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Employment Packet - Folder #4 - Supplemental Benefits

After you have submitted the Request for Employment Packet form to the HRM Office and received the email stating which forms are required, print out the required forms for each folder and provide to your new employee for completion. Please read and follow the instruction sheet.


Forms and Instructions

INSTRUCTION SHEET for  # 1 - 13 below (Completing Documents for Other Miscellaneous Benefits)

  1. Annual Leave Accrual Rate Election Form  - For Academic and Non-classified only.

  2. Tax Sheltered Annuity Programs  (403(b) & 457 Plans)
  3. START - Student Tuition Assistance and Revenue Trust Program          
  4. LSU System Voluntary Benefits Enrollment Form and Summary Sheet

  5. Tax Saver Flexible Benefits Plan
  6. Extension Benevolent Life Insurance - for LCES Academic and Non-classified employees only

  7. Hartford Long-Term Disability Insurance

  8. Group Accident Insurance Coverage
  9. Dental Plans

  10. Vision Plan

  11. LSU Supplemental Term Life Insurance - The Hartford
  12. UNUM Long-Term Care Insurance

  13. LSU Optional Insurance Plan Election Form

Related Files
FilenameDescriptionFile Size
UNUM-LTC-Brochure.pdf 170.75 KB
UNUM-LTC-EOI-Form.pdf 57.83 KB
UNUM-LTC-Form-7606-04.pdf 26.96 KB
UNUM-LTC-Medicare-Disclosure.pdf 17.33 KB
UNUM-LTC-Worksheet.pdf 22.38 KB
UNUM-LTC-Packet.pdf 2,335.14 KB
Last Updated: 11/23/2009 9:27:15 AM


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