Benefits
Administrator
| Administrator Form Names & Descriptions |
|---|
|
Affidavit Of Common Law Marriage ( Affidavit for Common Law Marriage. |
|
Anthem Basic Life Form ( Documents enrollment for basic life insurance benefit. |
|
Anthem Beneficiary Designation Form ( Documents beneficiary designation for life insurance benefits. |
|
Anthem CHEIBA Trust Medical/Dental Enrollment And Change Form ( Documents CHEIBA medical and dental elections/changes. Used upon new hire, open enrollment, or qualified family status changes |
|
Anthem Subscriber Submitted Claim ( Claim form for reimbursement of eligible costs associated with health and/or dental care received by covered members. |
|
Anthem Voluntary Term Life and Accidental Death and Dismemberment ( Claim form for reimbursement of eligible costs associated with accidental death & dismemberment |
|
Application for RTD Eco Pass (593 KB) Complete this form to request a RTD Eco pass. |
|
Beneficiary Designation Form-CHUBB ( Documents beneficiary designation for life insurance benefits. |
|
CHEIBA Anthem CUSTOM PLUS Summary of Coverage 2013 ( Summary of benefits and coverage for Custom Plus plan documents. |
|
CHEIBA Anthem HMO POS Summary of Coverage 2013 ( Summary of benefits and coverage for POS plan documents. |
|
CHEIBA Anthem PPO Summary of Coverage 2013 ( Summary of benefits and coverage for PPO plan documents. |
|
CHEIBA Dependent Eligibility Documentation (33 KB) CHEIBA Required Dependent Eligibility Documentation. |
|
CHEIBA Employee Benefit Plan-Section 125 Form ( Designates premium deductions as pre or post tax. |
|
CHEIBA Medical and Dental Premiums 2013 ( Documents for CHEIBA medical and dental premiums for 2013. |
|
DCPP New Hire Election Form ( Documents employee enrollment and election for participation in the Defined Contribution Pension Plan. |
|
DCPP Vendor Change Form (20 KB) Documents change for the Defined Contribution Pension Plan. |
|
Domestic Partner Tax Certification ( Certification required for designation of Domestic Partners for tax certification. |
| Application and policy for tuition scholarship for eligible Administrators, Classified, and Faculty employees of the university. |
|
Fitness To Return Certification ( Documents eligibility to return to work following an approved medical leave. |
|
Leave/Absence Request And Authorization (38 KB) Documents the employee request for approved leave, including annual, sick, bereavement, and jury. |
|
Leave Bank Application Form ( Facilitates donation of leave use under leave bank. |
|
Medical Certification Form Armed Services Member ( Medical Certification associated with specific leave request for Armed Services members. |
|
Medical Certification Form Employee Condition ( Documents the parameters of an employee leave for medical purposes, either for themselves or a family member. |
|
Medical Certification Form Family Member Condition ( Medical Certification associated with specific leave request for a member of the employees family. |
|
Military Exigency Certificate ( Certification required to provide coverage to members of the military for exigent circumstances- such as pending deployment. |
|
Payflex Enrollment and Change Form ( Form for spending account enrollment and change. |
|
Payflex Flexible Direct Deposit Enrollment Form ( Employee direct deposit set up under Payflex Flexible Spending |
|
Payflex Flexible Spending Claim Form ( Reimbursement claim form for flexible spending account(s). |
|
PERA Bill 04-257 ( Designation of retirement status under PERA bill 04-257 |
|
PERA 401K Contribution Form ( Form used to add PERA 401K member information |
|
PERA Member Information Form ( Form used to change PERA member information. |
|
Pharmacy Claim Reimbursement Form ( Reimbursement claim form for Pharmacy account(s) |
|
Professional Development Application (304 KB) Application for obtaining professional development compensation. Professional development is different from the tuition scholarship program. |
|
Vision Service Plan Enrollment Form ( Facilitates enrollment in to the optional vision benefit program. |
| Administrator Document Names & Descriptions |
|---|
|
Administrative and Faculty, Chair Leave Bank Policy ( Information on Administrative and Faculty Leave Bank. |
|
Anthem Custom Plus Plan Description ( Plan document detailing plan coverage and limitations. Closed to new members effective 1/1/10. |
|
