|
AccVerify Report
Verified File Name: http://www.csustan.edu/HR/Employee_Benefits/index.html Date and Time: 8/14/2008 9:48:39 AM Failed Automated Verification |
| The level of detail setting for the report is to show all detail. |
| Checkpoints | Passed | ||
|---|---|---|---|
| 508 Standards, Section 1194.22 | Yes | No | Other |
A. 508 Standards, Section 1194.22, (a) A text equivalent for every non-text element shall be provided (e.g., via "alt", "longdesc", or in element content).
|
No | ||
B. 508 Standards, Section 1194.22, (b) Equivalent alternatives for any multimedia presentation shall be synchronized with the presentation.
|
N/A | ||
| C. 508 Standards, Section 1194.22, (c) Web pages shall be designed so that all information conveyed with color is also available without color, for example from context or markup. | |||
D. 508 Standards, Section 1194.22, (d) Documents shall be organized so they are readable without requiring an associated style sheet.
|
|||
E. 508 Standards, Section 1194.22, (e) Redundant text links shall be provided for each active region of a server-side image map.
|
N/A | ||
F. 508 Standards, Section 1194.22, (f) Client-side image maps shall be provided instead of server-side image maps except where the regions cannot be defined with an available geometric shape.
|
N/A | ||
G. 508 Standards, Section 1194.22, (g) Row and column headers shall be identified for data tables.
|
|||
H. 508 Standards, Section 1194.22, (h) Markup shall be used to associate data cells and header cells for data tables that have two or more logical levels of row or column headers.
|
|||
I. 508 Standards, Section 1194.22, (i) Frames shall be titled with text that facilitates frame identification and navigation.
|
N/A | ||
J. 508 Standards, Section 1194.22, (j) Pages shall be designed to avoid causing the screen to flicker with a frequency greater than 2 Hz and lower than 55 Hz.
|
|||
| K. 508 Standards, Section 1194.22, (k) A text-only page, with equivalent information or functionality, shall be provided to make a web site comply with the provisions of this part, when compliance cannot be accomplished in any other way. The content of the text-only page shall be updated whenever the primary page changes. | |||
| (k) Option A - Check for the string 'Text Version' within the document. | N/V | ||
| (k) Option B - Check for a Global Text Version Link within the document. | N/V | ||
| (k) Option C - Check for an Accessibility Policy Link within the document. | N/V | ||
L. 508 Standards, Section 1194.22, (l) When pages utilize scripting languages to display content, or to create interface elements, the information provided by the script shall be identified with functional text that can be read by assistive technology.
|
Yes | ||
M. 508 Standards, Section 1194.22, (m) When a web page requires that an applet, plug-in or other application be present on the client system to interpret page content, the page must provide a link to a plug-in or applet that complies with §1194.21(a) through (l).
|
Yes | ||
N. 508 Standards, Section 1194.22, (n) When electronic forms are designed to be completed on-line, the form shall allow people using assistive technology to access the information, field elements, and functionality required for completion and submission of the form, including all directions and cues.
|
|||
O. 508 Standards, Section 1194.22, (o) A method shall be provided that permits users to skip repetitive navigation links.
|
|||
| P. 508 Standards, Section 1194.22, (p) When a timed response is required, the user shall be alerted and given sufficient time to indicate more time is required. | |||
Checkpoint Result Legend: Yes = Passed Automated Verification, No = Failed Automated Verification, Warning = Failed Automated Verification, however, configured not to cause page to fail (Priority 2 or 3 only), N/V = Not selected for verification, N/A = No related elements were found in document (Visual only), No Value = Visual Checkpoint
Report generated by HiSoftware AccVerify®
AccVerify® is a registered trademark of Hiawatha Island Software Inc. (www.hisoftware.com)
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8: <link rel="stylesheet" href="../css/ns_ie.css">
9: <script language="JavaScript" src="http://www.csustan.edu/css/CSScriptLib-NewWdw.js" name="CSScriptLib-NewWdw-abs"></script>
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24:
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35: <select class="body1" name="select1" onchange="surfto(this.form)">
36: <option value="0" selected>Site "Navigation" Index</option>
37: <option value="0"></option>
38: <option value="../Employee_Benefits/index.html">Employee Benefits</option>
39: <option value="../Employee-FAQ/index.html">Employee FAQ</option>
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45: <option value="../Training_Development/index.html">Training & Development</option>
46: <option value="../Training_Development/Calendar-index.html">- Training Calendar</option>
47: <option value="0"></option>
48: <option value="../Fiscal_Year_Calendar/index.html">University Calendar</option>
49: <option value="http://www.csustan.edu/directories/">Directory Search</option>
50: <option value="../Contact-Information/index.html">Contact Information</option>
51: <option value="0"></option>
52: <option value="../index.html">back to HR main entry</option>
53: <option value="0"></option>
54: <option value="0">|||||||</option>
55: </select></div>
56: </form>
57: <img src="../parts/SPACE.gif" alt="Human Resources text over tan and burgandy colored horizontal panels" width="699" height="60" usemap="#HR-PgHdr1baddbe55" border="0"></div>
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61: </TABLE>
62: </div>
63: </csobj>
64: <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="99%">
65: <tr>
66: <td width="60" valign="TOP"><csobj csref="../WebComponents/watermark-page.html" h="388" occur="81" t="Component" w="60">
67: <table border="0" cellspacing="0" cellpadding="0">
68: <tr>
69: <td><A title="back to CSU Stanislaus" HREF="http://www.csustan.edu/" onfocus="if(this.blur)this.blur();" target="_top" onmouseover=" window.status=' C S U S t a n i s l a u s ' ; return true"><IMG
