Benefits Forms: Enrollment Forms for New Faculty and Staff Members
IMPORTANT: All of the forms listed on these pages are in Adobe
Portable Document Format (PDF). If you do not already
have Adobe Acrobat Reader on your computer, you must download
and install Adobe
Acrobat Reader before you will be able to view
or print Benefits forms.
2012 Benefits Enrollment Form (WE)
2012 Flexible Spending Account Deduction Authorization Form
Dependent
Information Form
Use this form to update information for your eligible dependents already on record with the university. If you need to add eligible dependents to your benefits, please contact the HR/Payroll Service Center.
Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents.