Eligibility
Averaging Worksheets
Career Seasonal and Instructional Year Employees (18.5 KB)
Nonpermanent Employees (18.5 KB)
Enrollment
Dual Enrollment
PAY1 Procedures for Dual Enrollment (14.9 KB)
Dual Enrollment Process (17.9 KB)
Dual Enrollment Email Templates
FUZE message to HCA template (Step 1) (61 KB)
New employee email template (Step 3) (52.5 KB)
Subscriber email template (Step 3) (71 KB)
FUZE message to HCA template (Step 9) (73 KB)
Dual enrollment resolved email (Step 10) (66 KB)
Forms
Employee Enrollment/Change form (722.9 KB)
Spouse or Qualified Domestic Partner Certification form (706.2 KB)
Special Open Enrollment
Special Open Enrollment Decision Tree (20.8 KB)
Special Open Enrollment, October 2009 (253.4 KB)
Enrollment/Keying into PAY1
Foreign Addresses
PAY1 Country Codes (135.6 KB)
PAY1 Codes
PAY1 Plan Enrollment Codes (52.6 KB)
PAY1 Enrollment and Termination Reason Codes (71.9 KB)
Hire/Effective Dates
2009 Effective Date of Coverage (13.8 KB)
2010 Effective Date of Coverage (90.4 KB)
Life Insurance Forms
State Share/Invoicing Schedules
2009 State Share Dates (9.9 KB)
2010 State Share Dates (12.7 KB)
2009 Higher Education Schedule (10.5 KB)
2010 Higher Education Schedule (14 KB)
2009 Invoicing Schedule (30.4 KB)
2010 Invoicing Schedule (31.5 KB)