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74: </csobj></td>
75: <td align="left" width="100%" valign="TOP">
76: <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="99%">
77: <tr>
78: <td width="12" valign="TOP"><IMG
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83: <TD WIDTH="12" VALIGN="TOP"></TD>
84: <TD WIDTH="100%" VALIGN="TOP">
85: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
86: <tr>
87: <td nowrap bgcolor="#E6E6E6" width="100%" valign="BOTTOM"><font color="black"><i><b><span class="header-med">Employee Benefits:</span></b></i></font></td>
88: </tr>
89: <tr>
90: <td align="left" width="100%" valign="top" background="../parts/pages/line-grey-horiz-rule.gif"><a href="http://www.csustan.edu/" onfocus="if(this.blur)this.blur();" target="_top" onmouseover=" window.status=' C S U S t a n i s l a u s ' ; return true"><img src="../parts/SPACE.gif" width="223" height="11" align="BOTTOM" alt="spacer" border="0"></a></td>
91: </tr>
92: <TR>
93: <TD WIDTH="100%" VALIGN="TOP"><img src="../parts/SPACE.gif" alt="" width="4" height="4" border="0">
94: <TABLE width="1516" BORDER="0" CELLPADDING="0" CELLSPACING="0">
95: <tr>
96: <td valign="TOP" width="34%"><img src="../parts/SPACE.gif" alt="" height="12" width="12" border="0"></td>
97: <td valign="TOP" width="1000"></td>
98: </tr>
99: <tr>
100: <td valign="TOP" bgcolor="#e9eadd" width="34%"><b>CSU SYSTEMWIDE BENEFITS LINKS</b></td>
101: <td valign="TOP" width="1000"></td>
102: </tr>
103: <tr>
104: <td valign="TOP" width="34%"><img src="../parts/SPACE.gif" alt="" height="4" width="4" border="0"></td>
105: <td valign="TOP" width="1000"></td>
106: </tr>
107: <tr>
108: <td valign="TOP" width="34%"><b><a href="http://www.calstate.edu/Benefits/compare.benefits.shtml" onfocus="if(this.blur)this.blur();">CSU </a></b><a href="http://www.calstate.edu/Benefits/compare.benefits.shtml" onfocus="if(this.blur)this.blur();"><b>Benefit Summary by Employee Group<br>
109: </b></a><a href="http://www.calstate.edu/hr/benefitsportal/"><strong>CSU Systemwide Benefits Portal<br>
110: </strong></a><strong><a href="http://www.calstate.edu/Benefits/Compensation/Compensation_Calculator.aspx">CSU Total Compensation Calculator</a></strong></td>
111: <td valign="TOP" width="1000"></td>
112: </tr>
113: <tr>
114: <td valign="TOP" width="34%"></td>
115: <td valign="TOP" width="1000"></td>
116: </tr>
117: <tr>
118: <td valign="TOP" width="34%"><img src="../parts/SPACE.gif" alt="" height="4" width="4" border="0"></td>
119: <td valign="TOP" width="1000"></td>
120: </tr>
121: <tr>
122: <td valign="TOP" width="34%"><img src="../parts/SPACE.gif" alt="spacer" width="8" height="8" align="BOTTOM" border="0"></td>
123: <td valign="TOP" width="1000"></td>
124: </tr>
125: <TR>
126: <TD VALIGN="TOP" width="34%">
127: <TABLE width="100%" BORDER="0" CELLSPACING="0" cellpadding="2">
128: <tr>
129: <td align="left" bgcolor="#e9eadd" width="98%" valign="TOP"><b>HEALTH CARE BENEFITS</b></td>
130: <td align="left" width="55" valign="TOP"><img src="../parts/SPACE.gif" alt="" height="4" width="4" border="0"></td>
131: </tr>
132: <tr>
133: <td align="left" width="98%" valign="TOP">
134: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
135: <tr>
136: <td align="left" width="260" valign="TOP">
137: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
138: <tr>
139: <td width="8" valign="TOP" align="center"><b>-</b></td>
140: <td align="left" bgcolor="#e6e6e6" width="98%" valign="TOP"><b>Insurance Enrollment, Rate & Contact Information</b></td>
141: </tr>
142: <tr>
143: <td width="8" valign="TOP" align="center"><b>-</b></td>
144: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/BenefitsEnrollmentOverview.doc" target="_top">Benefits Enrollment Overview.</a><font color="#dc143c">doc</font></td>
145: </tr>
146: <tr>
147: <td width="8" valign="TOP" align="center"><b>-</b></td>
148: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/BenefitsInformationWorksheet.doc" target="_top">Benefits Information Worksheet</a><a href="../Apps-Forms-Policies-Procedures/Documents/Open%20Enrollment%202007%20Medical%20Dental%20Flex_FINAL.doc" target="_top">.</a><font color="#dc143c">doc</font></td>
149: </tr>
150: <tr>
151: <td width="8" valign="TOP" align="center"><b>-</b></td>
152: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/Benefit%20Contact%20and%20Group%20Numbers.doc" target="_top">Benefits Provider Contacts & Group Number</a><a href="../Apps-Forms-Policies-Procedures/Documents/Open%20Enrollment%202007%20Medical%20Dental%20Flex_FINAL.doc" target="_top">.</a><font color="#dc143c">doc</font></td>
153: </tr>
154: <tr>
155: <td width="8" valign="TOP" align="center"><b>-</b></td>
156: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/Insurance%20Premiums%202008.doc" target="_top">Insurance Premiums 2008</a><font color="#dc143c">.doc</font></td>
157: </tr>
158: <tr>
159: <td width="8" valign="TOP" align="center"><b>-</b></td>
160: <td align="left" width="100%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/Flexcash_enroll.pdf">FlexCash Enrollment Form</a><font color="#dc143c">.pdf</font></td>
161: </tr>
162: <tr>
163: <td align="center" valign="TOP" width="8"><b>-</b></td>
164: <td valign="TOP" width="98%"><a href="http://www.calstate.edu/Benefits/carrier.materials/2007_FlexCash_Brochure.pdf" target="_top">Flex Cash Plan & TAPP.</a><font color="#dc143c">pdf</font></td>
165: </tr>
166: <tr>
167: <td width="8" valign="TOP" align="center"><b>-</b></td>
168: <td align="left" width="100%" valign="TOP"><a href="http://www.calstate.edu/Benefits/healthcare/cobra.rates.shtml" target="_top">COBRA Rates 2008</a></td>
169: </tr>
170: </TABLE>
171: </td>
172: </tr>
173: </TABLE>
174: </td>
175: <td align="left" width="55" valign="TOP"></td>
176: </tr>
177: <tr>
178: <td align="left" width="98%" valign="TOP">
179: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
180: <tr>
181: <td width="8" valign="TOP" align="center"></td>
182: <td align="left" bgcolor="#e6e6e6" width="100%" valign="TOP"><b>Medical</b></td>
183: </tr>
184: <tr>
185: <td width="8" valign="TOP" align="center"><b>-</b></td>
