Note: This page pertains to the forms necessary for newly benefit eligible employees hired between October 19 to December 31, 2024, who wish to make changes to their 2025 benefit elections. All other employees should make their Annual Enrollment elections through myHR between October 21-November 1, 2024.
If you are enrolling in insurance and other benefits for the first time, please also see the webpage titled enrolling in benefits for the first time for additional information.
You will receive an automated email directing you to complete your 2024 enrollment in myHR (myhr.umsystem.edu). Visit the webpage titled enrolling in benefits for the first time to access the 2024 benefits guide, premium sheet, and comparison of medical plans, all of which can help you make decisions that are right for you.
As a newly benefit eligible employee, you must submit a medical insurance choice for 2024, even if that choice is to waive coverage. If you don’t, you will be defaulted to the Healthy Savings Plan, self-only coverage, and pay taxes on your insurance premiums.
If you would like to make changes to your 2025 benefit elections, which will be effective January 1, 2025, you must complete the 2025 Annual Enrollment Form and other applicable forms. As a reminder, enrollments in Flexible Spending Accounts (FSAs) do not carry over from one plan year to the next and require an active election each year.
Once you’ve completed your form(s), you must submit it to the HR Service Center (umurl.us/HRSC) or your HR Generalist (umurl.us/CBR) within 31 days of your date of hire or benefit-eligible date.
- Benefits Enrollment
- 2025 Annual Enrollment form
- More information on:
- Health Savings Account (HSA)
- HSA Enrollment form (PDF, 295KB)
- More information on HSAs
- Flexible Spending Account (FSA)
- FSA Enrollment form (PDF, 878KB)
- More information on FSAs
- Proof of relationship (PDF, 53KB)
- Sponsored adult dependent affirmation (PDF, 137KB)
- Beneficiary designation (PDF, 40KB)
Questions?
If you have questions, please contact your local HR Generalist or reach out to the HR Service Center.
Reviewed 2024-10-14
