Forms

You will be making your Benefit Plan elections by the end of the day at New Employee Orientation. Comprehensive information and forms are provided below prior to new employee orientation so that you have adequate time to consider all of the options. Please thoroughly read the information so you will be able to make your elections. 

Reviewing forms in advance of New Employee Orientation (NEO) will allow you to focus on the following: 

• Insurance Plan options

• Retirement Plan options 

• Ask key questions during New Employee Orientation

Blank forms will be provided at NEO.  You will need to be prepared to make your elections and submit your forms upon completion of the benefits presentation that day. 

1)  Benefits Election Form  (required)

2)  Retirement Participation Form  (required)

3)  Statement Concerning your Employment in a Job Not Covered by Social Security  (required)

4)  TexFlex Enrollment (use only if enrolling)

5) Dependent Enrollment (Certification Form)

• •  Must be completed by the employee for each dependent child they are adding to either health, dental, vision or dependent life insurance.

  • Dependent eligibility chart      

New employees have some time to make enrollment changes.  Enrollment deadlines depend on the benefit type. 

To Download Forms Electronically:

Note: When you first click on the link to download the form, you will be in document preview mode, and cannot enter data into the form. Click the download icon in your browser in order to edit, save, or print the form in Adobe Acrobat.