Find HR-Benefits forms related to the following categories by clicking on the links below:
Health Care
Domestic Partnerships
Beneficiary
Retirement Savings Plan
Supplemental Retirement Annuity Plan
Tuition Remission
Voluntary Benefits

Health Care

2015
Qualifying Status Change ('Life Event') Form (must be completed in addition to enrollment forms when making any changes to your current medical/dental/flex plan)
Benefits Enrollment Form (Faculty/Staff)
Benefits Enrollment Form (UMMG Physicians)
Benefits Enrollment Form (Miller School of Medicine Residents)
Dependent Enrollment Form (Faculty/Staff)
Dependent Enrollment Form (UMMG Physicians)
Dependent Enrollment Form (Miller School of Medicine Residents)
Nonsmoking Certification
Spouse/Partner No Access Certification
Flexible Spending Election Form
Short Term Disability Enrollment Form

2014
Qualifying Status Change ('Life Event') Form (must be completed in addition to enrollment forms when making any changes to your current medical/dental/flex plan)
Benefits Enrollment Form (Faculty/Staff)
Benefits Enrollment Form (UMMG Physicians)
Benefits Enrollment Form (Miller School of Medicine Residents)
Dependent Enrollment Form (Faculty/Staff)
Dependent Enrollment Form (UMMG Physicians)
Dependent Enrollment Form (Miller School of Medicine Residents)
Nonsmoking Certification
Spouse/Partner No Access Certification
Flexible Spending Election Form
Short Term Disability Enrollment Form

Aetna Rx Home Delivery
FSA Healthcare Reimbursement Form (If you do not have Adobe Acrobat, you must print this form to complete it.)
FSA Dependent Reimbursement Form (If you do not have Adobe Acrobat, you must print this form to complete it.)
Aetna Medical Claim Form
Aetna Rx Claim Form
Delta Dental Claim Form
Aetna Precertification Rx Form

Domestic Partnership

Certification of Domestic Partnership (not required if legally married in another state)
Termination of Domestic Partnership
Domestic Partnerships Q&A

Beneficiary

Beneficiary designations for active employees must be completed on myUM.
Employees' Retirement Plan Spousal Consent Form

Employees who have separated from service must contact HR-Benefits at 305-284-3004 or complete the online form at http://www.miami.edu/benefits/ask to request a paper beneficiary form.

Retirement Savings Plan (RSP)

Please click here for steps to enroll.

Supplemental Retirement Annuity Plan

Please click here for steps to enroll.

Tuition Remission

Graduate Tuition Remission Taxation Estimate
Spouse/Dependent Graduate Tax Estimate

Voluntary Benefits

Short-Term Disability Initial Claim Form
Short-Term Disability Follow-Up Claim Form
Voluntary Accidental Death and Dismemberment Application
Excess Life Enrollment Form
Long Term Care Enrollment Form (employee and spouse/domestic partner)
Long Term Care Enrollment Form (eligible family members)
Long Term Care Evidence of Insurability
Voluntary Benefits Cancellation Form