Health Benefits


You may need the Adobe Acrobat Reader to access these files

Benefits Forms

 Health Forms
Complete information on Health Benefits can be found on the State of Maryland's Employee site. Health benefits are optional. Any regular employees that are 50% or more FTE (with the exception of TAs who can be 25%) are entitled to health benefits.  You must complete the appropriate affidavits(s) if you are requesting coverage for your dependents, domestic partners and/or their dependents, or a spouse. 

  1. 2018 Enrollment Form
  2. Benefits Guide for January 1, 2018 to December 31, 2018
  3. State of Maryland-Employee Health Insurance Premium Rate
  4. Affidavit for Dependent Eligibility and Tax Status
  5. Summer Benefits Coverage and Fall Employee Status

Please note: new enrollments can occur within 60 days of your start date or once a year during open enrollment. At other times, you can only change your benefits if there is a change in circumstances such as loss of coverage somewhere else, marriage, birth, etc.

Open Enrollment 2019

  *Open Enrollment period for January 1, 2019 to December 31, 2019 will be conducted on mid-October-mid-November, 2018. Exact dates have not yet been set.*   

 

For more information:
Human Resources Department
http://www.uhr.umd.edu
301-405-0466