Open EnrollmenT INFO (new info added 3.21.12)

Maryland State Pension Calculator

ORP Performance Report as of SEPTEMBER 30, 2011

ORP Health Benefits GUIDE

Benefits Forms

Insurance

• Accidental Death and Dismemberment Beneficiary Form
• Active and Satellite Benefits Enrollment Form (Updated July 2012)
• Affidavit for Spousal Eligibility and Tax Status (NEW)
• BCBS Health and Vision Claim Form
• Benefits Change of Address Form
• CareFirst Medical/Vision Claim Form
• Dependent Care Spending Account Claim Form
• Dependent Child Affidavit
• Direct Pay Benefits Enrollment Form (Updated July 2012)
• Direct Pay Rates (Updated July 2012)
• Disabled Dependent Certification Form
• Flexible Spending Account Direct Deposit Form
• Flexible Spending Claim Form (Medical)
• Flexible Spending Claim Form (Dependent)
• Health Benefits Guide 2012 - 2013
• Healthcare Spending Account Claim Form
• Mail Order Prescription Highlights & Enrollment Form
• MetLife Accidental Death & Dismemberment Beneficiary Form
• MetLife Life Insurance Beneficiary Form
• United Healthcare Vision Claim Form
• UNUM Life Insurance Plan Highlights
• UNUM Long Term Disability (LTD) Plan Highlights
• UNUM LTD/Life Insurance Enrollment Form
• UNUM Life Insurance Beneficiary Form
• UNUM LTD Claim Form

Flexible Work Schedule Proposal

• Flexible Work Schedule Proposal Revised November 2008

Retirement Forms

• 403b Fidelity Salary Reduction Agreement
• 457b Fidelity Salary Reduction Agreement
• 403b TIAA-Cref Salary Reduction Agreement
• 457b TIAA-Cref Salary Reduction Agreement

TELEWORK POLICY

• Approved Telework Policy Dated December 2002
• Telework Agreement
• Telework Checklist
• Teleworker Work Plan

Tuition Remission Forms

• Tuition Remission Deadlines Summer Semester 2012
• Tuition Remission Policy Changes and Reinforcements (NEW) 
• Tuition Remission Guidelines
• Tuition Remission Application (NEW)
• USM Tuition Remission Policy for Spouse and Dependent Children (NEW)

• USM Tuition Remission Policy for Employees and Retirees (NEW)

• Tax Chart – USM Tuition Remission (NEW)

• FAQ Tuition Remission (NEW)

NOTE:

Deadlines for Tuition Remission

• Winter - January 2, 2013
• Spring - February 1, 2013