This form must be completed if employee wishes to cover his or her spouse (domestic partner for medical only) and eligible dependents under the Colleges' benefit programs.

This form is used to enroll, change, and/or cancel dental insurance coverage(s).

For the Aetna Medical programs.

For the Delta Dental plan.

For health and dependent care FSA claims.

This form is used by employees who wish to enroll in the Colleges 403(b) plan and/or the supplemental 403(b)(7) plans. This form is also used to change the amount of payroll contributions.

This form is used to designate who shall receive the value of the employee's TIAA-CREF GRA and/or GSRA accumulation in the event of their death prior to retirement. Some beneficiary information can be entered online. Please visit the WebCenter at www.tiaa-cref.org for information.

This link will give you immediate access to the Vanguard 403(b)(7) employee enrollment kit - download the forms or have them mail you a kit!

These forms must be completed and submitted to Human Resources for each academic year to be considered.

For the employee's dependent child. This form must be submitted to Human Resources twelve months prior to the start of the academic year that is to be considered. Questions of eligibility must be addressed with the Office of Human Resources. Also, a list of potential exchange schools must be submitted to the Financial Aid Office in order to reserve a potential tuition exchange scholarship at the desired schools.

For employee/spouse or domestic partner/dependent child who attends Hobart and William Smith Colleges. This form must be submitted to Human Resources prior to the academic year/semester to be considered.

For employee's dependent child. This form must be submitted to Human Resources prior to the academic year to be considered. If tuition due is divided into two payments (fall and spring), a new form for the second semester is not necessary - submit the second semester's invoice to Human Resources for payment. Must be received by noon, Tuesday, for a check on that Friday.

For reimbursement of tuition costs for any course or courses taken by the employee in order to complete a first undergraduate degree. Individual courses that are not required as part of a degree program must be job-related in order to qualify for reimbursement. In either case, approval is required prior to registration for the course(s).

This form must be completed by all benefits-eligible employees for basic life and AD&D insurances provided by the Colleges. Supplemental Life and/or AD&D insurance is purchased by the employee on a voluntary basis. Evidence of insurability may be required in the case of supplement life insurance. Please contact Human Resources for more information. When completed, please send the form to Human Resources

Available by contacting Human Resources

Complete Part 7 with updated beneficiary information and send to Human Resources.

This form is used to claim for statutory disability benefits for an extended absence (longer than 7 consecutive days) due to a non-work related illness or injury. Employee completes Part A-Claimant then has his/her attending physician to complete Part B before returning to Human Resources.

This form is used to report accidents that occur on campus property.

Guidelines and necessary forms.