186: <td align="left" width="100%" valign="TOP"><a href="https://www.calpers.ca.gov/mss-publication/pdf/xZiVSH1WTax0c_2008-health-summary.pdf" target="_top">CalPERS Health Plan Summary 2008</a>.<font color="#dc143c">pdf</font></td>
187: </tr>
188: <tr>
189: <td width="8" valign="TOP" align="center"><b>-</b></td>
190: <td align="left" width="100%" valign="TOP"><a href="https://www.calpers.ca.gov/mss-publication/pdf/xShEa96a9zNF5_health-program-guide1.pdf" target="_top">CalPERS Health Program Guide 2008</a>.<font color="#dc143c">pdf</font></td>
191: </tr>
192: <tr>
193: <td width="8" valign="TOP" align="center"><b>-</b></td>
194: <td align="left" width="100%" valign="TOP"><a href="http://calpers.chooser.pbgh.org/wizard.asp" target="_top">CalPERS Health Plan Chooser</a></td>
195: </tr>
196: <tr>
197: <td width="8" valign="TOP" align="center"><b>-</b></td>
198: <td align="left" width="100%" valign="TOP"><a href="https://www.blueshieldca.com/bsc/calpers/calpers_welcome.jhtml" onfocus="if(this.blur)this.blur();">Blue Shield Access + HMO (800) 334-5847</a></td>
199: </tr>
200: <tr>
201: <td width="8" valign="TOP" align="center"></td>
202: <td align="left" width="100%" valign="TOP">
203: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
204: <tr>
205: <td align="center" valign="TOP" width="8"></td>
206: <td valign="TOP" width="98%"><font size="2" face="Arial"><a href="http://pdf.blueshieldca.com/bsc/images/2008CalPERSAccessHMOEOC.pdf" target="_top">Blue Shield Access+ HMO/Net Value HMO Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></td>
207: </tr>
208: <tr>
209: <td align="center" valign="TOP" width="8"></td>
210: <td valign="TOP" width="98%">
211: <p><font size="2" face="Arial"><a href="http://pdf.blueshieldca.com/bsc/calpers/downloads/NetValueEOCAddendum_A10778-NV-02_FINAL.pdf" target="_top">Blue Shield Net Value HMO Addendum</a></font>.<font color="#dc143c">pdf</font></p>
212: </td>
213: </tr>
214: </TABLE>
215: </td>
216: </tr>
217: <tr>
218: <td width="8" valign="TOP" align="center"><b>-</b></td>
219: <td align="left" width="100%" valign="TOP"><a href="http://my.kaiserpermanente.org/ca/calpers/" onfocus="if(this.blur)this.blur();">Kaiser Permanente HMO (800) 464-4000</a></td>
220: </tr>
221: <tr>
222: <td width="8" valign="TOP" align="center"></td>
223: <td align="left" width="100%" valign="TOP">
224: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
225: <tr>
226: <td align="center" valign="TOP" width="8"></td>
227: <td valign="TOP" width="98%"><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2008-KAISER-EOC.pdf" target="_top">Kaiser HMO Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></td>
228: </tr>
229: </TABLE>
230: </td>
231: </tr>
232: <tr>
233: <td width="8" valign="TOP" align="center"><b>-</b></td>
234: <td align="left" width="100%" valign="TOP"><a href="http://www.bluecrossca.com" onfocus="if(this.blur)this.blur();">PERSCare/Choice/Select PPO (877) 737-7776</a></td>
235: </tr>
236: <tr>
237: <td width="8" valign="TOP" align="center"></td>
238: <td align="left" width="100%" valign="TOP">
239: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
240: <tr>
241: <td align="center" valign="TOP" width="8"></td>
242: <td valign="TOP" width="98%">
243: <p><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2008-PERSCARE_EOC.pdf" target="_top">PERS Care Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></p>
244: </td>
245: </tr>
246: </TABLE>
247: </td>
248: </tr>
249: <tr>
250: <td width="8" valign="TOP" align="center"></td>
251: <td align="left" width="100%" valign="TOP">
252: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
253: <tr>
254: <td align="center" valign="TOP" width="8"></td>
255: <td valign="TOP" width="98%">
256: <p><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2008-PERSCHOICE_EOC.pdf" target="_top">PERS Choice Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></p>
257: </td>
258: </tr>
259: </TABLE>
260: </td>
261: </tr>
262: <tr>
263: <td width="8" valign="TOP" align="center"></td>
264: <td align="left" width="100%" valign="TOP">
265: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
266: <tr>
267: <td align="left" width="100%" valign="TOP">
268: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
269: <tr>
270: <td align="center" valign="TOP" width="8"></td>
271: <td valign="TOP" width="98%">
272: <p><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2008-PERSSELECT_EOC.pdf" target="_top">PERS Select Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></p>
273: </td>
274: </tr>
275: </TABLE>
276: </td>
277: </tr>
278: </TABLE>
279: </td>
280: </tr>
281: </TABLE>
282: </td>
283: <td align="left" width="55" valign="TOP"></td>
284: </tr>
285: <tr>
286: <td align="left" width="98%" valign="TOP">
287: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
288: <tr>
289: <td align="center" valign="TOP" width="8"></td>
290: <td valign="TOP" bgcolor="#e6e6e6" width="98%"><b>Dental</b></td>
291: </tr>
292: <tr>
293: <td align="center" valign="TOP" width="8"><b>-</b></td>
294: <td valign="TOP" width="98%"><a href="http://www.deltadentalca.org/csu/" onfocus="if(this.blur)this.blur();" target="_top">Delta Dental for CSU </a>(800) 765-6003 (Group #4018)</td>
295: </tr>
296: <tr>
297: <td align="center" valign="TOP" width="8"></td>
298: <td valign="TOP" width="98%">
299: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
300: <tr>
301: <td align="left" width="100%" valign="TOP">
302: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
303: <tr>
304: <td align="center" valign="TOP" width="8"></td>
305: <td valign="TOP" width="98%">
306: <p><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2006_DeltaDental_EOC.pdf" target="_top">Delta Dental Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></p>
307: </td>
308: </tr>
309: </TABLE>
310: </td>
311: </tr>
312: </TABLE>
313: </td>
314: </tr>
315: <tr>
316: <td align="center" valign="TOP" width="8"><b>-</b></td>
317: <td valign="TOP" width="98%"><a href="http://www.deltadentalca.org/csu/" onfocus="if(this.blur)this.blur();" target="_top">Deltacare USA Dental for CSU (Formerly PMI) </a>(800) 422-4234 (Group #2034)</td>
318: </tr>
319: <tr>
320: <td align="center" valign="TOP" width="8"></td>
321: <td valign="TOP" width="98%">
