Audio PowerPoint for Insurance Benefits
Please watch and listen to the Audio Power Point to learn more about your benefits. Please sign in and give your name and email address.

VRS Plan Information
Sick Leave Bank Benefit (VRS Plan 1 & VRS Plan 2) and Short-term and Long-term Disability Benefit (VRS Hybrid Retirement Plan)
VRS Plan Comparison Guide (VRS Plan 1, VRS Plan 2 and VRS Hybrid Retirement Plan)

Fringe Benefit Package 2024-2025

Medical/Dental Coverage Rates

Benefits Enrollment Forms

List of Enrollment Forms
Instructions on Completing the Forms
Anthem Enrollment Form
Delta Dental Enrollment Form
Eye Med Enrollment Form
FSA Benefits Card Election Form
FSA Direct Deposit Form
FSA Enrollment Form
HSA Salary Adjustment Affidavit
HealthEquity HSA enrollment form
Premium Conversion Affidavit
Waiver of Participation

Terms & Definitions

Benefits Enrollment Guide 2023-2024

Dependent Eligibility

Medical Plan
Anthem Website
Anthem Benefit Guide

Health Savings Account
HSA Salary Adjustment Affidavit

Dental Plan
Delta Dental Website
Summary of Dental Benefits
Delta Dental Enrollment Form
Delta Dental Point,Click,Smile

Flexible Spending Accounts
Flexible Benefit Administrators Employee Memo
How to Access FSA Online
Flexible Spending Accounts Manual
Dependent Care FSA FAQ
Flexible Spending Accounts Enrollment Form
Flexible Savings Account Direct Deposit Form
Flexible Savings Benefit Card Election Form
Limited Flexible Spending Account ("FSA")
Using Your Benefits Card
Flexible Spending Accounts Mobile App

Vision
Eye Med Website
Eye Med Monthly Premiums
Vision Benefit Summary - Standard
Vision Benefit Summary - Enhanced
Eye Med Enrollment Form
How to Use: EyeMed Mobile App
How to Use: EyeMed Website

Cafeteria Plan
Premium Conversion Affidavit