Graduate Student Benefits

Your Benefits

• Benefits Handbook
• New Employee Orientation Checklist
• Notice of Privacy Practices
  
  

Health Insurance

• Enrollment Form
• Summary of Benefits
• Insurance/Prescription FAQ
• Prescription Drug Reimbursement Form
• Health Insurance Portability and Accountability Act (HIPPA)
• Authorization for Health Care/Health Insurance Advocacy
• Claim Form - Out of Network
  
  

Vision

• Davis Vision Brochure
• Fact Sheet
  
  

Dental

• Delta Dental Brochure
• Claim Form
• Fact Sheet
  

Domestic Partner

• Domestic Partner Information
• Benefit Plan Affidavit of Domestic Partnership
• Affidavit of Financial Interdependency
• Dependent Tax Affidavit
• Proof of One Year Residency
• Statement of Dependence of Domestic Partner's Child for Insurance
• Termination of Domestic Partnership