322: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
323: <tr>
324: <td align="left" width="100%" valign="TOP">
325: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
326: <tr>
327: <td align="center" valign="TOP" width="8"></td>
328: <td valign="TOP" width="98%"><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/PMIDeltaCare_DOB_03.pdf" target="_top">Delta Care/PMI Description of Benefits/Co-Payments</a></font>.<font color="#dc143c">pdf</font></td>
329: </tr>
330: <tr>
331: <td align="center" valign="TOP" width="8"></td>
332: <td valign="TOP" width="98%">
333: <p><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2006_PMIBasic_EOC.pdf" target="_top">Delta Care/PMI Basic Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></p>
334: </td>
335: </tr>
336: <tr>
337: <td align="center" valign="TOP" width="8"></td>
338: <td valign="TOP" width="98%"><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2006_PMIEnhanced_EOC.pdf" target="_top">Delta Care/PMI Enhanced Evidence of Coverage</a></font>.<font color="#dc143c">pdf</font></td>
339: </tr>
340: </TABLE>
341: </td>
342: </tr>
343: </TABLE>
344: </td>
345: </tr>
346: <tr>
347: <td align="center" valign="TOP" width="8"><b>-</b></td>
348: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/DentalPlanSummary.pdf" onfocus="if(this.blur)this.blur();" target="_top">Dental Plan Summary</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
349: </tr>
350: </TABLE>
351: </td>
352: <td align="left" width="55" valign="TOP"></td>
353: </tr>
354: <tr>
355: <td align="left" width="98%" valign="TOP">
356: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
357: <tr>
358: <td width="8" valign="TOP" align="center"><img src="../parts/SPACE.gif" width="8" height="6" align="BOTTOM" border="0"></td>
359: <td align="left" bgcolor="#e6e6e6" width="98%" valign="TOP"><b>Vision</b></td>
360: </tr>
361: <tr>
362: <td align="center" valign="TOP" width="8"><b>-</b></td>
363: <td align="left" width="98%" valign="TOP"><a href="http://www.vsp.com">VSP </a>
364: Group #12292796 (800) 877-7195</td>
365: </tr>
366: <tr>
367: <td align="center" valign="TOP" width="8"><b>-</b></td>
368: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/Out-of-Network_Reimbursement_AttC.pdf" target="_top">Out-of-Network Reimbursement Form</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
369: </tr>
370: <tr>
371: <td align="center" valign="TOP" width="8"><b>-</b></td>
372: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/VDT_form_AttD.pdf" target="_top">VDT Form</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
373: </tr>
374: <tr>
375: <td align="center" valign="TOP" width="8"><b>-</b></td>
376: <td align="left" width="98%" valign="TOP"><a href="http://www.calstate.edu/Benefits/carrier.materials/VSP_Summary2.pdf">VSP Benefit Plan Summary<span class="body1"><font color="#dc143c">.</font></span></a><span class="body1"><font color="#dc143c">pdf</font></span></td>
377: </tr>
378: <tr>
379: <td width="8" valign="TOP" align="center"><b>-</b></td>
380: <td align="left" width="100%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/2007_VSP_EOC.pdf" target="_top">VSP Evidence of Coverage (EOC)</a><font color="#AA0000">.</font><font color="#dc143c">pdf</font></td>
381: </tr>
382: <tr>
383: <td width="8" valign="TOP" align="center"><b>-</b></td>
384: <td align="left" width="100%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/VSP_member-registration.pps" target="_top">VSP Member-Registration</a><font color="#AA0000">.</font><font color="#dc143c">pps</font></td>
385: </tr>
386: <tr>
387: <td align="center" valign="TOP" width="8"><b>-</b></td>
388: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/VSP_Network-Paticipating%20Doctors.pdf" target="_top">VSP Select Network of Providers</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
389: </tr>
390: </TABLE>
391: </td>
392: <td align="left" width="55" valign="TOP"></td>
393: </tr>
394: <tr>
395: <td align="left" width="98%" valign="TOP">
396: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
397: <tr>
398: <td width="8" valign="TOP" align="center"><img src="../parts/SPACE.gif" width="8" height="6" align="BOTTOM" border="0"></td>
399: <td align="left" bgcolor="#e6e6e6" width="98%" valign="TOP"><b>Employee Assistance Program (Administered by MHN)</b></td>
400: </tr>
401: <tr>
402: <td align="center" valign="TOP" width="8"><b>-</b></td>
403: <td align="left" width="98%" valign="TOP"><a href="General/EAP.html" onfocus="if(this.blur)this.blur();">EAP Contact & Eligibility Information (800) 227-1060</a></td>
404: </tr>
405: <tr>
406: <td align="center" valign="TOP" width="8"><b>-</b></td>
407: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/EAPFlyer_2004.pdf">MHN Flyer (1 page)</a><font color="#AA0000">.</font><font color="#dc143c">pdf</font></td>
408: </tr>
409: <tr>
410: <td align="center" valign="TOP" width="8"><b>-</b></td>
411: <td align="left" width="98%" valign="TOP"><a href="../Apps-Forms-Policies-Procedures/Documents/EAPBrochure_2004.pdf" onfocus="if(this.blur)this.blur();">MHN Brochure (5 pages)</a><font color="#dc143c">.pdf</font></td>
412: </tr>
413: </TABLE>
414: </td>
415: <td align="left" width="55" valign="TOP"></td>
416: </tr>
417: <tr>
418: <td align="left" bgcolor="#e9eadd" width="98%" valign="TOP"><b>LEAVE PROGRAMS</b></td>
419: <td align="left" width="55" valign="TOP"></td>
420: </tr>
421: </TABLE>
422: <table width="100%" border="0" cellpadding="2" cellspacing="0">
423: <tr>
424: <td align="left" valign="top"><b>-</b></td>
425: <td align="left" valign="top"><font color="#a9a9a9"><a href="General/Disability.html" onfocus="if(this.blur)this.blur();" target="_top"><span class="body1">Disability Benefits Summary</span></a><span class="body1"> </span></font><font color="black"><span class="body1">(FML, NDI, IDL, CLDP)</span></font></td>
426: </tr>
427: <tr>
428: <td align="left" valign="top"><b>-</b></td>
429: <td valign="TOP" width="98%"><a href="General/Mat-Paternity.html" onfocus="if(this.blur)this.blur();" target="_top"><span class="body1">Maternity/Paternity Leave</span></a><span class="body1"> </span></td>
430: </tr>
431: <tr>
432: <td align="left" valign="top"><b>-</b></td>
