TAG: Open Enrollment
Document Name Type Department
Address, Phone Number and Email Change Form Employee Services
Affidavit of Domestic Partnership Form 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 GME Form Employee Services
Benefits Enrollment/Change Form for Retirees Form Employee Services
Benefits Enrollment/Change Form for Surviving Spouse Form Employee Services
Benefits Package Guide for Classified Staff Document Employee Services
Benefits Package Guide for Faculty & University Staff Document Employee Services
COBRA Continuation Coverage Rights Document Employee Services
COBRA Rate Sheet Document Employee Services
Common Law Affidavit - CU Form 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 Guest Membership Document Employee Services
CU Health Plan - Exclusive Vision Benefits Booklet 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 Booklet 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
DCFSA - Dependent Care Flexible Savings Account Fact Sheet Document Employee Services
Dependent Eligibility Verification Form Employee Services
Faculty & Staff Rate Sheet Document Employee Services
Faculty Expatriate Policy Book Document Employee Services
GME Medical Resident Benefit Guide Document Employee Services
GME Rate Sheet Document Employee Services
Group Accidental Death and Dismemberment Insurance Policy Employee Services
Group Life Insurance Policy Form Employee Services
Guía Completa de Beneficios - Facultad y Personal de la Universidad Document Employee Services
Guía Completa de Beneficios - Personal Clasificado Document Employee Services
HCFSA - Health Care Flexible Savings Account Fact Sheet Document Employee Services
Health Savings Account (HSA) Authorization Form Employee Services
HSA - Health Savings Account Fact Sheet Document Employee Services
HSA and HCFSA Comparison Chart Document Employee Services
International Tax FAQs Form Employee Services
Medical History Statement Form Employee Services
Medicare-eligible Surviving Spouse Rate Sheet Document Employee Services
Non-Medicare Surviving Spouse Rate Sheet Document Employee Services
Notice of Creditable Drug Coverage: Medicare Part D Document Employee Services
Remove Beneficiary or Dependent from Employee Portal Form Employee Services
Retiree Rate Sheets Employee Services
Right Start 4 Kids Information Document Employee Services
See your benefits and plans Form Employee Services