Benefits Forms - Human Resources and Training

The files linked to on this page are in PDF or Microsoft Office and require Adobe Reader (free) (or other PDF-compatible software), Microsoft Office, or one of the Microsoft Office Viewers (free) to access them. Get the Microsoft Office Compatibility Pack (free) for older versions of MS Word, Excel, and PowerPoint (needed for files ending with .docx, .xlsx, .xlsm, .pptx, .ppts, and .pptm).

Visit the Benefits Office website.

Part-time Faculty Benefits Forms

• BenElect Accident & Sickness Insurance Plans flyer (1.7 MB)

Tax Sheltered Annuities

• 403 Plan Highlights
• 457 Plan Highlights
• Comparison of 403 vs. 457 Plans
• Procedures for 403 and 457 Plan Participants
• Roth 403(b) Tax Free Retirement Plan (after tax contribution)

American Fidelity Assurance, Flex Account Administration

• AFES Section 125 Flexible Benefit Plan Expense Reimbursement Voucher Form
• Dependent Day Care Reimbursement Form / Acknowledgement Form (cannot be used for medical expense reimbursement requests)

Employee Assistance Programs

Go to CONCERN:EAP (Employee Assistance Program).