Employee Benefits Forms

Employee Benefits Forms

http://www.passhe.edu/inside/HR/syshr/Pages/default.aspx

Below are links to some of our most requested benefits forms. If there is a form you need that is not listed here, contact the Office of Human Resources.

ALTERNATIVE RETIREMENT PLAN FORMS

LONG-TERM DISABILITY INSURANCE FORMS

DEFERRED COMPENSATION PLAN FORMS

FAMILY AND MEDICAL LEAVE ACT FORMS

FLEXIBLE SPENDING ACCOUNT FORMS

HEALTH INSURANCE FORMS FOR FACULTY, MANAGERS, NURSES, COACHES AND POLICE OFFICERS

HEALTH INSURANCE FORMS FOR AFSCME AND SCUPA

GROUP LIFE INSURANCE FORMS

SERS FORMS

TAX-SHELTERED ANNUITY – RETIREMENT@WORK

TUITION WAIVER FORMS

FACULTY HEALTH AND WELFARE FUND

  • Faculty Dental and Vision information may be found at PAFAC website.

LIFE AND ACCIDENT INSURANCE

EMPOWER RETIREMENT, THE RETIREMENT BUSINESS OF GREAT-WEST FINANCIALS