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Payroll & Employee Benefits
Business Office
Business Office
Payroll
Employee Benefits
Payments/Non-Resident Aliens
Employee Benefits
Insurance
Health (Medical) Insurance
Dental Insurance
Vision Care
Cancer Insurance
Life Insurance/Personal Accident Coverage
Disability Group & Supplemental Plans
Long-term Care
Flexible Spending Account Plan
Retirement
Mandatory Retirement Plans
Voluntary Retirement Plans
Other
Benefits at a Glance
Benefits While on Leave of Absence
Important Notices
Miscellaneous Benefits
Work Related Injuries
Administered by
Risk Management and Insurance
Payroll and Employee Benefits administers a variety of benefits to employees of Auburn University. For assistance with benefit issues, please review the links on this page or
contact our staff
.
F O R M S
Employee Benefits
BlueCard Worldwide Brochure
BlueCard Worldwide Brochure – Español
MedEx Employee Brochure
Change of Beneficiary Form Prior to Retirement - 100-C
(Retirement Systems of Alabama)
Please print this two page form on a single page - page one on the front/page two on the back.
Life Insurance Change Form
(The Standard)
Supplemental Insurance Cancellation
*
Tobacco Usage Certification
*
Voluntary Salary Deferral Agreement 403(b)
*
For use effective 01/01/2012
Voluntary Salary Deferral Agreement 457(b)
*
For use effective 01/01/2012
Salary Reduction Agreement and COBRA Notice
Applicable Enrollment Forms
·
Health and Dental Insurance and Tobacco Usage Certification
·
Vision Insurance
Dependent Verification Documents
Notices
·
ACA Grandfathered Plan Notice
·
COBRA Continuation Notice
·
HIPAA Notice of Privacy Practices
·
HIPAA Special Enrollment
·
Medicaid and CHIP Notice
·
Mental Health Parity Notice
·
Prescription Drug and Medicare Notice
Flexible Spending Accounts
Acknowledgement and Receipt of Fixed Dependent Care Payments
Claim Reimbursement Form
Debit Card Receipt Transmittal Cover Sheet
FSA Grace Period Reimbursement Form
Direct Deposit Form
* Forms may be filled in online then printed
PEB Home
Investor Education in Your Workplace Program
Healthy Tigers
TigerTime
Employee Self Service
New Employee Orientation
Termination Information
Before You Retire
About Us/Staff
Forms
Payroll
Payroll Coordinators
Direct Deposit
University Payrolls
Payroll Schedules
View Pay Stub
View W-2 Form
Employee Benefits
Benefits At A Glance
Important Notices
Dependent Eligibility
Health (Medical) Insurance
Dental Insurance
Vision Care
Cancer Insurance
Life Insurance/Personal Accident Coverage
Disability Group & Supplemental Plans
Long-term Care
Mandatory Retirement Plans
Voluntary Retirement Plans
Flexible Spending Account Plan
Benefits While on Leave of Absence
Miscellaneous Benefits
Payments to Non-Resident Aliens
General Information
Tax Return Filing Information
Business Office
Policies and Procedures
Archive Annual Reports
Forms
Payroll & Employee Benefits
212 Ingram Hall Auburn University, AL 36849 Phone 334-844-4183 Fax 334-844-1799