Benefits Forms
Benefits:Forms
2024-25
|
Last Modified |
Format |
| PlanSource - Online Benefits Enrollment Site | 05/2023 | Link |
| Benefits Overview 2024-25 (Full-Time) | 09/2024 | |
| Benefits Overview 2024-25 (Part-Time) | 10/2024 | |
| Messiah University Open Enrollment Presentation | 09/2024 | |
| Benefits Summary - Core Benefits 2024-25 | 09/2024 | |
| Benefits Summary - Voluntary Benefits 2024-25 | 09/2024 | |
| Spousal Surcharge Verification Form | 08/2024 | |
| HSA Contribution Form | 01/2024 | |
| The Standard - Retirement Brochure & Forms | 01/2025 | |
| The Standard - Plan Highlights | 01/2025 | |
| The Standard - Catch-Up Contributions | 01/2025 | |
| The Standard - Online Enrollment Instructions | 01/2024 | |
| Nationwide Pet Insurance | 05/2022 |
Other Benefit Forms |
Last Modified |
Format |
| Medical Claim Form | 09/2018 | |
| United Concordia Dental Claim Form | 07/2022 | |
| Tuition Reduction Application (Tier I -- Messiah) | 03/2024 | Dynamic Forms |
| Tuition Reduction Application (Tier II -- Non-Messiah) | 09/2023 |
Word
|
| Employee/Spouse Development Application | 07/2023 |
Word
|
| Graduate Aid Program Application | 09/2020 |
Word
|
| Graduate Tuition Reduction Application | 09/2020 |
Word
|
| Tuition Commitment for Professional Development Program Application | 01/2022 |
Word
|
| The Standard - Retirement Distribution Options Booklet (post-employment) | 01/2025 |