renal Failure, Organ transplant)
Hospital Insurance
Personal Cancer Plan
Personal Hospital Intensive Care Plan
Specified Health Event Policy
Voluntary Indemnity Plan

For more information on these benefits visit www.aflac.com or contact Mr. Kit Evans at phone by nora

Group Life Insurance

Offered by Unum - Premiums paid by Foundatin add link by nora
Company Paid for 1X annual salary
Buy up provision for employee and spouse and dependents (link by nora)
Portability option (when leaving the company)

Videos

Health Benefits Forms

This is a list of Health Benefits Forms
Date	Description
11/7/2016	2017 Benefits Enrollment form
11/7/2016	2017 Employee Benefits Guide
11/7/2016	AFLAC Direct Deposit Form for Supplemental plans only!
11/7/2016	Convert Vacation Time for Healthcare Premiums
11/7/2016	Flex Spending Acct and Dependent Care Account Enrollment Form 2017
11/7/2016	Foundation EPO 2017 Summary of Benefits and Coverage (SBC)
11/7/2016	Foundation Flex Dollar Program Form
1/2/1900	Glossary of Health Coverage & Medical Terms
11/7/2016	Health Scope - Flexible Spending Account Guide - Health Scope
11/7/2016	Health Scope - Flexible Spending Account-DDC Reimbursement/Claim Request form
11/7/2016	Health Scope - Welcome Letter
11/7/2016	HealthCare Reform Information BENEFITED employees only!
10/21/2013	HealthCare Reform Information Non-Benefited-Non Eligible EE
11/7/2016	Kaiser 2017 TRADITIONAL Summary of Benefits and Coverage (SBC)
11/7/2016	Kaiser DEDUCTIBLE 2017 Summary of Benefits and Coverage (SBC)
11/7/2016	Kaiser DEDUCTIBLE Hospital Services HMO Plan Overview
11/7/2016	Spousal Coverage Questions
11/7/2016	Vision EPO Claim Form

Our Commitment

The Cal Poly Pomona Foundation, Inc., established in 1966, is an integral component of the educational mission of the University. In pursuit of this mission, the Foundation is a partner in the University community that includes students, faculty, staff, administrators, alumni and members of the larger community. The Foundation exists to provide the highest level of service and financial support while maintaining corporate fiscal integrity. [ Read More About The Foundation's Commitment ]

Investing In Ourselves

Your continued loyalty to Cal Poly Pomona Foundation, Inc., (Bronco Bookstore, Dining Services, University Village, Kellogg West, and the Farm Store) makes many scholarships, campus programs and activities a reality.

Cal Poly Pomona Foundation, Inc.is a non profit organization, serving Cal Poly Pomona for over 50 years. The Foundation employs over 1,000 Cal Poly Pomona students each year [Read More About The Foundation's Investing In Ourselves ]

Cal Poly Pomona Foundation, Inc

3801 W. Temple Ave.,
Building 55
Pomona, CA 91768

909-869-2950 Voice
909-869-4549 Fax

Office Hours (Building 55):
M-F: 8 a.m. – 5 p.m.

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