Anthem Point of Service Rider ( Plan document detailing plan coverage and limitations. |
|
Anthem Prime Plan Description ( Plan document detailing plan coverage and limitations. |
|
CHEIBA Benefit Summary Plan Description (2013 Plan Year) ( Employee Benefit Summary Plan Description for 2013. |
|
CHEIBA Employee Benefit Plan (2012 Plan Year) ( Employee Benefit Plan for 2012. |
|
CHEIBA Employee Benefit Plan (2013 Plan Year) ( Employee Benefit Plan for 2013. |
|
CHEIBA Monthly Premium Rates (2012 Plan Year) ( CHEIBA Monthly Premium Rate sheet for the 2012 plan year. |
|
CHEIBA Monthly Premium Rates (2013 Plan Year) ( CHEIBA Monthly Premium rate sheet for the 2013 plan year. |
|
DCPP Booklet ( Defined Contribution Pension Plan summary document. |
|
Executive Order Re: Workplace Absences Due To Influenza ( Governor issued Executive Order relating to absences associated with various types of Flu. |
|
FMLA Poster ( Poster outlining rights under the Family Medical Leave Act. |
|
PERA 140 Day Retiree Policy and Form (35 KB) Designation of retirees working after retirement Under the 140-day/916 hour limit. |
|
Holiday Schedule 2010 - 2012 ( Alternative holiday schedule observed at the Auraria campus. |
|
Holiday Schedule 2013 - 2015 ( Alternative holiday schedule observed at the Auraria campus. |
|
Important Tax Information Re Domestic Partner Benefits ( Information regarding tax implications for domestic partner benefits. |
|
Lactation Room on Campus ( Location Room on Campus |
|
Medicare Part D Information ( Information regarding Medicare Part D. |
|
MSU Denver Closure Policy ( University closure policy. |
|
Mutual of Omaha Voluntary Accidental Death and Dismemberment ( Form for enrollment in Accidental Death and Dismemberment program. |
|
P.A.L. Information Sheet ( Information for Administrators and Faculty, Chair on the Participant Advocate Link for assistance with benefit claims and concerns. |
|
Parking Guide ( Link to Auraria Campus parking map. |
|
Transitional Retirement Program ( Detailed instructions on the transitional retirement program. |
|
Tuition Scholarship Policy ( Information on the employee tuition reimbursement program. |
| Administrator Perk Names & Descriptions |
|---|
|
American Disabilities Act Accommodation Americans with Disabilities Act Policies and Procedures. |
|
Administrators and Faculty, Chair access the Anthem BC/BS website for provider directories and health plan information. |
|
Link to the Colorado State Employee Assistance Program web site. |
|
Link to MSU Denver Campus Recreation department web site. |
|
Colorado Employee Work-Life Program Link to employee discounts and providers through the State work-life program. |
|
Colorado Public Employee Retirement Association (P E R A) Access to PERA's website for information on PERA retirement benefits. |
|
Link to the Colorado state employee credit union web site. |
|
Link to Fidelity Investments (DCPP Vendor) web site. |
|
Flexible Spending Account (FSA) Facts Basic questions and answers to Flexible Spending Accounts provided by one of the FSA vendors. |
|
Be Well Auraria, Healthy Moves, & Health Ed Link to MSU Denver Healthy Moves program web site. |
|
Link to the Live Well Colorado web site. |
|
Link to the Working Together Foundation, an organization supporting state employees by state employees. |
|
Link to Valic (DCPP Vendor) website. |
|
Administrators and Faculty, Chair access to VSP's website. |
| Affiliate Form Names & Descriptions |
|---|
PERA Bill 04-257 ( 76 KB) Designation of retirement status under PERA bill 04-257 |
| PERA 401K Contribution Form ( 28 KB) Form used to add PERA 401K member information |
| PERA Member Information Form ( 51 KB) Form used to change PERA member information. |
| Affiliate Document Names & Descriptions |
|---|
| Executive Order Re: Workplace Absences Due To Influenza ( 471 KB) Governor issued Executive Order relating to absences associated with various types of Flu. |
| FMLA Poster ( 42 KB) Poster outlining rights under the Family Medical Leave Act. |
|
Holiday Schedule 2010 - 2012 ( Alternative holiday schedule observed at the Auraria campus. |
|
Holiday Schedule 2013 - 2015 ( Alternative holiday schedule observed at the Auraria campus. |
| Lactation Room on Campus ( 63 KB) Location of campus lactation rooms. |
| Medicare Part D Information ( 160 KB) University closure policy. |
| Affiliate Perk Names & Descriptions |
|---|
|
