EMPLOYEE BENEFIT NEWS

 
 
 

Penn State's Employee Benefits Division is committed to providing a comprehensive benefits program designed to attract and retain high quality faculty and staff. This web site is organized to offer a comprehensive view of those programs.

 
 

BENEFITS ELIGIBILITY

  1. Health Plan
  2. Medicare Creditable Coverage Certificate

BENEFIT FORMS

  1. Beneficiary form - AD&D (PDF)
  2. Beneficiary Form - Life Insurance (PDF)
  3. Beneficiary Form (SERS) (PDF)
  4. Beneficiary Form - TIAA-CREF
  5. BlueCard Worldwide Brochure (PDF)
  6. Choose or Change Benefits (ESSIC)
  7. COBRA Election Form for Continuation of Benefits 2008 (PDF)
  8. Dental Claim Form (PDF)
  9. Flexible Benefits Election Form
  10. Flexible Benefits Request for Reimbursement (PDF)
  11. Flexible Benefits Request for Reimbursement Interactive Form
  12. Grant-In-Aid Form - Penn State University (PDF)
  13. Grant-In-Aid Form - Pennsylvania College of Technology (PDF)
  14. Highmark Medical Claim Form (PDF)
  15. Highmark Prescription Reimbursement Form (PDF)
  16. International Claim Form BlueCard Worldwide (PDF)
  17. Life Insurance Enrollment/Change Form and Evidence of Good Health Form (PDF)
  18. Long-Term Disability Enrollment Form/Health Statement (PDF)
  19. Maintenance Prescription Drug Plan (MPDP) Enrollment Form (Ritenour Pharmacy)
  20. Medco by Mail (PDF)
  21. Retirement Plan Selection for Part-Time Employees (PDF)
  22. Sickness and Accident Supplement (SAS) Claim Form
  23. TIAA-CREF Deferred Compensation [457(b)] Application
  24. TIAA-CREF Group Supplemental Retirement Annuity (GSRA) Application
  25. TIAA-CREF Retirement Plan Application
  26. Vision Claim Form (PDF)
  27. Voluntary Salary Reduction Agreement (PDF)

DENTAL CARE COVERAGE

  1. Dental Care Coverage
  2. Basic Dental Plan Certificate of Coverage (PDF)
  3. Dental Plus Plan Certificate of Coverage (PDF)

EDUCATION BENEFITS

  1. Educational Privileges

EMPLOYEE ASSISTANCE PROGRAM (EAP)

  1. Employee Assistance Program (EAP)

FLEXIBLE BENEFITS

  1. Flexible Benefits
  2. Flexible Benefits FAQs
  3. Flexible Benefit Summary Plan Description (PDF)

HEALTH PLAN

  1. 2008 Health Plan
  2. 2008 Prescription Drug Coverage
  3. 2008 Highmark Blue Shield PPOBlue Benefit Booklet
  4. Continuing Benefits with COBRA
  5. How to Read Your PPOBlue Explanation of Benefits Form
  6. Map to State College Highmark Office
  7. Same-Day Acute Care Clinic at Penn State Family Medicine
  8. Dependents Turning Age 19

LIFE INSURANCE

  1. Group Life Insurance
  2. Group Life Insurance Booklet - Age-Graded Plan
  3. Group Life Insurance Booklet - Level Option Plan (for information only)
  4. Life Insurance Beneficiary
  5. Life Insurance Summary Plan Document (PDF)

LONG-TERM DISABILITY (LTD) AND ANNUITY PREMIUM BENEFIT (APB)

  1. Long Term Disability (LTD) and Annuity Premium Benefit (APB)
  2. LTD And APB Summary Plan Document (PDF)
  3. LTD AND APB Amendment #1 (PDF)

PRIVACY INFORMATION

  1. Health Plan Notice of Privacy Practices Effective: 1/1/03
  2. Privacy Information

PROGRAMS

  1. Health Matters
  2. Human Resource Development Center

RETIREE BENEFITS

  1. 2008 Retiree Rates
  2. 2008 Retiree Rate Information for Retirees Who Were Retired & Age 70 Prior to 1/1/07
  3. Map to State College Highmark Office
  4. Retiree Benefits
  5. Retiree Medical Benefits - 2008

RETIREMENT PLANS

  1. Retirement Plan Comparisons
  2. Retirement Plan Frequently Asked Questions
  3. Selecting a Retirement Plan

SUPPLEMENTAL RETIREMENT PLANS

  1. Summary of Supplemental Retirement Plans

VISION CARE COVERAGE

  1. Vision Care Coverage
  2. Vision Summary Plan Document

ACCIDENTAL DEATH AND DISMEMBERMENT

  1. Accidental Death and Dismemberment Insurance (AD&D)
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