433: <td valign="TOP" width="98%"><a href="General/fml.html"><font color="blue">Family and Medical Leave (FML) Info</font></a></td>
434: </tr>
435: <tr>
436: <td align="left" valign="top"></td>
437: <td valign="TOP" width="98%">
438: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
439: <tr>
440: <td align="center" valign="TOP" width="8"></td>
441: <td valign="TOP" width="98%"></td>
442: </tr>
443: <tr>
444: <td align="center" valign="TOP" width="8"></td>
445: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/FML%20Cert%20of%20Health%20Care%20Provider.pdf" target="_top">FML Certification of Health Care Provider</a>.<font color="#dc143c">pdf</font></td>
446: </tr>
447: <tr>
448: <td align="center" valign="TOP" width="8"></td>
449: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/FML%20EE%20Rights%20Responsibilities.doc" target="_top">FML Employee Rights and Responsibilities</a>.<font color="#dc143c">doc</font></td>
450: </tr>
451: <tr>
452: <td align="center" valign="TOP" width="8"></td>
453: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/FML%20DFEH%20Notice%20B.pdf" target="_top">FML California Family RIghts Act</a>.<font color="#dc143c">pdf</font></td>
454: </tr>
455: <tr>
456: <td align="center" valign="TOP" width="8"></td>
457: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/FML%20DOL%20Posting.pdf" target="_top">Your Rights Under FML U.S. Dept of Labor</a>.<font color="#dc143c">pdf</font></td>
458: </tr>
459: <tr>
460: <td align="center" valign="TOP" width="8"></td>
461: <td valign="TOP" width="98%"><a href="http://www.dol.gov/esa/whd/fmla/NDAAAmndmnts.pdf" target="_top">Military Family Leave.</a><font color="#dc143c">pdf</font></td>
462: </tr>
463: </TABLE>
464: </td>
465: </tr>
466: <tr>
467: <td align="left" valign="top"><b>-</b></td>
468: <td valign="TOP" width="98%"><font color="blue"><a href="General/ndi.html">Nonindustrial Disability Program (NDI)</a></font></td>
469: </tr>
470: <tr>
471: <td align="left" valign="top"><b>-</b></td>
472: <td valign="TOP" width="98%"><a href="General/catlv.html">Catastrophic Leave Donation Program (CLDP)</a></td>
473: </tr>
474: <tr>
475: <td align="left" valign="top"><b>-</b></td>
476: <td valign="TOP" width="98%"><font color="blue"><a href="General/idl.html">Industrial Disability Leave (IDL)</a></font></td>
477: </tr>
478: <tr>
479: <td align="left" valign="top"><b>-</b></td>
480: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/LOAForm.doc" onfocus="if(this.blur)this.blur();">Request for Leave of Absence Form</a><font color="#AA0000">.</font><font color="#dc143c">doc</font></td>
481: </tr>
482: <tr>
483: <td colspan="2" align="left" valign="top" bgcolor="#e9eadd">
484: <div align="left">
485: <b>LIFE INSURANCE & INCOME PROTECTION</b></div>
486: </td>
487: </tr>
488: <tr>
489: <td align="left" valign="top"><b>-</b></td>
490: <td valign="TOP" width="100%"><a href="http://www.standard.com/mybenefits/csu/basic.html">Group Life & AD&D Insurance (Employer-Paid)</a></td>
491: </tr>
492: <tr>
493: <td align="left" valign="top"><b>-</b></td>
494: <td valign="TOP" width="98%"><a href="http://www.standard.com/mybenefits/csu/voluntary.html">Voluntary Life Insurance (Employee-Paid)</a></td>
495: </tr>
496: <tr>
497: <td align="left" valign="top"><b>-</b></td>
498: <td valign="TOP" width="100%"><a href="http://www.standard.com/mybenefits/csu/ltd.html" target="_blank">Long Term Disability - Units 1,3,4 and MPP (Employer-Paid) </a></td>
499: </tr>
500: <tr>
501: <td align="left" valign="top"><b>-</b></td>
502: <td valign="TOP" width="100%">Voluntary Long Term Disability - (Employee-Paid) Sanders & Associates (800) 537-2476</td>
503: </tr>
504: <tr>
505: <td align="left" valign="top"><b>-</b></td>
506: <td valign="TOP" width="98%"><a href="http://www.standard.com/mybenefits/csu/ee.html">Are you eligible?</a></td>
507: </tr>
508: <tr>
509: <td align="left" valign="top"><b>-</b></td>
510: <td valign="TOP" width="98%"><a href="http://www.standard.com/mybenefits/csu/contact.html">Contact Information</a></td>
511: </tr>
512: <tr>
513: <td align="left" valign="top"></td>
514: <td align="left" valign="top"><img src="../parts/SPACE.gif" alt="" width="12" height="12" border="0"></td>
515: </tr>
516: <tr>
517: <td align="left" colspan="2" valign="top"><font color="black"><span class="Hdr-Sml2"><b>Assistance</b></span></font></td>
518: </tr>
519: <tr>
520: <td align="left" valign="top" width="8"><img src="../parts/SPACE.gif" alt="spacer" width="8" height="6" align="BOTTOM" border="0"></td>
521: <td align="left" valign="top" width="100%"><csobj csref="../WebComponents/PDF-component.html" h="41" occur="54" t="Component" w="499">
522: <table width="197" border="0" cellspacing="0" cellpadding="2">
523: <tr>
524: <td align="left" valign="top" width="8"><img src="../parts/SPACE.gif" alt="spacer" height="9" width="8" align="BOTTOM" border="0" /></td>
525: <td align="left" valign="middle" width="88"><a title="Get Adobe Reader" href="http://www.adobe.com/products/acrobat/readstep2.html" onfocus="if(this.blur)this.blur();" target="_blank"><img id="GetAdobeReader3" src="../parts/pdf/GetAdobeReader.gif" alt="Get Adobe Reader icon" name="GetAdobeReader3" height="31" width="88" border="0" /></a></td>
526: <td align="left" valign="top" width="93"><a href="http://www.adobe.com/products/acrobat/readstep2.html" onfocus="if(this.blur)this.blur();" target="_blank"><span class="fineprint">To read <b><font color="#8b0000">.pdf</font><br />
527: </b>download<br />
528: Adobe Reader</span></a></td>
529: </tr>
530: <tr>
531: <td align="left" valign="top" width="8"></td>
532: <td align="left" valign="middle" width="88"></td>
533: <td align="left" valign="top" width="93"><img src="../parts/SPACE.gif" alt="spacer" height="1" width="93" align="BOTTOM" border="0" /></td>
534: </tr>
535: </table>
536: </csobj></td>
537: </tr>
538: </table>
539: </TD>
540: <TD VALIGN="TOP" width="1000">
541: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="2">
542: <tr>
543: <td valign="TOP" align="left" bgcolor="#e9eadd" width="99%"><b>FEE WAIVER</b></td>
544: </tr>
545: <tr>
546: <td valign="TOP" align="left" width="99%">
547: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