American Disabilities Act Accommodations Americans with Disabilities Act Policies and Procedures. |
|
Link to the Colorado State Employee Assistance Program web site. |
|
Colorado Employee Work-Life Program Link to employee discounts and providers through the State work-life program. |
|
Link to the Colorado state employee credit union web site. |
|
Link to the Live Well Colorado web site. |
|
Link to the Working Together Foundation, an organization supporting state employees by state employees. |
Chair
|
Affidavit Of Common Law Marriage ( Affidavit for Common Law Marriage. |
| Anthem Beneficiary Designation Form ( 31 KB) Documents beneficiary designation for life insurance benefits. |
| Anthem CHEIBA Trust Medical/Dental Enrollment And Change Form ( 95 KB) Documents CHEIBA medical and dental elections/changes. Used upon new hire, open enrollment, or qualified family status changes |
| Anthem Subscriber Submitted Claim ( 34 KB) Claim form for reimbursement of eligible costs associated with health and/or dental care received by covered members. |
|
Application for RTD Eco Pass (593 KB) Complete this form to request a RTD Eco Pass. |
| Application For Leave Without Pay ( 50 KB) Complete this form to request a leave of absence without pay. |
| Application For Medical Leave Without Pay ( 51 KB) Complete this form to request a leave of absence without pay. |
|
Application For Sabbatical Leave ( Complete this form to request a sabbatical leave in accordance with the Board of Trustees policies. |
| Benefit Election and Deduction Authorization Form (26 KB) Authorizes the deduction of premiums from employee payroll. |
| Beneficiary Designation Form-CHUBB ( 7 KB) Documents beneficiary designation for life insurance benefits. |
|
CHEIBA Anthem CUSTOM PLUS Summary of Coverage 2013 ( Summary of benefits and coverage for Custom Plus plan documents. |
|
CHEIBA Anthem HMO POS Summary of Coverage 2013 ( Summary of benefits and coverage for POS plan documents. |
|
CHEIBA Anthem PPO Summary of Coverage 2013 ( Summary of benefits and coverage for PPO plan documents. |
| CHEIBA Employee Benefit Election Form_Payroll Authorization Form ( 9 KB) Authorizes the deduction of premiums from employee payroll. |
| CHEIBA Employee Benefit Plan-Section 125 Form ( 9 KB) Designates premium deductions as pre or post tax. |
|
CHEIBA Dependent Eligibility Documentation (33 KB) CHEIBA Required Dependent Eligibility Documentation. |
|
CHEIBA Medical and Dental Premiums 2013 (21 KB) Documents for CHEIBA medical and dental premiums for 2013. |
| DCPP New Hire Election Form ( 18 KB) Documents employee enrollment and election for participation in the Defined Contribution Pension Plan |
|
DCPP Vendor Change Form (20 KB) Documents change for the Defined Contribution Pension Plan. |
| Domestic Partner Tax Certification ( 14 KB) Certification required for designation of Domestic Partners for tax certification. |
| Employee Tuition Scholarship Policy Form ( 14 KB) Application and policy for tuition scholarship for eligible Administrators, Classified, and Faculty employees of the university. |
| Fitness To Return Certification ( 29 KB) Documents eligibility to return to work following an approved medical leave. |
| PERA 140 Day Retiree Policy and Form (35 KB) Designation of retirees working after retirement Under the 140-day/916 hour limit. |
| Leave Bank Application Form ( 17 KB) Facilitates donation of leave use under leave bank. |
| Leave Bank Donation Form ( 17 KB) Facilitates donation of leave use under leave bank. |
| Leave/Absence Request And Authorization (38 KB) Documents the employee request for approved leave, including annual, sick, bereavement, and jury. |
| Medical Certification Form Armed Services Member ( 41 KB) Medical Certification associated with specific leave request for Armed Services members. |
| Medical Certification Form Employee Condition ( 39 KB) Documents the parameters of an employee leave for medical purposes, either for themselves or a family member. |
| Medical Certification Form Family Member Condition ( 44 KB) Medical Certification associated with specific leave request for a member of the employees family. |
| Military Exigency Certificate ( 33 KB) Certification required to provide coverage to members of the military for exigent circumstances- such as pending deployment. |
| Payflex Flexible Direct Deposit Enrollment Form ( 125 KB) Employee direct deposit set up under Payflex Flexible Spending |
