PIN- Open Enrollment Letter

Contractual- Open Enrollment Letter

State of Maryland Prescription Drug Q & A

2008 Holiday Calendar

Maryland State Pension Calculator

Benefits Forms

 Insurance

• Benefits Booklet
• Active Enrollment Form
• Direct Pay Enrollment Form
• Active Employee/Retiree Insurance Rates
• Direct Pay Insurance Rates
• Central Payroll Benefit Deduction Dates
• Benefits Change of Address Form
• Affidavit for Dependent Children
• Affidavit for Stepchildren
• Affidavit for Legal Wards, Grandchildren and other Relatives
• Full-Time Student Certification
• Disabled Dependent Certification Form
• Flexible Spending Claim Form (Medical)
• Flexible Spending Claim Form (Dependent)
• Flexible Spending Direct Deposit
• USM Long Term Disability Enrollment Form
• USM Long Term Disability Highlights
• USM Life Insurance Enrollment Form
• USM Life Insurance Highlights
• USM UNUM Life Insurance Beneficiary Form
• USM UNUM Evidence of Insurability
• Accidental Death and Dismemberment Beneficiary Form
• Standard Life Beneficiary Form
• BCBS Health and Vision Claim Form

 Retirement Forms

• 403b AIG Valic Salary Reduction Agreement
• 457b AIG Valic Salary Reduction Agreement
• 403b Fidelity Salary Reduction Agreement
• 457b Fidelity Salary Reduction Agreement
• 403b TIAA-Cref Salary Reduction Agreement
• 457b TIAA-Cref Salary Reduction Agreement

Tuition Remission Forms

Deadline for submission of Tuition Remission Forms

Summer I & II June 8, 2007 / Fall 2007 September 7, 2007

• Tuition Remission Guidelines
• Tuition Remission Application
• Tuition Addendum for Spouse/Dependent