Please read the information below to help you make decisions concerning your benefits. Remember, if you wish to make a change to your health, dental and prescription coverage or your vision coverage, you must complete a new enrollment form.
If you currently have the health, dental and prescription coverage and/or Vision coverage, and you do not want to make any changes, you do not have to do anything. All changes to the health, dental and prescription coverage must be received on or before November 30th to be considered. All changes are effective 01/01/2013.
Each year, a new FSA application must be completed and returned during Open Enrollment if you wish to participate in the Flexible Spending Account program for the following year. If you participated in the FSA in 2012, you must complete a new application to participate in 2013.
All FSA applications must be completed and returned to Staff Benefits on or before November 30th. If your application is not received during this enrollment period, you will not be eligible to participate in this program during 2013. All FSA applications received during Open Enrollment are effective 01/01/2013.
Please note* these applications can be completed and returned by email to Staff Benefits, printed and returned through campus mail or regular mail, or faxed to ext 8084. All forms must be returned to the Staff Benefits Office on or before November 30, 2012 to be considered. Since these completed forms contain your personal information, you may not want to send them unsecured.