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Flyer overviewing university benefits available for staff

An overview of plan offerings and the insurance benefits enrollment process.

Retiree benefits enrollment/change form to be used to change insurance elections.

Note: This retiree benefit change form is also available in a combo pack of forms.

Summary Plan Description for Basic Life insurance for employees is available on the SPDs webpage

Summary plan description of the Dependent Life Insurance plan is available on the SPDs webpage.

This video explains the financial differences between paying your monthly premiums before taxes are deducted from your paycheck or after. (2:47)

Active employee Beneficiary Designation Form to be used for beneficiary designations for Basic Life, Supplemental Life, Accidental Death and Dismemberment, and pre-retirement death benefit under the DB Plan and Hybrid Plan.

Combo pack of forms, including: (1) Retiree benefits enrollment/change form to be used to change insurance elections. (2) Beneficiary designations form for basic life, supplemental life, and accidental death and dismemberment plans. Cannot be used during retirees’ Annual Enrollment period.

Note: The is available in this same file (following the benefit change form).

Form for retirees to designate beneficiaries for basic life, supplemental life, and accidental death and dismemberment plans.

Note: This retiree beneficiary designation form is also available in a combo pack of forms.

Proof of relationship requirements to confirm the individual or individuals to be covered are eligible under the specific definitions of the plans.

Form for establishing a sponsored adult dependent relationship for the purpose of university benefits

Use this form to terminate a sponsored adult dependent relationship for university benefits

Designate beneficiaries for the university’s supplemental life insurance plan.

Use this form to cancel your supplemental life insurance plan