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Employee Benefit Information

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Highmark (Medical)

United Concordia Dental

Davis Vision

Express Scripts (Prescription)

Maternity Leave Procedures

Forms

Open Enrollment Form (2024-2025)

This form should only be completed if you want to make changes to your current benefit elections during the open enrollment period. 

Benefit Change Form (2023-2024)

This form should be used when you need to make a change to your current benefit coverage. Please note- changes may only be made during the annual open enrollment period, or within 30 days of a qualifying life event (birth of a child, marriage, loss of coverage, etc.)

Life Insurance Beneficiary Designation Form

You may change your life insurance beneficiaries at any time. Please complete the Beneficiary Designation form and submit to Human Resources.