548: <tr>
549: <td align="center" valign="TOP" width="8"><b>-</b></td>
550: <td valign="TOP" width="98%"><a href="General/FeeWaiver.html" onfocus="if(this.blur)this.blur();"><span class="body1">Fee Waiver Program</span></a></td>
551: </tr>
552: <tr>
553: <td align="center" valign="TOP" width="8"><b>-</b></td>
554: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/FeeWaiverDepForm.doc" target="_top">Dependent Fee Waiver Application</a><font color="#dc143c">.doc</font></td>
555: </tr>
556: <tr>
557: <td align="center" valign="TOP" width="8"><b>-</b></td>
558: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/FeeWaiverEmployeeForm.doc" target="_top">Employee Fee Waiver Application</a><font color="#dc143c">.doc</font></td>
559: </tr>
560: <tr>
561: <td align="center" valign="TOP" width="8"><b>-</b></td>
562: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/ICDP.doc" target="_top">Individual Career Development Plan</a><font color="#dc143c">.doc</font></td>
563: </tr>
564: </TABLE>
565: </td>
566: </tr>
567: <tr>
568: <td valign="TOP" align="left" bgcolor="#e9eadd" width="99%"><b>Health Care Reimbursement Account (HCRA) <br>
569: Dependent Care Reimbursement Account (DCRA)</b></td>
570: </tr>
571: <tr>
572: <td valign="TOP" align="left" width="99%">
573: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
574: <tr>
575: <td width="8" valign="TOP" align="center"><b>-</b></td>
576: <td align="left" width="100%" valign="TOP"><a href="http://www.calstate.edu/Benefits/carrier.materials/2006_HD_Brochure.pdf">Put More Out-Of-Pocket In Your Pocket.<font color="#dc143c">pdf</font></a></td>
577: </tr>
578: <tr>
579: <td align="center" valign="TOP" width="8"><b>-</b></td>
580: <td valign="TOP" width="98%"><a href="http://www.calstate.edu/Benefits/carrier.materials/07HCRA_Brochure.pdf">HCRA Plan Information.</a><a href="http://www.calstate.edu/Benefits/carrier.materials/2006_HCRABrochure.pdf"><font color="#dc143c">pdf</font></a></td>
581: </tr>
582: <tr>
583: <td align="center" valign="TOP" width="8"><b>-</b></td>
584: <td valign="TOP" width="98%"><span class="body1"><a href="http://www.calstate.edu/Benefits/carrier.materials/07DCRA_Brochure.pdf">DCRA Plan Information.</a></span><a href="General/Mat-Paternity.html" onfocus="if(this.blur)this.blur();" target="_top"><span class="body1"><font color="#dc143c">pdf</font></span></a></td>
585: </tr>
586: <tr>
587: <td align="center" valign="TOP" width="8"><b>-</b></td>
588: <td valign="TOP" width="280"><a href="http://www.csustan.edu/hr/Apps-Forms-Policies-Procedures/Documents/HCRADCRAEnrollment.pdf">HCRA/DCRA Enrollment Form</a><font color="#AA0000">.</font><font color="#dc143c">pdf</font></td>
589: </tr>
590: <tr>
591: <td align="center" valign="TOP" width="8"><b>-</b></td>
592: <td valign="TOP" width="280"><a href="http://www.asiflex.com/Forms/ClaimForms/CSU/csuclaim.pdf">HCRA/DCRA Claim Form</a>.<font color="#dc143c">pdf</font></td>
593: </tr>
594: </TABLE>
595: </td>
596: </tr>
597: <tr>
598: <td valign="TOP" align="left" bgcolor="#e9eadd" width="99%">
599: <div align="left">
600: <b>GENERAL BENEFITS</b></div>
601: </td>
602: </tr>
603: <tr>
604: <td valign="TOP" align="left" width="99%">
605: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="1">
606: <tr>
607: <td align="center" valign="TOP" width="8"><b>-</b></td>
608: <td valign="TOP" width="98%"><a href="http://www.aplus.com/csustan/" onfocus="if(this.blur)this.blur();" target="_top">A+ Auto & Home Insurance </a>(877) 999-8947</td>
609: </tr>
610: <tr>
611: <td align="center" valign="TOP" width="8"><b>-</b></td>
612: <td valign="TOP" width="98%"><a href="http://www.edd.ca.gov" target="_top">California Employment Development Department (Calif EDD)</a></td>
613: </tr>
614: <tr>
615: <td align="center" valign="TOP" width="8"><b>-</b></td>
616: <td valign="TOP" width="98%"><a href="http://www.calpers.ca.gov/index.jsp?bc=/member/homeloan/home.xml&pst=ACT&pca=ST" target="_top">CalPERS Home Loan</a> (800) 874-7377</td>
617: </tr>
618: <tr>
619: <td align="center" valign="TOP" width="8"><b>-</b></td>
620: <td valign="TOP" width="98%"><a href="General/domestic-partner-memo.html" onfocus="if(this.blur)this.blur();" target="_top"><span class="body1">Domestic Partner</span></a><span class="body1"> </span></td>
621: </tr>
622: <tr>
623: <td align="center" valign="TOP" width="8"><b>-</b></td>
624: <td valign="TOP" width="98%"><a href="https://www.golden1.com" target="_top">Golden 1 Credit Union</a></td>
625: </tr>
626: <tr>
627: <td align="center" valign="TOP" width="8"><b>-</b></td>
628: <td valign="TOP" width="98%"><a href="http://www.mocse.org" target="_top">MOCSE/<st1:place w:st="on">Central Valley</st1:place> Credit Union</a> </td>
629: </tr>
630: <tr>
631: <td align="center" valign="TOP" width="8"><b>-</b></td>
632: <td valign="TOP" width="98%"><a href="http://www.sco.ca.gov/ppsd/empinfo/calc/paycalc.shtml" onfocus="if(this.blur)this.blur();" target="_top"><span class="body1">Pay Check Calculator</span></a><span class="body1"> </span></td>
633: </tr>
634: <tr>
635: <td align="center" valign="TOP" width="8"><b>-</b></td>
636: <td valign="TOP" width="98%"><a href="http://www.calstate.edu/Benefits/carrier.materials/2007_Pre-TaxParking.pdf">Pre-Tax Parking Deduction Plan.</a><font color="#dc143c">pdf</font></td>
637: </tr>
638: <tr>
639: <td align="center" valign="TOP" width="8"><b>-</b></td>
640: <td valign="TOP" width="98%">Sanders & Associates (800) 537-2476</td>
641: </tr>
642: <tr>
643: <td align="center" valign="TOP" width="8"><b>-</b></td>
644: <td valign="TOP" width="98%"><a href="http://www.ticketsatwork.com" target="_top">Tickets At Work (company code is csustan)</a></td>
645: </tr>
646: <tr>
647: <td align="center" valign="TOP" width="8"><b>-</b></td>
648: <td valign="TOP" width="98%">
649: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="0">
650: <tr>
651: <td colspan="2" align="center" valign="TOP">
652: <div align="left">
653: <font size="2" face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><a href="http://www.verizonwireless.com" onfocus="if(this.blur)this.blur();" target="_top">Verizon Wireless</a> </font><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif">(866) 456-7892 <strong>Monday-Friday 7:00am to 7:00pm</strong> (special number for govt employees)</font></div>
