Eastern Michigan University

Human Resources

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Develops, implements, counsels and enrolls all faculty and staff in specific benefit programs. Processes all benefit claims. Administers the employee tuition waiver program. Administers all University retirement programs and processes tax deferred annuity plans.

Human Resources people

Open Enrollment for 2017 Benefits

October 10, 2016 - October 31, 2016


Benefits and Wellness Fair!

Date: October 27, 2016 

When: 11:00 am - 3:00 pm

Where:  Student Center Ballroom

This is your chance to   

·        Ask benefit related-questions

·        Turn in your enrollment forms

·        Meet EMU benefit providers

·        Meet other Wellness providers

·         Get a free flu shot


2017 Open Enrollment Guide

2017 Open Enrollment Events Schedule

2017 Health Plan Comparison Chart-PE, PT, PS

2017 Health Plan Comparison Chart-AC, AH, AP, CA, CP, CS, FA, FM, LE, VF

2017 Health Plan Rates

2017 Summary of Dental Benefits-AC,AH,AP,CA,CP,FM,PE/PT,PS,VF

2017 Summary of Dental Benefits-FA,LE

2017 Summary of Dental Benefits-CS

2017 Open Enrollment Forms


Benefits Enrollment/Change Form

Dental Verification Form for Dependent Children Age 19 to 24

Health Plan Affidavit for Spouses

Health Savings Account Enrollment Form

Health Savings Account Payroll Deduction Form

Flexible Spending Account Enrollment Form

Supplemental Life/AD&D Enrollment/Change Request Form

Evidence of Insurability Statement

Short Term Disability Enrollment/Change Form

Waiver of Coverage Form

SRA Form: 403(b) and 457(b) Enrollment/Change Form























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