| Health Care Plan |
| Health Care Enrollment/Change Form for Full-time Faculty and Staff (PDF) |
| Health Care Enrollment/Change Form for Part-time Faculty (PDF) |
UnitedHealthcare Claim Form (PDF)
Policy # 752051
Address: P.O. Box 740800, Atlanta, GA 30374 |
| UnitedHealthcare Claim Form For Mental Health Services Only (PDF) |
| Health Saving Account Application (PDF) for High Deductible Health Plan enrolees only |
| Health Saving Account Contribution Form (PDF) for High Deductible Health Plan enrolees only |
