Franklin Pierce University

 Human Resources Department

 

 

If you have a benefit related question, please double click the attached link to contact our Benefit Specialist

Faculty & Staff

Supervisors

Payroll

Safety

Forms

Wellness

HR Home

eRaven

 

The University's Open Enrollment is from April 23 through May 23, 2012

 

All forms must be in the HR Office no later than 2:30pm on May 23rd

to ensure insurance coverage past July 1, 2012

 

 

 

2012-13 Cost Share Information

 

AZ Faculty/Staff  NH Faculty/Staff  RFF Members

 

 

2012-13 Company Sponsored Benefit Election Forms

(RFF members - please use NH Faculty/Staff Election Forms)

AZ - Faculty/Staff Election Form   NH - Faculty/Staff Election Form  Senior Lecturer Election Form

Enrollment Forms

(Attn RFF Members:   If you are moving from the PPO plan, you must complete a HMO Enrollment Form)

HMO Form     Delta Dental     VSP    

Flex Spending    

Domestic Partnership Paperwork

Dom Ptnr Affidavit     Term of Dom Ptnr

Plan Summary

NH HMO 14: Health Insurance  AZ- H2: Health Insurance  Dental Insurance  VSP: Vision Insurance

 

©2012 Franklin Pierce University
40 University Drive
Rindge, New Hampshire 03461