| Payflex Flexible Spending Claim Form ( 55 KB) Reimbursement claim form for flexible spending account(s) |
| PERA Bill 04-257 ( 76 KB) Designation of retirement status under PERA bill 04-257 |
| PERA Member Information Form ( 51 KB) Form used to change PERA member information. |
|
Professional Development Application (304 KB) Application for obtaining professional development compensation. Professional development is different from the tuition scholarship program. |
| Vision Service Plan Enrollment Form ( 15 KB) Facilitates enrollment in to the optional vision benefit program. |
| Chair Document Names & Descriptions |
|---|
|
Administrative and Faculty, Chair Leave Bank Policy ( Information on Administrative and Faculty Leave Bank. |
|
Anthem Custom Plus Plan Description ( Plan document detailing plan coverage and limitations. Closed to new members effective 1/1/10. |
|
Anthem Point of Service Rider ( Plan document detailing plan coverage and limitations. |
|
Anthem Prime Plan Description ( Plan document detailing plan coverage and limitations. |
|
CHEIBA Benefit Summary Plan Description (2013 Plan Year) ( Employee Benefit Summary Plan Description for 2013. |
|
CHEIBA Employee Benefit Plan (2013 Plan Year) ( Employee Benefit Plan for 2013. |
|
CHEIBA Monthly Premium Rates (2012 Plan Year) ( CHEIBA Monthly Premium Rate sheet for the 2012 plan year. |
|
CHEIBA Monthly Premium Rates (2013 Plan Year) ( CHEIBA Monthly Premium Rate sheet for the 2013 plan year. |
|
DCPP Booklet ( Defined Contribution Pension Plan summary document. |
|
Executive Order Re: Workplace Absences Due To Influenza ( Governor issued Executive Order relating to absences associated with various types of Flu. |
|
FMLA Poster ( Poster outlining rights under the Family Medical Leave Act. |
|
Hiring Policy PERA Retirees for 140 days ( Designation of retirees working after retirement Under the 140-day/916 hour limit. |
|
Holiday Schedule 2010 - 2012 ( Alternative holiday schedule observed at the Auraria campus. |
|
Holiday Schedule 2013 - 2015 ( Alternative holiday schedule observed at the Auraria campus. |
|
Important Tax Information Re Domestic Partner Benefits ( Information regarding tax implications for domestic partner benefits. |
|
Lactation Room on Campus ( Location of campus lactation rooms |
|
Medicare Part D Information ( Information regarding Medicare Part D. |
|
MSU Denver Closure Policy ( University closure policy. |
|
P.A.L. Information Sheet ( Information regarding tax implications for domestic partner benefits. |
|
Parking Guide ( Link to Auraria Campus parking map. |
|
Transitional Retirement Program ( Detailed instructions on the transitional retirement program. |
|
Tuition Scholarship Policy ( Information on the employee tuition reimbursement program. |
| Chair Perk Names & Descriptions |
|---|
|
American Disabilities Act Accommodations Americans with Disabilities Act Policies and Procedures. |
|
Administrators and Faculty, Chair access the Anthem BC/BS website for provider directories and health plan information. |
|
Link to the Colorado State Employee Assistance Program web site. |
|
Link to MSU Denver Campus Recreation department web site. |
|
Colorado Employee Work-Life Program Link to employee discounts and providers through the State work-life program. |
|
Colorado Public Employee Retirement Association (P E R A) Access to PERA's website for information on PERA retirement benefits. |
|
Link to the Colorado state employee credit union web site. |
|
Link to Fidelity Investments (DCPP Vendor) web site. |
|
Flexible Spending Account (FSA) Facts Basic questions and answers to Flexible Spending Accounts provided by one of the FSA vendors. |
|
Be Well Auraria, Healthy Moves, & Health Ed Link to MSU Denver Healthy Moves program web site. |
|
Link to the Live Well Colorado web site. |
|
Link to TIAA-Cref (DCPP Vendor) web site. |
|
Link to the Working Together Foundation, an organization supporting state employees by state employees. |
|
Link to Valic (DCPP Vendor) web site. |
|
Administrators and Faculty, Chair access to VSP's website. |
Classified
|
ASI Flexible Spending Claim Form (112 KB) Form used to submit eligible charges for reimbursement under the flexible spending account |
|
Application for RTD Eco Pass (593 KB) Complete this form to request a RTD Eco Pass. |
|
Classified Compensation Plan. ( Link to state classified employee compensation plan. |
