Faculty Benefits
Anthem Medical/Dental/Vision
2018 Anthem Enrollment/Change Form
CHEIBA Waiver of Insurance
Flu Shot Reimbursement Form
Anthem Basic Life
Anthem Basic Life Insurance Enrollment Form
Anthem Basic Life Insurance Beneficiary Enrollment
CHUBB Travel / Accident Insurance
PERA Information
Flexible Spending Acct – 24Hour Flex
2018 Flexible Spending Account Enrollment Form
2018 24Hour Flex Enrollment Guide
2018 Open Enrollment
2018 Plan Change Summary
2018 Flexible Spending Enrollment Form
2018 Voluntary Life Insurance Packet
Voluntary Life / AD&D
Anthem Life Voluntary Life Insurance
Mutual of Omaha Accidental Death & Dismemberment Form
CHEIBA Information
2018 CHEIBA Documents
CHEIBA Booklet 2018
2018 Rate Sheet
Anthem Multi-plan Summary
2017 CHEIBA Documents
CHEIBA Booklet 2017
2017 Rate Sheet
Anthem Multi-plan Summary
Summary of Benefits and Coverage
Blue Advantage HMO/Point of Service
Summary of Benefits and Coverage Supplement
Dependent Eligibility Verification Documents and Forms
Dependent Eligibility Verification Requirements
Affidavit of Common Law Marriage