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Utah State University
Human Resources

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Benefits

Healthcare Benefit Forms

  • Blue Cross Blue Shield Medical/Dental Enrollment and Change to Coverage
  • Blue Cross Blue Shield Member Claim Reimbursement
  • BlueCard Worldwide International Claim
  • BlueCard Worldwide Informational Brochure
  • Flex Spending Enrollment/Change
  • Family and Medical Leave Request (FMLA)
  • Health Savings Account
  • Incapacitated Adult Dependent
  • New Employee Forms

Retirement Benefit Forms

  • Employee Pre-Tax Retirement Contribution 401k & 403b (Online) or (PDF)
  • Employee Pre-Tax Retirement Contribution 457b (Online) or (PDF)
  • Employee Post-Tax Retirement Contribution Roth 403b (Online) or (PDF)
  • Employee Post-Tax Retirement Contribution (Roth 457b)
  • 401(a) Investment Provider Change (Online) or (PDF)
  • 403(b) Opt Out of Auto-Enroll with TIAA-Cref

Voluntary Benefit Forms

  • Health Savings Account (Online) or (PDF)
  • Zurich - Accidental Death and Dismemberment
  • Beneficiary Change - USU Death Benefit
  • Beneficiary Change - Zurich AD&D

 

Human Resources

Contact Us

  • USU HR Facebook

8800 Old Main Hill
1195 E 700 N
Logan, UT 84322
hr@usu.edu
Mon-Fri: 8:00 AM to 5:00 PM
(435) 797-0216 (Main)
(435) 797-0122 (Solutions Center)
(435) 797-1059 (Payroll Helpdesk)

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