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Total Rewards forms and guides

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Document Type
Name/Description File type
2018 Benefits Guide (benefits guide for the 2018 calendar year)

An overview of the many of the insurance benefits enrollment process.

2018 benefits premiums

The 2018 benefits premiums are found within the 2018 Insurance Benefits guide.

Benefits Enrollment Form for calendar year 2018

Benefits Enrollment Form to be used for initial benefit enrollment by new employees or by employees newly eligible for insurance. Must be received within 31 days of eligibility. This form cannot be used during Annual Enrollment.

Retiree Benefits Change Form and Retiree Beneficiary Designation Information (combo pack of forms)

Combo pack of forms, including: (1) Retiree benefits enrollment/change form to be used to change insurance elections. (2) Beneficiary designations form for basic life, supplemental life, and accidental death and dismemberment plans. Cannot be used during retirees’ Annual Enrollment period.

Note: The retiree beneficiary designation form is available on pg. 3.

Statement of Health Form - Evidence of Insurability - Long Term Disability

Form from MetLife to increase Long Term Disability insurance to Option B.

University of Missouri Affirmation of Sponsored Adult Dependent Partnership

Form for establishing a sponsored adult dependent relationship for the purpose of university benefits

University of Missouri Affidavit of Termination of Sponsored Adult Dependent Partnership

Use this form to terminate a sponsored adult dependent relationship for university benefits

Long-term Disability Summary Plan Description (SPD) for calendar year 2017

Summary plan description overview of long-term disability benefits for UM System for the 2017 plan year.

Long Term Disability absence reporting brochure

If you are absent or expect to be absent from work in excess of 149 calendar days due to sickness or accidental injury, you must report your absence. This guide from MetLife explains the process of reporting long-term absences.

Long term disability waive coverage form

Use this form to waive long term disability coverage.