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University of Missouri 2013 Benefits Enrollment Form - UM InfoPoint

University of Missouri 2013 Benefits Enrollment Form - UM InfoPoint-2025

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The document is the 2013 Benefits Enrollment Form for employees of the University of Missouri. It outlines the necessary steps for new hires to enroll in various benefit plans, including medical, dental, vision, life insurance, and long-term disability. Employees must complete and return the form within 30 days of hire to ensure eligibility. The form includes sections for personal information, benefit selections, dependent information, and authorization acknowledgments.

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Click ‘Get Form’ to open the University of Missouri 2013 Benefits Enrollment Form in our platform.
Begin by filling in your personal information, including your last name, first name, middle initial, and contact details such as home phone and work phone.
In Section I, make your benefit selections for medical, dental, and vision plans. Choose between options like Employee Only or Employee + Family and indicate if you are declining coverage.
Complete Section II regarding Other Medical Insurance Coverage if applicable. Provide necessary details about any other insurance you may have.
Fill out Section III for Dependent Information if you are covering dependents. Ensure to provide proof of relationship within the required timeframe.
In Section IV, indicate if you have any employed relatives at the University of Missouri and specify their names.
Finally, read through Section V for Authorization and Acknowledgements. Sign and date the form before submitting it to your Campus Benefit Representative.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a benefit enrollment form?

Benefit enrollment forms capture employee data during the different types of enrollment periods (e.g., open enrollment, special enrollment, and new hire enrollment). The form can be an actual physical form or part of your employee self-service software portal, such as Eddy or UKG.

What happens if you miss benefit enrollment?

If you miss the open enrollment period for your health benefits, your existing coverage may simply be renewed. This is the case whether youre insured through an individual plan or your employer. However, without an existing plan, youll have to wait until the next open enrollment.

Does the University of Missouri have a pension?

The universitys pension plan (the Retirement, Disability and Death Benefit Plan, referred to as the Plan) is in good health. Members of the Defined Benefit Plan (DB Plan) and Hybrid Plan, who have a pension benefit under the Plan, can count on receiving the benefits theyve earned.

What is the purpose of an enrollment form?

An enrollment form is a type of form used to collect information from individuals who are registering for a service, program, or event. The purpose of an enrollment form is to gather the necessary data to enroll the individual and ensure that they meet the eligibility criteria for the service or program.

What is a benefits enrollment form?

Enrollment forms record whether employees have enrolled in or waived group benefits. For instance, if you have more than 50 full-time employees, you will need this data to complete IRS forms 1094 and 1095, which record health care coverage.

What does benefit enrollment mean?

Benefits enrollment is a designated time when eligible employees may elect to participate in employer-sponsored benefits for the upcoming plan year. New employees can elect benefits as allowed by the plan when first hired, while current employees can review and modify their selections from the previous plan year.

University of Missouri 2013 Benefits Enrollment Form - UM InfoPoint-2025

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