2003 Coded Memoranda Benefits Administration (NOTE: On-line documents are in Portable Document Format (PDF) and require Adobe Acrobat Reader to view, unless otherwise noted.) Benefit Administration Letter Date Description and Attachments 2003-35 12/22/03 Eligibility Criteria for CSU Benefit Plans 2003-34 12/03/03 2004 COBRA Rates Update 2003-33 12/01/03 Economic Growth and Tax Reconciliation Relief Act: 2004 Tax Year Update Calculation Worksheet 2003-32 11/24/03 Coding for Domestic Partner Dental Enrollment 2003-31 11/03/03 PMI DeltaCare Premium Rate Increase 2003-30 10/30/03 CalPERS Service Credit Purchase Option - AB 719 2003-29 10/20/03 New Vision Premium Rates 2003-28 10/06/03 Health Care Reimbursement Account Update - Over-the-Counter Drugs DCRA and HCRA Administrative Guide 2003-27 10/02/03 Updated Eligibility Rules for Temporary Faculty Enrollment into CalPERS Retirement Plans 2003-26 10/02/03 Retirement Plans - Part-time, Seasonal and Temporary Employees 2003-25 09/22/03 New Fill and Print Documents for Employee Benefit Programs HCRA/DCRA Reimbursement Account Enrollment Form HCRA Direct Pay Enrollment Form FlexCash Enrollment Form Miscellaneous Benefits Enrollment Form 2003-24 08/18/03 Update - University of California Defined Contribution Plan Beneficiary Designation Policy 2003-23 08/01/03 Benefits Open Enrollment - October 2003 2003-22 08/01/03 FlexCash Plan Administrative Guide - Plan Update FlexCash Administrative Guide FlexCash Enrollment Authorization Form Permitting Event Codes 2003-21 08/01/03 403(b) TSA - Authorized List of Companies Effective August 1, 2003 2003-20 07/14/03 Dependent Care and Health Care Reimbursement Account Plans - Plan Update DCRA and HCRA Administrative Guide DCRA Brochure HCRA Brochure 2003-19 07/08/03 New Long Term Disability Insurance Premium Rates 2003-18 07/08/03 1959 Survivor Benefit Program, 5th Level 2003-17 06/27/03 Part-time Lecturers and Coaches - FlexCash Eligibility 2003-16 06/26/03 SETC (Unit 6) - Enhanced Dental Program 2003-15 04/27/03 CSU Contribution Rates for CalPERS Retirement Coverage 2003-14 04/22/03 Benefits Update - Termination of CIGNA Universal Life Insurance Contract 2003-13 04/22/03 Dental Processing for Retirees 2003-12 04/08/03 Faculty Early Retirement Program (FERP) Summary 2003-11 04/08/03 Pre-Retirement Reduction in Time Base (PRTB) 2003-10 Supplement 1 03/27/03 06/25/03 Automated Benefits Programs: Update Miscellaneous Benefits Enrollment Authorization Form 2003-09 03/27/03 Social Security Number Verification 2003-08 03/17/03 COBRA Update COBRA Administrative Guide 2003-07 Supplement 1 Supplement 2 03/06/03 04/21/03 11/10/03 Benefits Update - CSU Sponsored Mortgage Assistance Program 2003-06 02/21/03 Revised Eligibility Criteria for Health Benefits and CSU Benefit Programs 2003-05 02/19/03 AB 211 — Enrollment in Vision, Life/AD&D Insurance, and Long-Term Disability Insurance Benefits 2003-04 02/18/03 Optional Systemwide Fee Waiver Form Faculty and Staff Fee Waiver Application Dependent Fee Waiver Transfer Application 2003-03 01/27/03 Benefits Programs Update 2003-02 Supplement 1 01/24/03 07/30/03 Transportation Incentives - 2003 Exclusion Rates 2003-01 01/24/03 Tax Information Changes to Moving and Relocation Expenses