Benefits Forms and Publications

Find links to downloadable versions of many of the forms relating to UC Benefits.

Forms

At Your Service maintains an online list of available downloadable forms. These cover such topics as:

• Enrollment/ change in certain health and welfare plans (UPAY850)
• Health FSA/ DepCare FSA Enrollment, Change or Cancellation — Salary Reduction Agreement – (UPAY 919)

Publications

Many publications outlining and summarizing UC benefits are available through your department's Human Resources contact or through the UCSD Benefits office. Many are also available via download, including the following:

• Summary Plan Descriptions
• Your Group Insurance Plans Booklet (PDF)
• Health Care Flexible Spending Account
• COBRA
• Evidence of Coverage Booklets for Medical Plans

Notice: The information on this page summarizes provisions of university policies and/or collective bargaining agreements. Refer to the Personnel Policies for Staff Members (PPSM) or applicable collective bargaining agreement for full text of referenced information.

Human Resources

Managing Your Benefits

• Benefits Orientation
• Enrolling
• Open Enrollment
• Designating Beneficiaries
• Updating
• Forms & Publications
• Continuation of Benefits
• Providers: Reference Guide
• Representatives