HR Benefit Information

Benefit Summary for EA

This is the benefit summary for full-time faculty.  

Benefit Summary for Meet and Confer

This is the benefit summary for meet and confer full-time.

Benefit Summary for Part-Time Meet and Confer

This is the benefit summary for part-time employees in Meet and Confer.  

Cafeteria Plan Benefits Summary

This is the Cafeteria Plan Benefits Summary.  

Cafeteria Spending Claim Form

This is the form to submit your cafeteria flex claims.  

Dental Benefit Summary

This is the summary for dental benefits.

Financial Aid Verification Form

This form is used with the Tuition Reimbursement for Dependent Children/Spouses for WITCC classes.  

Health and Dental Insurance Premiums Memo

This is the memo for health and dental insurance premiums.  

Health Insurance Comparison Sheet

This is the comparison sheet for health insurance.  

Health Savings Account Payroll Deduction Form

This is the form to change your withholdings for the the health savings account.  

Health Savings Benefit Summary

This is the Health Savings Benefit Summary.  

Insurance Enrollment Form

This is the form used to add/change your insurance.

Iowa Retirement Investors' Club 403(b) Plan

This is the annual eligibility notice for the 403b.  If you need additional information, please contact HR.  

Summary of Benefits and Coverage - Copay

This is the summary of benefits and coverage for the copay plan.

Summary of Benefits and Coverage - HDHP

This is the summary of benefits and coverage for the high deductible health plan.  

Tuition Employee Waiver

This form is used to request an employee waiver for tuition for WITCC classes.

Tuition Reimbursement Employee - Graduate and Undergraduate

This form is used to request reimbursement up to a specific amount per calendar year for graduate and undergraduate classes.

Tuition Reimbursement for Dependent Children/Spouses

This is the form to request reimbursement for tuition of WITCC classes for dependent children and spouses.

Vision Benefit Summary

This is the summary for vision benefits.