Human Resources

Forms

Dental Plan

• Delta Dental Enrollment Form (Non-Teachers)
• WEA Trust Enrollment Form (Teachers)

Health Plan

• WEA Trust Enrollment Form

Health Reimbursement Account - 105 HRA

• 105 HRA Diversified Benefits Reimbursement Claim Form

Flexible Spending Account - 125 FSA

• 125 FSA Diversified Benefits Reimbursement Claim Form

Tax Sheltered Annuity (403b, 457, after-tax Roth)

• Salary Deferral Agreement Forms
  Full Time Employees
  Part Time Employees

Vision Plan (non-teachers only)

• UHC Vision Enrollment Form