Enrollment Change Form - MSU Human Resources 2025

1. Click ‘Get Form’ to open the Enrollment Change Form in the editor.
2. Begin by filling out your personal information clearly, including your name, Social Security Number or ZPID, and contact details. Ensure accuracy as this information is crucial for processing.
3. Indicate if you are enrolled in any other health or dental plans by selecting 'Yes' or 'No'. This helps determine your eligibility for MSU benefits.
4. Select the reason for completing the form from options like Open Enrollment or Waive/Cancellation of coverage. This section guides the HR team on how to process your request.
5. For adding or removing dependents, provide their details in the designated sections. Attach necessary documents such as marriage or birth certificates when adding new dependents.
6. Complete the Flexible Spending Accounts (FSA) section if applicable, indicating amounts and reasons for changes or cancellations.
7. Finally, read through the authorization section carefully, sign and date it before submitting your form to ensure all information is verified and accurate.

Start using our platform today to easily complete your Enrollment Change Form and streamline your benefits management!