Human Resources Web Interface

Human Resource Elections - Employee Elections

First Name:                        
Last Name:                         
Employee ID:                       
Individual Disability Insurance:   plan 
Long Term Disability Insurance:    plan 
Short Term Disability Insurance:   plan 
PPO Provider:                      plan 
Dental Insurance:                  plan 

Please select one of the options from each of the following sections:

  1. Individual Disability Insurance:
    No Coverage
    Plan A
    Plan B

  2. Short Term Disability Insurance:
    No Coverage
    Plan A
    Plan B
    Plan C
    Plan D

  3. Long Term Disability Insurance:
    No Coverage
    Plan A
    Plan B

  4. Health Insurance:
    No Coverage
    PPO A
    PPO B

    No Dental Coverage
    Bronze Dental
    Silver Dental
    Gold Dental