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Please complete the following forms and return them to the Human Resources
Department in Bouillon Hall. If you choose to waive any coverage, indicate
so on the enrollment form. You may not waive dental coverage. Call (509)
963-1202 with questions.
- Overview
of benefit package: Form must be signed and returned to Human Resources
within 30 days of hire.
- Medical/Dental
Insurance: Before completing enrollment form, review information
on the Public Employees Benefits
Board website. If you will be residing in Ellensburg (Kittitas County),
you may choose between Group Health Classic, Group Health Value, and
Uniform Medical. Form must be signed and returned to Human Resources
within 30 days of hire. For more information, refer to the enrollment
guide.
2008 Employee Premium Rates:
| Plan |
Employee Only
per month
(per paycheck) |
Employee & Spouse
per month
(per paycheck) |
Employee & Child
per month
(per paycheck) |
Family
per month
(per paycheck) |
| Group Health Classic HMO |
$74 ($37) |
$158 ($79) |
$130 ($65) |
$214 ($107) |
| Group Health Value HMO |
$20 ($10) |
$50 ($25) |
$37 ($17.50) |
$65 ($32.50) |
| Uniform Medical Plan PPO |
$28 ($14) |
$66 ($33) |
$49 ($24.50) |
$87 ($43.50) |
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Life Insurance: Basic Life Insurance of $25,000 and Accidental Death
and Dismemberment Insurance of $5,000 is provided. Additional insurance
may be purchased within 60 days of hire. (See premiums on page 5.) For
more information, refer to the plan
booklet.
- Long-Term Disability (LTD) Insurance: Form must be signed and returned
to Human Resources within 30 days of hire.
- Tenure/tenure-track/1-year/9-month contract faculty: 90-day
LTD coverage is provided.
- Non-tenure track (faculty hired on a quarter-to-quarter basis):
Basic LTD coverage is
provided.
For more information, refer to the plan
booklet.
- CWU Retirement
Plan (CWURP) Enrollment:
Participation is mandatory. Required contribution rates are 5% (to age
35), 7.5% (age 35 - 50), and 10% (age 50+). Contributions matched by
the university. Funds may be invested with Fidelity,
TIAA-CREF, and/or Vanguard.
Contributions begin from your hire date, but you have 30 days to complete
and submit the enrollment form and vendor enrollment form.
To enroll in the retirement plan, you must submit the CWURP Enrollment
form and enroll with your selected vendor:
- Fidelity
Form must be printed, completed, and returned to the Human Resources
Department
- TIAA-CREF
You many enroll online.
- Vanguard
Form can be completed online and then must be printed, signed, and
returned to the Human Resources Department.
We are available to discuss your retirement options with you. Call our
office at (509) 963-1202.
If you are a non-tenure track faculty, you may waive participation in
the retirement plan. If you choose to do so, please indicate so on the
waiver form and return to the Human Resources
Department.
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Spouse or Same-Sex Domestic Partner Certification: Submit with medical/dental
enrollment to cover spouse or same sex domestic partner. Form must be
signed and returned to Human Resources within 30 days of hire.
- Retirement
Status Form: Participation in any Washington State Department of
Retirement Systems (DRS) plans must be declared.
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