654: </td>
655: </tr>
656: <tr>
657: <td align="center" valign="TOP" width="8"></td>
658: <td valign="TOP" width="98%"><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif">Local Verizon Rep - Raman Benjamin (209) 401-8939 </font><font size="2" face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><a title="mailto:Raman.Benjamin@VerizonWireless.com" href="mailto:Raman.Benjamin@VerizonWireless.com">Raman.Benjamin@VerizonWireless.com</a></font></td>
659: </tr>
660: <tr>
661: <td align="center" valign="TOP" width="8"></td>
662: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/VerizonFlyer.pdf" target="_top">Employee Discount Information</a>.<font color="#dc143c">pdf</font></td>
663: </tr>
664: </TABLE>
665: </td>
666: </tr>
667: <tr>
668: <td align="center" valign="TOP" width="8">
669: <table border="0" cellspacing="0" width="100%" cellpadding="1">
670: <tr>
671: <td align="center" valign="TOP" width="8"><b>-</b></td>
672: </tr>
673: </table>
674: </td>
675: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/VolDeductionCxlForm.doc">Voluntary Deduction Cancellation Form</a>.<font color="#dc143c">doc</font></td>
676: </tr>
677: </TABLE>
678: </td>
679: </tr>
680: <tr>
681: <td valign="TOP" align="left" bgcolor="#e9eadd" width="99%"><b>RETIREMENT PLANS</b></td>
682: </tr>
683: <tr>
684: <td valign="TOP" align="left" width="99%">
685: <table width="100%" border="0" cellspacing="0" cellpadding="1">
686: <tr>
687: <td align="center" valign="TOP" width="8"><img src="../parts/SPACE.gif" width="8" height="6" align="BOTTOM" border="0"></td>
688: <td valign="TOP" bgcolor="#e6e6e6" width="98%"><b>CalPERS Retirement Plan</b></td>
689: </tr>
690: <tr>
691: <td align="center" valign="TOP" width="8"><b>-</b></td>
692: <td valign="TOP" width="98%"><a href="http://www.calpers.ca.gov" onfocus="if(this.blur)this.blur();" target="_top"><span class="body1"><strong>California Public Employees Retirement System (CalPERS)</strong></span></a></td>
693: </tr>
694: <tr>
695: <td align="center" valign="TOP" width="8"><b>-</b></td>
696: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/CalPersBeneficiaryDesignee.pdf" onfocus="if(this.blur)this.blur();" target="_top">CalPERS Beneficiary Designation Form</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
697: </tr>
698: <tr>
699: <td align="center" valign="TOP" width="8"></td>
700: <td valign="TOP" bgcolor="#e6e6e6" width="98%"><b>Alternative Retirement Plan (if not CalPERS-eligible)</b></td>
701: </tr>
702: <tr>
703: <td align="center" valign="TOP" width="8"><b>-</b></td>
704: <td valign="TOP" width="98%"><a href="http://www.dpa.ca.gov/benefits/retire/pstplan.shtm" onfocus="if(this.blur)this.blur();" target="_top">Part-Time, Seasonal & Temporary (PST) Retirement Program</a></td>
705: </tr>
706: <tr>
707: <td align="center" valign="TOP" width="8"><b>-</b></td>
708: <td valign="TOP" width="98%"><a href="https://www.nrsservicecenter.com/content/media/retail/pdfs/SPPFORU/forms/PSTBPB.pdf" target="_top">PST Benefit Payment Booklet</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
709: </tr>
710: <tr>
711: <td align="center" valign="TOP" width="8"><b>-</b></td>
712: <td valign="TOP" width="98%"><a href="https://www.nrsservicecenter.com/content/media/retail/legacy/SPP/PST_facts.pdf" target="_top">PST Fact Sheet</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
713: </tr>
714: <tr>
715: <td align="center" valign="TOP" width="8"><img src="../parts/SPACE.gif" width="8" height="6" align="BOTTOM" border="0"></td>
716: <td bgcolor="#e6e6e6" width="98%" valign="TOP" align="left"><b>Voluntary Retirement Savings Plans</b></td>
717: </tr>
718: <tr>
719: <td align="center" valign="TOP" width="8"><b>-</b></td>
720: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/2008_TSACOMPARE_CHART.pdf" target="_self">403(b), 457, 401(k) Comparison Chart</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
721: </tr>
722: <tr>
723: <td align="center" valign="TOP" width="8"><b>-</b></td>
724: <td width="98%" valign="TOP" align="left"><a href="https://www.nrsservicecenter.com/iApp/ret/content/landing.do?Role=None&Site=SPPFORU" onfocus="if(this.blur)this.blur();" target="_top"><b>Savings Plus Program (401(k), 457)</b></a></td>
725: </tr>
726: <tr>
727: <td align="center" valign="TOP" width="8"><b>-</b></td>
728: <td width="98%" valign="TOP" align="left"><font color="#e0ffff"><b><a href="http://www.calstate.edu/Benefits/retirement/tsa.page.shtml" onfocus="if(this.blur)this.blur();" target="_top">Tax Shelter Annuities (403b)</a></b></font><font color="#e0ffff">web page)</font></td>
729: </tr>
730: <tr>
731: <td align="center" valign="TOP" width="8"><b>-</b></td>
732: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/TSAAuthCompanies_1207.pdf" target="_top">TSA Authorized Companies</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
733: </tr>
734: <tr>
735: <td align="center" valign="TOP" width="8"><b>-</b></td>
736: <td valign="TOP" width="98%"><font size="2" face="Arial"><a href="http://www.calstate.edu/hr/benefitsportal/whatisatsa.asp#CatchupInstructions">403(b) TSA Info and Instructions</a></font></td>
737: </tr>
738: <tr>
739: <td align="center" valign="TOP" width="8"><b>-</b></td>
740: <td valign="TOP" width="98%"><font size="2" face="Arial"><a href="http://www.calstate.edu/Benefits/carrier.materials/2008_AutoCatchUp%20Form.xls">403(b) TSA Maximum Contribution Worksheet</a></font><span class="body1"><font color="#dc143c">.xls</font></span></td>
741: </tr>
742: <tr>
743: <td align="center" valign="TOP" width="8"><b>-</b></td>
744: <td valign="TOP" width="98%"><font size="2" face="Arial"><a href="http://www.calstate.edu/HRAdm/pdf2007/TL-BEN2007-15AttC.pdf">403(b) TSA Salary Reduction Request Form</a></font><span class="body1"><font color="#dc143c">.pdf</font></span></td>
745: </tr>
746: </table>
747: </td>
748: </tr>
749: <tr>
750: <td valign="TOP" align="left" width="99%"><img src="../parts/SPACE.gif" alt="" width="12" height="12" border="0"></td>
751: </tr>
752: <tr>
