New Faculty Benefit Information & Enrollment Forms

Below are the links for the benefit information and enrollment forms. Please print and complete the forms before your scheduled orientation (for orientation dates and times, click here). All forms are in PDF format.

Please note: This information is for reference only and is not a contract. For detailed information concerning coverages, premiums and University contributions, please refer to the website or contact our office.

Benefit  Name

(Provides the name of the benefit)

Overview of Benefit

(Provides general information regarding the benefit and employee costs, if applicable)

Enrollment Form(s) or Additional Info

(Provide links to the actual enrollment forms for the listed benefit)
New Faculty Checklist Provides a checklist for new employees New Faculty Orientation Checklist
Flexible Benefit Enrollment and Election Form* This summarizes your benefit elections Flexible Benefit Enrollment and Election Form

Health Insurance*

MESSA Super Care I

MESSA Choices II



MESSA Comparison Chart

2010-2011 MESSA Rates

MESSA Enrollment Form

Dental Insurance*

Blue Cross Blue Shield

Vision Insurance*

Blue Cross Blue Shield

Dental Benefits Overview

Dental Monthly Premium Rates

Vision Benefits Overview

Vision Monthly Premium Rates

Dental and Vision Enrollment
Form


(If you are electing different coverage levels for dental and vision, you must complete two separate forms.  For example: Single dental and family vision.)
Basic & Optional Group Life Insurance* Basic and Supplemental Life Overview

Basic Life & Supp Enrollment Form

 
Long Term Disability Insurance
(LTD)*		 LTD Overview LTD Enrollment Form
*Retirement Plan (403(b)) & Supplemental Plan (403(b) and 457) (TIAA-CREF) The TIAA-CREF website has an overview of the retirement plans available to SVSU employees.

www.tiaa-cref.org/svsu (for enrollment forms) (Click here for directions on how to electronically enroll in TIAA-CREF.)

403(b) Salary Reduction Form (SVSU Form)

457(b) Salary Reduction Form (SVSU Form)
Faculty Association Membership and Dues Agreement Per Faculty Contract, see Article A 12.1 Faculty Association Membership and Dues Agreement Form
Release of Official Transcript This allows the University to receive an official transcript for your personnel file. Release of Official Transcript Form
Reserved Parking Permit Parking Services Website Reserved Parking Permit Application Form
Tuition Waiver Tuitition Waiver Policy Tuition Waiver Enrollment
Form
Direct Deposit Direct Deposit Overview Direct Deposit Application
Flexible Spending Account Flexible Spending Account Web Page Flexible Spending Account Reimbursement Form
Family Medical Leave Act (FMLA) FMLA Policy FMLA Contact for Forms and Information
Sick Leave Units See Faculty Contract - link at right Faculty Contract - Article M 5
Personal Leave See Faculty Contract - link at right Faculty Contract - Article M 8
Jury Duty See Faculty Contract - link at right Faculty Contract - Article M 11
Sexual Harassment Sexual Harassment Policy Sexual Harassment Policy Receipt
Drug-Free Workplace Drug-Free Workplace Policy Drug Free Workplace Policy Receipt
Travel See website for overview Travel Policy (Operations
Manual)
LifeWorks (EAP) SVSU's Employee Assistance Program (EAP) Provider.  User name and password are located on the employee perks page under Ceridian. www.ceridian.com
New Employee Forms Forms all new employees must complete New Employee Forms
All Employee Benefit Perks Benefits available to all employees All Employee Perks

* - This is a required form and must be completed prior to and brought to your scheduled orientation.