|
Common Law Affidavit (47 KB) Documents Common Law marital status for benefit purposes. |
| Employee Tuition Scholarship Policy Form ( 14 KB) Application and policy for tuition scholarship for eligible Administrators, Classified, and Faculty employees of the university |
| Fitness To Return Certification ( 29 KB) Documents eligibility to return to work following an approved medical leave. |
| Leave Bank Application Form ( 17 KB) Facilitates donation of leave use under leave bank. |
| Leave Bank Donation Form ( 17 KB) Facilitates donation of leave use under leave bank. |
| Leave/Absence Request And Authorization (38 KB) Documents the employee request for approved leave, including annual, sick, bereavement, and jury. |
| Medical Certification Form Armed Services Member ( 41 KB) Medical Certification associated with specific leave request for Armed Services members. |
| Medical Certification Form Employee Condition ( 39 KB) Documents the parameters of an employee leave for medical purposes, either for themselves or a family member. |
| Medical Certification Form Family Member Condition ( 44 KB) Medical Certification associated with specific leave request for a member of the employees family. |
| Military Exigency Certificate ( 33 KB) Certification required to provide coverage to members of the military for exigent circumstances- such as pending deployment. |
| PERA Bill 04-257 ( 76 KB) Designation of retirement status under PERA bill 04-257 |
| PERA 401K Contribution Form ( 28 KB) Form used to add PERA 401K member information |
| PERA Member Information Form ( 51 KB) Form used to change PERA member information. |
| Classified Document Names & Descriptions |
|---|
|
Anthem Certificate of Group Life Insurance ( Certificate of Insurance for Basic Life Insurance provided through the university. |
|
Classified Leave Bank Policy ( Information on Classified Leave Bank. |
|
DCPP Booklet ( Defined Contribution Pension Plan summary document. |
|
Executive Order Re: Workplace Absences Due To Influenza ( Governor issued Executive Order relating to absences associated with various types of Flu. |
|
FMLA Poster ( Poster outlining rights under the Family Medical Leave Act. |
|
Hiring Policy PERA Retirees for 140 days ( Designation of retirees working after retirement Under the 140-day/916 hour limit |
|
Holiday Schedule 2010 - 2012 ( Alternative holiday schedule observed at the Auraria campus. |
|
Holiday Schedule 2013 - 2015 ( Alternative holiday schedule observed at the Auraria campus. |
|
Important Tax Information Re Domestic Partner Benefits ( Information regarding tax implications for domestic partner benefits. |
|
Lactation Room on Campus ( Location of campus lactation rooms. |
|
Medicare Part D Information ( Information regarding Medicare Part D. |
|
MSU Denver Closure Policy ( University closure policy. |
|
Parking Guide ( Link to Auraria Campus parking map. |
|
Tuition Scholarship Policy ( Information on the employee tuition reimbursement program. |
| Classified Perk Names & Descriptions |
|---|
|
American Disabilities Act Accommodations Americans with Disabilities Act Policies and Procedures. |
|
Benefit Solver Online Benefit Management System Classified staff online benefit system containing plan documents, enrolled coverage, and dependent information. |
|
Link to the Colorado State Employee Assistance Program web site. |
|
Link to MSU Denver Campus Recreation department web site. |
|
Colorado Employee Work-Life Program Link to employee discounts and providers through the State work-life program. |
|
Colorado Public Employee Retirement Association (P E R A) Access to PERA's website for information on PERA retirement benefits. |
|
Link to the Colorado state employee credit union web site. |
|
Link to Fidelity Investments (DCPP Vendor) web site. |
|
Flexible Spending Account (FSA) Facts Basic questions and answers to Flexible Spending Accounts provided by one of the FSA vendors. |
|
Classified staff access to monthly Healthline newsletter published by the Dept. of Personnel and Administration. |
|
Be Well Auraria, Healthy Moves, & Health Ed Link to MSU Denver Healthy Moves program web site. |
|
Classified staff access to Kaiser Permanente's website. |
|
Link to classified universal state policy on leave. |
|
Link to the Live Well Colorado web site. |
|
State Of Colorado Benefits Page Classified staff link to State of Colorado's employee benefits website. |
