Benefit Forms

Instructions for New Employees Only

All new employees must complete the 2009 Benefits Election Summary Form and applicable benefit enrollment form(s). 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.

Instructions for Current Employees During Open Enrollment

During the benefits open enrollment period, October 27 - November 7, 2008, 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 2009, 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 7, 2008.