753: <td valign="TOP" align="left" bgcolor="#e9eadd" width="99%"><strong>SCHOLARSHARE COLLEGE SAVINGS PLAN</strong></td>
754: </tr>
755: <tr>
756: <td valign="TOP" align="left" width="99%">
757: <table width="100%" border="0" cellspacing="0" cellpadding="1">
758: <tr>
759: <td align="center" valign="TOP" width="8"></td>
760: <td valign="TOP" width="98%"><a href="http://www.ScholarShare.com" target="_top">ScholarShare website</a></td>
761: </tr>
762: <tr>
763: <td align="center" valign="TOP" width="8"><b>-</b></td>
764: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/Scholarshare_Application.pdf" target="_top">ScholarShare Application and the Trustee Certification Form</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
765: </tr>
766: <tr>
767: <td align="center" valign="TOP" width="8"><b>-</b></td>
768: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/Scholarshare_payrolldeduction.pdf" target="_top"><st1:PlaceName w:st="on">Scholarshare</st1:PlaceName> <st1:PlaceType w:st="on">College</st1:PlaceType> Savings Plan Payroll Deduction Form</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
769: </tr>
770: <tr>
771: <td align="center" valign="TOP" width="8"><b>-</b></td>
772: <td valign="TOP" width="98%"><a href="../Apps-Forms-Policies-Procedures/Documents/Scholarshare_Information.pdf" target="_top">ScholarShare Information Booklet</a><span class="body1"><font color="#dc143c">.pdf</font></span></td>
773: </tr>
774: </table>
775: </td>
776: </tr>
777: <tr>
778: <td valign="TOP" align="left" width="99%"><img src="../parts/SPACE.gif" alt="" width="12" height="12" border="0"></td>
779: </tr>
780: <tr>
781: <td valign="TOP" align="left" width="99%"><csobj csref="../Apps-Forms-Policies-Procedures/Webpage-Components/WorkersComp-Component.html" h="197" occur="84" t="Component" w="997">
782: <TABLE BORDER="0" CELLSPACING="0" WIDTH="100%" cellpadding="2">
783: <tr>
784: <td valign="TOP" align="left" bgcolor="#e9eadd" width="100%"><b>WORKERS' COMPENSATION (WC)</b></td>
785: </tr>
786: <tr>
787: <td valign="TOP" align="left" width="100%">
788: <table border="0" cellspacing="0" width="100%" cellpadding="1">
789: <tr>
790: <td width="8" valign="TOP" align="center"><b>-</b></td>
791: <td valign="TOP" width="100%"><a href="General/WorkersComp.html" onfocus="if(this.blur)this.blur();"><span class="body1">WC and IDL FAQ</span></a></td>
792: </tr>
793: <tr>
794: <td width="8" valign="TOP" align="center"><b>-</b></td>
795: <td valign="TOP" width="100%"><a href="http://www.dir.ca.gov/CHSWC/Reports/WorkersCompGuidebook-3rdEd.pdf" target="_top">A Guidebook for Injured Workers.<font color="#dc143c">pdf</font></a></td>
796: </tr>
797: <tr>
798: <td width="8" valign="TOP" align="center"><b>-</b></td>
799: <td valign="TOP" width="100%"><a href="../Apps-Forms-Policies-Procedures/Documents/WCInfoandInstructions.doc" onfocus="if(this.blur)this.blur();" target="_top"><span class="body1">WC Info and Instructions</span></a><span class="body1"><font color="#dc143c">.doc</font></span></td>
800: </tr>
801: <tr>
802: <td width="8" valign="TOP" align="center"><b>-</b></td>
803: <td valign="TOP" width="100%"><span class="body1"><a href="../Apps-Forms-Policies-Procedures/Documents/SupervisorsRptofInjury.doc" onfocus="if(this.blur)this.blur();" target="_top">Supervisor's Report of Employee Injury</a><font color="#dc143c">.doc</font></span></td>
804: </tr>
805: <tr>
806: <td width="8" valign="TOP" align="center"><b>-</b></td>
807: <td valign="TOP" width="100%"><span class="body1"><a href="../Apps-Forms-Policies-Procedures/Documents/WCClaimForm(DWC1).pdf" onfocus="if(this.blur)this.blur();" target="_top">WC Claim Form (DWC1)</a><font color="#dc143c">.pdf</font></span></td>
808: </tr>
809: <tr>
810: <td width="8" valign="TOP" align="center"><b>-</b></td>
811: <td valign="TOP" width="100%"><span class="body1"><a href="http://www.dir.ca.gov/dwc/FORMS/DWCForm_9783.pdf" target="_top">WC Pre-designation of Personal Physician</a></span><font color="#dc143c"><span class="body1">.</span>pdf</font></td>
812: </tr>
813: <tr>
814: <td width="8" valign="TOP" align="center"><b>-</b></td>
815: <td valign="TOP" width="100%"><span class="body1"><a href="http://www.dir.ca.gov/dwc/FORMS/DWCForm_9783_1.pdf" target="_top">WC Pre-designation of Personal Chiropractor or Acupuncturist</a>.</span><font color="#dc143c">pdf</font></td>
816: </tr>
817: <tr>
818: <td width="8" valign="TOP" align="center"><b>-</b></td>
819: <td valign="TOP" width="100%">Work Wellness - (209) 216-3333<br>
820: <st1:Street w:st="on"><st1:address w:st="on">1801 Colorado Ave., Suite 130</st1:address></st1:Street><br>
821: Turlock, CA 95382</td>
822: </tr>
823: <tr>
824: <td width="8" valign="TOP" align="center"><img src="../parts/SPACE.gif" width="8" height="6" align="BOTTOM" border="0"></td>
825: <td align="left" width="100%" valign="TOP"><img src="../parts/SPACE.gif" width="340" height="6" align="BOTTOM" alt=" " border="0"></td>
826: </tr>
827: </table>
828: </td>
829: </tr>
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836: </TABLE>
837: </TD>
838: </TR>
839: <tr>
840: <td width="100%" valign="TOP">
841: <table border="0" cellpadding="0" cellspacing="0" width="100%">
842: <tr>
843: <td width="100%">
844: <div align="left">
845: <table border="0" cellpadding="0" cellspacing="0">
846: <tr>
847: <td valign="top" width="8">
848: <table border="0" cellpadding="0" cellspacing="0">
849: <tr>
850: <td valign="bottom" width="8"><img src="../parts/SPACE.gif" width="8" height="16" align="BOTTOM" alt="spacer" border="0"></td>
851: </tr>
852: </table>
853: </td>
854: <td valign="top" nowrap width="100%"></td>
855: </tr>
856: <tr>
857: <td valign="top" width="8"></td>
858: <td valign="top" nowrap width="100%"><font size="2" color="#777777"><span class="body1">|||||||</span><span class="fineprint"> Refreshed: </span><span class="fineprint"><csobj locale="00000409" w="108" h="10" t="DateTime" format="MedDate" region="0">Wednesday, July 09, 2008</csobj></span></font></td>
859: </tr>
860: <tr>
861: <td valign="top" width="8"></td>
862: <td valign="top" nowrap width="100%"><img src="../parts/SPACE.gif" alt="" width="12" height="40" border="0"></td>
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