|
Link to TIAA-Cref (DCPP Vendor) web site. |
|
Link to the Working Together Foundation, an organization supporting state employees by state employees. |
|
Link to Valic (DCPP Vendor) web site. |
Faculty
| Faculty Form Names & Descriptions |
|---|
|
Affidavit Of Common Law Marriage ( Affidavit for Common Law Marriage. |
|
Anthem Basic Life Form ( Documents enrollment for basic life insurance benefit |
|
Anthem Beneficiary Designation Form ( Documents beneficiary designation for life insurance benefits. |
|
Anthem CHEIBA Trust Medical/Dental Enrollment And Change Form ( Documents CHEIBA medical and dental elections/changes. Used upon new hire, open enrollment, or qualified family status changes |
|
Anthem Subscriber Submitted Claim ( Claim form for reimbursement of eligible costs associated with health and/or dental care received by covered members. |
|
Claim form for reimbursement of eligible costs associated with accidental death & dismemberment |
|
Application for RTD Eco Pass (593 KB) Complete this form to request a RTD Eco Pass. |
|
Application For Sabbatical Leave ( Complete this form to request a sabbatical leave in accordance with the Board of Trustees policies. |
|
Beneficiary Designation Form-CHUBB ( Documents beneficiary designation for life insurance benefits. |
|
CHEIBA Anthem CUSTOM PLUS Summary of Coverage 2013 ( Summary of benefits and coverage for Custom Plus plan documents. |
|
CHEIBA Anthem HMO POS Summary of Coverage 2013 ( Summary of benefits and coverage for POS plan documents. |
|
CHEIBA Anthem PPO Summary of Coverage 2013 ( Summary of benefits and coverage for PPO plan documents. |
|
CHEIBA Employee Benefit Plan-Section 125 Form ( Designates premium deductions as pre or post tax. |
|
CHEIBA Monthly Premium Rates (2012 Plan Year) ( CHEIBA Monthly Premium Rate sheet for the 2011-12 plan year. |
|
CHEIBA Monthly Premium Rates (2013 Plan Year) ( CHEIBA Monthly Premium Rate sheet for the 2013 plan year. |
|
CHEIBA Dependent Eligibility Documentation (33 KB) CHEIBA Required Dependent Eligibility Documentation. |
|
CHEIBA Medical and Dental Premiums 2013 (21 KB) Documents for CHEIBA medical and dental premiums for 2013. |
|
DCPP New Hire Election Form ( Documents employee enrollment and election for participation in the Defined Contribution Pension Plan |
|
DCPP Vendor Change Form (20 KB) Documents change for the Defined Contribution Pension Plan. |
|
Domestic Partner Tax Certification ( Certification required for designation of Domestic Partners for tax certification. |
| Application and policy for tuition scholarship for eligible Administrators, Classified, and Faculty employees of the university. |
|
Fitness To Return Certification ( Documents eligibility to return to work following an approved medical leave. |
|
PERA 140 Day Retiree Policy and Form (35 KB) Designation of retirees working after retirement Under the 140-day/916 hour limit. |
|
Leave Bank Application Form ( Facilitates donation of leave use under leave bank. |
|
Leave/Absence Request And Authorization (38 KB) Documents the employee request for approved leave, including annual, sick, bereavement, and jury. |
|
Medical Certification Form Armed Services Member ( Medical Certification associated with specific leave request for Armed Services members. |
|
Medical Certification Form Employee Condition ( Documents the parameters of an employee leave for medical purposes, either for themselves or a family member. |
|
Medical Certification Form Family Member Condition ( Medical Certification associated with specific leave request for a member of the employees family. |
|
Military Exigency Certificate ( Certification required to provide coverage to members of the military for exigent circumstances- such as pending deployment. |
|
Mutual of Omaha Voluntary Accidental Death and Dismemberment ( Form for enrollment in Accidental Death and Dismemberment program. |
|
Payflex Enrollment and Change Form ( Form for spending account enrollment and change. |
|
Payflex Flexible Direct Deposit Enrollment Form ( Employee direct deposit set up under Payflex Flexible Spending |
|
Payflex Flexible Spending Claim Form ( Reimbursement claim form for flexible spending account(s). |
|
PERA Bill 04-257 ( Designation of retirement status under PERA bill 04-257 |
|
PERA 401K Contribution Form ( Form used to add PERA 401K member information |
