Paper Forms
Submitting elections online through the Employee Center is the preferred method; however, those without internet access can submit a paper enrollment form, available below. Do not submit your elections using multiple methods (online and paper). Doing so could cause errors or delays in benefit enrollments.
Paper forms for employees
- 2025 Open Enrollment Form (includes HSA enrollment and Tobacco-free Affidavit)
- 2025 HSA Enrollment / Change / Termination Form
- 2025 Tobacco-free Affidavit
Paper forms for residents
Enrollment packets for new hires and life events