福利的形式
意外报告表格 (for Workers' Compensation): This form is used to report accidents that occur on campus property.
Alternate-Reduced Work Arrangement: This form is used by employees and supervisors to create an agreement and to describe a work schedule that will vary from the employee's typical work week. 这可能是 on a long-term or short-term basis.
牙科索赔: This form is used to submit dental claims to the provider.
残疾人报告: This form is for employees and supervisors to report a non-work–related disability.
同居合伙表格
家庭伴侣誓章: This form is used to add and verify a domestic partner if you are selecting domestic 合作伙伴覆盖.
Domestic Partner Dependent Children Eligibility Certification: This form is used to enroll a domestic partner's qualified dependent children, if you selected domestic 合作伙伴覆盖.
Domestic Partner Termination: This form is used to remove a domestic partner, if you selected domestic partner 报道
External Tuition Grant Application: This form is used by Skidmore employees to apply for the External Tuition Grant for their legally dependent children attending a college other than Skidmore.
Faculty Parental Leave Request:This form is used by Skidmore faculty to apply for parental leave.
休假形式: Please reach out to HR to request FMLA forms.
Flexible Spending Account Forms: These forms are used by employees to request reimbursement from their Flexible Spending Accounts (Health Care Spending and Dependent Care Spending) for services incurred.
Internal Tuition Grant Application: This form is used for employees who wish to apply for the internal tuition benefit.
人寿保险表格
Life Insurance Beneficiary Designation: This form is used by employees who wish to change their group term 人寿保险 受益人.
人寿保险登记: This form is used by employees at date of hire or open enrollment who wish to enroll in dependent 人寿保险 for the first time. It is also used by employees during open enrollment who elect to increase their supplemental 人寿保险 by more than 一个级别.
Life Insurance Evidence of Insurability: This form is used by employees during open enrollment who wish to enroll in dependent 人寿保险 or supplemental 人寿保险 or increase their current supplemental 人寿保险.
MVP形式
Alternative Health Benefit Reimbursement form: This form is to be used for direct reimbursement from MVP for any service under Alternative Health 好处: acupuncture; fitness center membership; homeopathic care; hypnotherapy for weight control or smoking cessation; massage therapy; and nutritional counseling.
Authorization to Disclose Information: This form is used to give MVP permission to share health information with a third 聚会，派对.
Medical Claim Reimbursement: This form is used to request reimbursement for any medical expense.
处方计划表格
方便邮购: This form should be used by employees and their dependents who are participants in the 火博体育大学 PPO or EPO plans to fill their prescription 报道 through 邮购. Mail order prescriptions are for a 90-day supply with the copay equivalent to 2.5 retail copays, saving a half month's copay.
Optum Direct Reimbursement Claim: This form should be used by employees or their dependents who are participants in the 火博体育大学 PPO, EPO, or HDHP plan for reimbursement of any eligible prescription drug costs paid in full out of pocket.