|
PERA Member Information Form ( Form used to change PERA member information. |
|
Pharmacy Claim Reimbursement Form ( Reimbursement claim form for Pharmacy account(s) |
|
Professional Development Application (304 KB) Application for obtaining professional development compensation. Professional development is different from the tuition scholarship program. |
|
Vision Service Plan Enrollment Form ( Facilitates enrollment in to the optional vision benefit program. |
| Faculty Document Names & Descriptions |
|---|
|
Administrative and Faculty, Chair Leave Bank Policy ( Information on Administrative and Faculty Leave Bank. |
|
Anthem Custom Plus Plan Description ( Plan document detailing plan coverage and limitations. Closed to new members effective 1/1/10. |
|
Anthem Point of Service Rider ( Plan document detailing plan coverage and limitations. |
|
Anthem Prime Plan Description ( Plan document detailing plan coverage and limitations. |
|
CHEIBA Benefit Summary Plan Description (2013 Plan Year) ( Employee Benefit Summary Plan Description for 2013. |
|
CHEIBA Employee Benefit Plan (2012 Plan Year) ( Employee Benefit Plan for 2012. |
|
CHEIBA Employee Benefit Plan (2013 Plan Year) ( Employee Benefit Plan for 2013. |
|
CHEIBA Monthly Premium Rates (2012 Plan Year) ( CHEIBA Monthly Premium Rate sheet for the 2011-12 plan year. |
|
CHEIBA Voluntary Group Life Rates ( Rate chart for voluntary life insurance available to Administrators and Faculty, Chair. |
|
DCPP Booklet ( Defined Contribution Pension Plan summary document. |
|
Executive Order Re: Workplace Absences Due To Influenza ( Governor issued Executive Order relating to absences associated with various types of Flu. |
|
FMLA Poster ( Poster outlining rights under the Family Medical Leave Act. |
|
Hiring Policy PERA Retirees for 140 days ( Designation of retirees working after retirement Under the 140-day/916 hour limit. |
|
Holiday Schedule 2010 - 2012 ( Alternative holiday schedule observed at the Auraria campus. |
|
Holiday Schedule 2013 - 2015 ( Alternative holiday schedule observed at the Auraria campus. |
|
Important Tax Information Re Domestic Partner Benefits ( Information regarding tax implications for domestic partner benefits. |
|
Lactation Room on Campus ( Location of campus lactation rooms |
|
Medicare Part D Information ( Information regarding Medicare Part D. |
|
MSU Denver Closure Policy ( University closure policy. |
|
P.A.L. Information Sheet ( Information for Administrators and Faculty, Chair on the Participant Advocate Link for assistance with benefit claims and concerns. |
|
Parking Guide ( Link to Auraria Campus parking map. |
|
Transitional Retirement Program ( Detailed instructions on the transitional retirement program. |
|
Tuition Scholarship Policy ( Information on the employee tuition reimbursement program. |
| Faculty Perk Names & Descriptions |
|---|
|
American Disabilities Act Accommodations Americans with Disabilities Act Policies and Procedures. |
|
Administrators and Faculty, Chair access the Anthem BC/BS website for provider directories and health plan information. |
|
Link to the Colorado State Employee Assistance Program web site. |
|
Link to MSU Denver Campus Recreation department web site. |
|
Colorado Employee Work-Life Program Link to employee discounts and providers through the State work-life program. |
|
Colorado Public Employee Retirement Association (P E R A) Access to PERA's website for information on PERA retirement benefits. |
|
Link to the Colorado state employee credit union web site. |
|
Link to Fidelity Investments (DCPP Vendor) web site. |
|
Flexible Spending Account (FSA) Facts Basic questions and answers to Flexible Spending Accounts provided by one of the FSA vendors. |
|
Link to MSU Denver Healthy Moves program web site. |
|
Link to the Live Well Colorado web site. |
|
Link to TIAA-Cref (DCPP Vendor) web site. |
|
Link to the Working Together Foundation, an organization supporting state employees by state employees. |
|
Link to Valic (DCPP Vendor) web site. |
|
Administrators and Faculty, Chair access to VSP's website. |
For hearing or vision impaired: view the complete tables of all resources, forms and timesheets
If you have trouble accessing this page and need to request an alternate format, contact Nicole Tefft at 303.556.5034 or by email at ntefft@msudenver.edu
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PLEASE NOTE: |
