Overview of Employee Benefits Programs for 2011

• Support Staff
• Administrative Staff
• Faculty

Please scroll to bottom for benefits enrollment forms for Employees and Retirees.

Program Information

• Group Medical Insurance and Provider Information for Employees and Retirees
• Public Notices for Medical Groups
• Flexible Spending Acccount(FSA)Summary Plan Document
• Listing of Qualified FSA Reimbursable Medical and General Healthcare Expenses

Forms

• GPA Medical Benefits Enrollment and Change Form
• GPA Medical Claim Form
• GPA Dental Claim Form
• GPA Flexible Benefit Plan Election/Enrollment Form
• GPA FSA Claim Form for Medical Expense and Dependent Care Reimbursement
• Envision Rx Prescription Drug Claim Form

Short Term and Long Term Disability Benefits Program Information and Forms for Employees

Program Information

• Short Term Disability Insurance Program
• UNUM Long Term Disability Insurance Program SUMMARY PLAN DOCUMENT (Click on link and scroll down for information)

Forms

• Short Term Disablity Instructions, Application Form and Medical Certificate

Employee Assistance Program (EAP)

Program Information

• UNUM Employee Assistance Program (EAP)Information

Voluntary Life/Accidental Death and Dismemberment Program Information and Forms for Employees

Program Information

• UNUM Voluntary Life and Accidental Death and Dismemberment Insurance Program SUMMARY PLAN DOCUMENT (Click on link and scroll down for information)

Forms

• UNUM Voluntary Life and Accidental Death and Dismemberment Insurance Enrollment Form
• UNUM Voluntary Life and Accidental Death and Dismemberment Insurance Evidence of Insurability (EOI) Form

Long Term Care Benefits Program Information and Forms for Employees

Program Information

• UNUM Long Term Care Program

Forms

• UNUM Long Term Care Enrollment Forms

Accident and Cancer Benefits Program Information and Forms for Employees

Program Information

• Colonial Accident Policy
• Colonial Cancer Policy

Forms

• Colonial Cancer and Accident Enrollment Forms
• Colonial Cancer Claim Form

Retirement Benefits Program Information and Enrollmnet Forms for Employees

Program Information

• Retirement Program - 403(b) Defined Contribution Plan

Forms

• TIAA-CREF Retirement Annuity (RA) Salary Reduction Agreement Form
• TIAA-CREF Supplemental Retirement Annuity (SRA) Salary Reduction Agreement Form

Tuition Remission Program Information

• Tuition Remission Program
• List of Participating Institutions

For additional information regarding this program and admission through this program, please contact the Financial Aid Department.

Contact Financial Aid
Centenary Office of Financial Aid
http://www.centenary.edu/fa
2911 Centenary Boulevard
Shreveport, LA 71104

Phone: (800) 234-4448 or (318) 869-5137
Hours: Monday-Friday, 8am - 4:30pm
Location: 132 Hamilton Hall (campus map)

Benefits Forms for Retirees

• GPA Retiree UNDER AGE 65 Enrollment Form for Medical Benefits
• GPA Retiree OVER AGE 65 Enrollment Form for Medical Benefits
• UNUM Insurance Company Retiree Life Insurance Benefit Enrollment Form