Benefit Summary Sheets
2009 Benefits Summary
Middlebury College Health & Welfare Benefit Plan
(Medical, Dental, Healthcare and Dependent Care FSA, Core Life, Supplemental Life AD&D, Long-term Disability, Short-term Disability, Employee & Family Assistance Program)
Plan Information
2010 Medical Dental Rates Midd
2010 Supplemental Life & AD&D Rates
2010 Summary Plan Description
2009 Summary Plan Description
Supplemental Life & AD&D Rates 2009
Medical and Dental Rates 2009
Why Enroll in a Flexible Spending Account?
Flexible Spending - Covered Expenses
FSA Guide Lines for Over the Counter Drugs
Forms
Medical, Dental and Rx.
CBA Medical/Dental Claim Form (valid for claims incured after 01/01/08)
Prescription Override Form
STEP Therapy: Prior
Authorization Form
Flexible Spending Accounts
Flexible Spending Account Annual Expense Worksheet
Flexible Spending Account Claim Form
FSA Direct Deposit Form (mail to address on top of form)
Life Insurance
Beneficiary Designation Form
Evidence of Insurability
Information Links
CBA Blue/EBPA Medical, Dental, Rx, Flex Spending 2008
New England Mail Order Pharmacy
EFAP - The Wellness Corporation (800-828-6025)
Retirement Plans
Plan Information
Core Plan (401a)
Voluntary Retirement Plan (403b)
Salary Deferral Supplemental Retirement Plan (457b)
Forms
Core Plan Participant Acknowledgement (Enrollment)
Voluntary Plan Salary Reduction Agreement
Supplemental Retirement Plan 2009 Participation Agreement
Information Links
TIAA CREF
TIAA-CREF Micro Site
Other Information
2008 IRS Pension Plan Limits
Education Benefits
Plan Information
Course Fee Reduction
Staff Matriculation at Middlebury College
Comprehensive Fee Credit
Tuition Cash Grant Scholarships
Forms
Tuition Cash Grant Scholarship Application and Dependent Certification
Other Documentation and Forms
Statement of Domestic Partnership
Breastfeeding Guidelines
2006 Summary Annual Reports