Benefit Forms and Documents

New Employee Enrollment Instructions

All new employees must complete the Benefits Election Summary Form and applicable benefit enrollment form(s) listed below. All benefit forms must be received by the Office of Human Resources within 30 days of eligibility. Failure to submit elections within the 30-day deadline will result in no insurance coverage for the entire plan year.

Current Employee Enrollment Instructions (during Open Enrollment)

During the benefits open enrollment period, October 26 - November 6, 2009, current employees may switch, add, adjust or cancel insurance and/or add or remove spouse or dependent(s) from coverage. Employees who do not initiate a change during open enrollment will automatically continue in their current benefit coverage for 2010, except for FSA plans. Employees must re-enroll in the FSA plan annually. Please access the benefits Enrollment Instructions for full details. All benefit forms must be submitted to the Office of Human Resources by November 6, 2009.