Forms: Benefit Enrollment and Changes

Designated Eligible Individual

Flexible spending account, BASIC Flex

Health Plan ppo enrollment and changes

Health plan hmo enrollment and changes

Life insurance enrollment and change form, employee

Life insurance enrollment and change form, dependent

For staff compensation system employees, coaches, and research staff (R1 and R2).

Long-term disability insurance enrollment and change form

Tuition remission application

For spouse and dependent program.