Employment

Full Time Employee Benefits

PRINT FORM, COMPLETE AND RETURN TO:
DDS HUMAN RESOURCES
ATT: JEN MILLER/JEFF HILL
U-4107
30 GURLEYVILLE RD.
STORRS, CT 06268

FMLA

PENSION

• PENSION Beneficiary Designation
• PENSION Enrollment Change Form
• PENSION Beneficiary Change Form
• PENSION Hardship Withdrawl
• Beneficiary Change Form - MPPP

DENTAL

• Dental Enroll Form
• DENTAL Core Dental Plan
• DENTAL Buy-Up Option 1
• DENTAL Buy-Up Option 2

VISION

• Vision Enroll Form
• VISION Summary
• VISION How VSP Works

SHORT TERM DISABILITY

• SHORT TERM DISABILITY Claim Form