Payroll Forms & Publications

Medical

• Employee Enrollment Guide - Understanding your Healthcare Coverage
• Plan Comparison Webpage
• Rates Webpage
• Medical Enrollment/Change Form
• Dependent With Disabilities Certification Form
• Request for an Appeal

Medical Claim Forms

• Uniform Medical  & Vision Claim Form
• Group Health Classic and Value Medical & Vision Claim Form

Prescription Plans

• Uniform Online Pharmacy
• Uniform Drug Claim Form
• Group Health Online Pharmacy
• Group Health Prescription Claim Form

Life Insurance

• Life Insurance Benefit Booklet
• Life Insurance Rate Sheet
• Life Insurance Enrollment/Change Form
• Life Insurance Evidence of Insurability Form

Long Term Disability

• Long Term Disability Benefit Booklet
• Long Term Disability Rates
• Long Term Disability Enrollment/Change Form
• Long Term Disability Evidence of Insurability Form

Flexible Spending

• Dependent Care Assistance Program
• Flexible Spending Account Program
• Flexible Spending Account Enrollment 2013 Guide
• Flexible Spending Account Change of Election Form
• Flexible Spending/Dependent Care Assistance Claim Form

VEBA

• VEBA Enrollment Form
• VEBA Claim Form
• VEBA Direct Deposit Enrollment Form
• VEBA Election of limited VEBA Plan Coverage Form for those with HSA accounts
• VEBA Systematic Premium Reimbursement Form for retirees

YMCA

• YMCA Enrollment Form
• 2012 YMCA Rates

IRS Forms and Helpful Tools

• 2013 W-4 Form
• IRS Withholding Calculator

Miscellaneous Forms

• Employee Address Change Form
• Direct Deposit Form
• Administrative/Exempt Employee Request to Extend Excess Leave Form

Time and Leave Reporting

• Exempt Staff Guide
• Supervisor User Guide
• Classified Staff Guide
• Student and Hourly Guide

Retirement Plan Options for Faculty and Exempt