Benefits Forms
Benefits:Forms
2024-24 Enrollment Benefit Forms
- Search for "PlanSource Login" on FalconLink to access the online benefits enrollment site
- Spousal Surcharge Verification Form
- HSA Contribution Form
- The Standard - Retirement Brochure & Forms
- The Standard - Plan Highlights
- The Standard - Catch-Up Contributions
- The Standard - Online Enrollment Instructions
- Nationwide Pet Insurance
Other Benefits Forms
- Medical Claim Form
- United Concordia Dental Claim Form
- Tuition Reduction Application (Tier I -- Messiah)
- Tuition Reduction Application (Tier II -- Non-Messiah)
- Employee/Spouse Development Application
- Graduate Aid Program Application
- Graduate Tuition Reduction Application
- Tuition Commitment for Professional Development Program Application
- The Standard - Retirement Distribution Options Booklet (post-employment)