TAG: benefits
Document Name Type Department
1095-C Reissue Request Form Form Employee Services
401(k) Contribution Authorization Form Form Employee Services
401(k) PERA Participation Information Form Form Employee Services
403(b) Plan Documents Document Employee Services
403(b) Tax Deferred Salary Reduction Agreement Form Employee Services
Address, Phone Number and Email Change for Active Employees Form Employee Services
Address, Phone Number and Email Change for Former Employees or Surviving Spouse/Partner Form Employee Services
Affidavit of Domestic Partnership Form Employee Services
Affordable Care Act Lookback Period Document Employee Services
Banking Authorization Form (with instructions) Form Employee Services
Benefit Eligibility Matrix Document Employee Services
Benefits Enrollment/Change Form for Classified Staff Form Employee Services
Benefits Enrollment/Change Form for Faculty, Officers and University Staff Form Employee Services
Benefits Enrollment/Change Form for Retirees Form Employee Services
Benefits Enrollment/Change Form for Surviving Spouse Form Employee Services
Classified Staff Leave Without Pay Form Form Employee Services
COBRA Continuation Coverage Rights Document Employee Services
COBRA Rate Sheet Document Employee Services
Common Law Affidavit - CU Form Employee Services
Comparison of CU Health Plan - Essential Dental and Choice Dental Document Employee Services
CU 401(a) Retirement Plan documents Policy Employee Services
CU Boulder Dependent Tuition Benefit FAQ Document Employee Services
CU Denver/Anschutz Medical Campus Dependent Tuition Benefit FAQ Document Employee Services
CU Flexible Benefits Plan: Amendment No. 2 Document Employee Services
CU Flexible Benefits Plan: Amendment No. 3 Document Employee Services
CU Health Plan - Choice Dental Benefits Booklet Document Employee Services
CU Health Plan - Choice Dental Benefits Summary Document Employee Services
CU Health Plan - Essential Dental Benefits Booklet Document Employee Services
CU Health Plan - Essential Dental Benefits Summary Document Employee Services
CU Health Plan - Exclusive Benefits Booklet Document Employee Services
CU Health Plan - Exclusive Benefits Summary Document Employee Services
CU Health Plan - Exclusive Vision Benefits Summary Document Employee Services
CU Health Plan - Extended Benefits Booklet Document Employee Services
CU Health Plan - Extended Benefits Summary Document Employee Services
CU Health Plan - High Deductible Benefits Booklet Document Employee Services
CU Health Plan - High Deductible Benefits Summary Document Employee Services
CU Health Plan - Kaiser Benefits Booklet Document Employee Services
CU Health Plan - Kaiser Benefits Summary Document Employee Services
CU Health Plan - Medicare Benefits Booklet Document Employee Services
CU Health Plan - Medicare Benefits Summary Document Employee Services
CU Health Plan - Premier Dental Benefits Booklet Document Employee Services
CU Health Plan - Premier Dental Benefits Summary Document Employee Services
CU Health Plan - Vision Benefit Summary Document Employee Services
CU Long-Term Disability: Amendment No. 1 Policy Employee Services
CU Long-Term Disability: Amendment No. 2 Policy Employee Services
CU Long-Term Disability: Classified Staff Policy Employee Services
CU Long-Term Disability: Faculty, Officers and University Staff Policy Employee Services
CU Short-Term Disability: Amendment No. 10 Policy Employee Services
CU Short-Term Disability: Classified Staff Policy Employee Services
CU Short-Term Disability: Definition of Partial Disability Policy Employee Services
CU Short-Term Disability: Faculty, Officers and University Staff Policy Employee Services
CU Short-Term Disability: July 1, 2014, Policy Change Policy Employee Services
Dependent Eligibility Verification Form Employee Services
Determining My Coverage Needs Worksheet Document Employee Services
Domestic Partner Tax Certification of Dependency for Tax Treatment of Medical Benefits Employee Services
Emergency Contact Form Employee Services
Faculty & Staff Rate Sheet Document Employee Services
Faculty Retirement Agreement Policy Employee Services
Faculty/University Staff Leave Without Pay Fact Sheet & Form Form Employee Services
Flexible Benefits Plan Document Employee Services
Flexible Spending Account (FSA) Direct Deposit Form Form Employee Services
FSA Claim Form Form Employee Services
Glossary of Health Coverage and Medical Terms Document Employee Services
Group Accidental Death and Dismemberment Insurance Policy Employee Services
Group Life Insurance Policy Form Employee Services
Health Savings Account (HSA) Authorization Form Employee Services
HIPAA Disclosure Authorization Form Form Employee Services
Long Term Disability Conversion Insurance Form Employee Services
Mandatory Retirement Plan Placement Guide Employee Services, HCM Community
Medical History Statement: For classified staff Form Employee Services
Medical History Statement: For faculty, officers and university staff Form Employee Services
Medicare-eligible Retiree Rate Sheet Document Employee Services
Medicare-eligible Surviving Spouse Rate Sheet Document Employee Services
New Hire Fact Sheet Employee Services
New Hire Fact Sheet - Benefits Coverage Effective Date Employee Services
New Hire Fact Sheet - Benefits Deadlines and Defaults Employee Services
New Hire Fact Sheet - Benefits Deductions on your Paycheck Employee Services
New Hire Fact Sheet - Benefits Eligibility Employee Services
Non-Medicare Surviving Spouse Rate Sheet Document Employee Services
Non-Medicare-eligible Retiree Rate Sheet Document Employee Services
Notice of Creditable Drug Coverage: Medicare Part D Document Employee Services
Notice of Privacy Practices Policy Employee Services
PERA Contribution Chart Document Employee Services
Preparing to Retire Worksheet Document Employee Services
Retirement Pension/Savings Distribution Fact Sheet Document Employee Services
Retirement Pension/Savings Plan Fact Sheet Document Employee Services
Retirement Plan Fee & Structure Guide Document Employee Services
Retiring from CU, 401(a) Retirement Plan participants booklet Document Employee Services
Retiring from CU: PERA Participants booklet Document Employee Services
Right Start 4 Kids Information Document Employee Services
Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 Policy Employee Services
Section 127 Plan Policy Employee Services
See your benefits and plans Form Employee Services
Standard Life Insurance Portability Form Form Employee Services
Standard Request for Group Life Conversion Materials Form Employee Services
Student Retirement Fact Sheet Document Employee Services
Summary Annual Report for University of Colorado Health and Welfare Trust Document Employee Services
System Administration Student Employment Policy Policy Employee Services
The Whole Health Series: Arthritis Document Employee Services
The Whole Health Series: Diabetes Document Employee Services

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