Enrollment Forms

Below, you'll find links to printer-friendly enrollment forms (PDF format) for the 2008-09 plan year.

Employee Forms

1. Health benefits form
2. Dental benefits form
3. Vision benefits form
4. Life and AD&D insurance form
5. Flexible spending accounts form
6. COBRA Health form
7. COBRA Dental form
8. COBRA Vision form

Retiree Forms:

1. Health benefits form
2. Dental benefits form
3. Vision benefits form

Form Pick-Up Locations

Printed forms are available for pick up at 112 Scovell Hall or 321 Wethington Building.