TAG: Benefits
Document Name Type Department
1095-C Reissue Request Webform Form Employee Services
403(b) Plan Summary Document Employee Services
403(b) Plan Universal Availability Notice Document Employee Services
Active Employment and Medicare Eligibility Document Employee Services
Address, Phone Number and Email Change Form Employee Services
Affidavit of Domestic Partnership Form Employee Services
Banking Authorization Form (with instructions) Form Employee Services
Beneficiary Designation Form Form Employee Services
Benefit Eligibility Matrix Document Employee Services, HCM Community
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 FAQ Document Employee Services
Benefits Package Guide for Classified Staff Document Employee Services
Benefits Package Guide for Faculty & University Staff Document Employee Services
Benefits Package Guide for Post-Doctoral Fellows Document Employee Services
Checklist: Within 2-3 months of retirement 401(a) Employee Services
Checklist: Within 2-3 months of retirement PERA DB Employee Services
Checklist: Within 5 years of retirement 401(a) Document Employee Services
Checklist: Within 5 years of retirement PERA DB 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
CU 401(a) Retirement Plan documents Policy Employee Services
CU 403(b) Voluntary Retirement Plan: How to Enroll or Update Your Enrollment Form 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 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 - Medicare Pharmacy Benefits Booklet 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 Retiree Benefits 401(a) Employee Services
CU Retiree Eligibility 401(a) 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
Dependent Eligibility Verification Form Employee Services
Domestic Partner Tax Certification of Dependency for Tax Treatment of Medical Benefits Employee Services
Emergency Contact Form Employee Services
Employee Guide: voluntary retirement plans Document Employee Services
Faculty & Staff Rate Sheet Document Employee Services
Faculty Expatriate Policy Book 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
GME Qualifying Life Change Guide: Birth, Adoption or Legal Guardianship of a Dependent Document Employee Services
GME Qualifying Life Change Guide: Change in Child or Dependent Care Needs Document Employee Services
GME Qualifying Life Change Guide: Death of a Spouse or Partner Document Employee Services
GME Qualifying Life Change Guide: Divorce, Legal Separation, Annulment or Termination of Domestic or Civil Union Partnership Document Employee Services
GME Qualifying Life Change Guide: Employee Gains Eligibility Document Employee Services
GME Qualifying Life Change Guide: Employee Loses Eligibility Document Employee Services
GME Qualifying Life Change Guide: Gaining Eligibility for Spouse, Partner or Dependent Children Document Employee Services
GME Qualifying Life Change Guide: Losing Eligibility: Spouse, Partner or Dependent Children Document Employee Services
GME Qualifying Life Change Guide: Loss of a Child or Dependent Document Employee Services
GME Qualifying Life Change Guide: Marriage, Common Law Marriage, Civil Union or Domestic Partnership Document Employee Services
GME Qualifying Life Change Guide: Medical Child Support Order 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
Guia de Colocacion a un Plan Obligatorio de Jubilacion de PERA Personal Clasificado Employee Services
Guia de Colocacion a un Plan Obligatorio de Jubilacion Facultad y Personal Universitario Employee Services
Health Savings Account (HSA) Authorization Form Employee Services
HIPAA Disclosure Authorization Form Form Employee Services
How to File a Short-Term Disability Claim Document Employee Services
International Tax FAQs Form Employee Services
Introduction to HSAs Document Employee Services
Leaving CU due to Resignation, Termination or Layoff Document Employee Services

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