As a new benefit eligible employee there is a series of required forms you need to complete. Below is a list (w/ links) for you.
- Benefits Package Forms (Required) – This form is a checklist of each of the forms necessary as well as a list of required notices for you to review. Review each section to determine if you need to print and return the form or just review it.
- You must print this checklist, initial each line item, sign the form and return it to the HR office
- 2024-25 New Hire Enrollment Forms (Required) – This is the form you will use to enroll in benefits. You will choose coverage, list dependents and identify beneficiaries. This form is required, EVEN IF YOU OPT OUT OF MEDICAL COVERAGE. This form is due 2 weeks from your hire date.
- Wellness Clinic Enrollment Form (Required) – Please complete this form to add all eligible dependents to the Wellness Clinic Enrollment even if you are not enrolling them on your insurance plan.
- 2024-25 Flexible Spending Enrollment Form – If you are electing to participate in the Flexible Spending Account FSA plan, you will need to complete the form and return it to HR. This form is due 2 weeks from your hire date.
- A Health Care FSA is for health care related expenses
- A Dependent Care FSA is for childcare related expenses
- PERS-Beneficiary-Packet- This form must be completed by all benefit eligible employees. This designates your beneficiary on your PERS account. Please note that you will MAIL this packet to the address on the top of the form. This does NOT get sent to HR.
- 403(b) TSA Salary Reduction form– This is a required form if you are a Licensed, Classifed, or MAPS employee as this is a company provided benefit for. Please follow directions on this form for enrollment process. For more details visit the 403(b) TSA page.