Employee Benefits, Forms and Resources
Tuition Remission Requests for 2012-13 are due in HR no later than FEBRUARY 1st. This is a firm deadline. Please read instructions in the link below before completing any Tuition Remission Request forms.
Tuition Remission
Please read the instructions first and then complete the form. These forms are now in fillable PDF format. Tuition Remission Request forms are due in HR by Feb. 1 for the next academic year.
- Undergraduate Tuition Remission Form
- ADP & El. Ed. Degree Completion Tuition Remission Form
- Graduate Tuition Remission Form
Pioneer Educators Health Trust
Link to the Pioneer Trust page for information and forms for Health and Dental plans administered by Regence Blue Cross/Blue Shield.
Kaiser Permanente HMO and Dental HMO
Customer Service 503-813-2000
Group Number 001348
- Kaiser Enrollment Form for Medical and Dental
- Summary of Medical Benefits
- Summary of Dental Benefits and Dental Directory
- Kaiser Preventive Services Summary
Allegiance: Flexible Spending Accounts for medical and dependent care expenses
Customer Service 877-424-3570
Group Number: 505850
New in 2011: Online Enrollment and confirmation--a paperless process! Instructions here.
- Flexible Spending Account Enrollment Form use this form if you don't have access to online enrollment
- Flexible Spending Summary Plan Document
- Claim form for Unreimbursed Medical Expenses
- Claim form for Unreimbursed Dependent Care Expenses
- Allegiance Website Instructions
- Debit Card General Info
TIAA-CREF - 403b Retirement Plan
You can access your account online: use the TIAA-CREF microsite.
Telephone Counseling Center: 800-842-2776
- Authorization for Payroll Reduction (use this form to set or change the percent you invest)
- How to Enroll Online with TIAA-CREF and George Fox University Retirement Plan Document
Life Insurance and Long Term Disability Insurance: Regence Life and Health
There is no cost to full time employees for the basic benefit plans, and all plans come with emergency travel assistance.
New! Employee Assistance Program (brochure) is available to all who are eligible for life insurance (.75 FTE or above and regular employee 1 year or longer).
This voluntary life insurance is available to employees who are eligible for the basic Life Insurance. You may purchase additional term life insurance for yourself, your spouse and/or your child(ren).
- Highlights: basic and optional life insurance
- Basic Life Insurance enrollment form
- Voluntary Life Insurance Enrollment form
- Life and LTD Insurance Plan Booklet (coming soon)
- Emergency Travel Assistance (Medex) program and wallet card
Supplemental Insurance: Aflac
Aflac offers several payroll-deduction plans, including Vision, Cancer Care, Hospital Indemnity and more. Start here: www.knowquack.com
The premiums for these plans are deducted after taxes are calculated so you may start/stop these coverages at any time. Paul Frampton is our agent and you can contact him directly at 503-347-7410.