Enrolling

2021 Open Enrollment Decision Guide

2021 Health Care Cost Modeling Tool

How To Submit Your Tobacco Pledge

Workday Enrollment Instructions

Medical Plan Enrollment Form

Vision Plan Enrollment Form

Dental Plan Enrollment Form

Flexible Spending Account Enrollment Form

Dependent Verification for Coverage Form

Group Benefits Enrollment Form

Fort Smith Group Benefits Enrollment Form

Critical Illness Enrollment Form

Health Savings Account Enrollment Form

Acknowledgement of Benefit Policies Form

UACCB 2021 Open Enrollment Change Form

Group Benefits Change Form: UAFS

Group Benefits Change Form: UACCB, UAPTC

Group Benefits Change Form

2021 FSA Election Change Form

UAS Pulaski Technical College Change of Address Form

UACCB Employee Name Address Change Form

Fort Smith Address Change Form