- OPEN ENROLLMENT/BENEFITS
- Information Changes
- Graduate Assistants & Work-Study Students
- Performance Management
The University of Scranton’s 2021 Open Enrollment Period will be held November 2, 2020 through November 30, 2020. The purpose of Open Enrollment is to allow plan participants to make changes to their health plan election (medical, prescription, dental, and vision). Changes during the Open Enrollment Period may include adding or deleting dependents from the plan, moving from one plan type to another or electing to opt in or out of the plan.
If you do not wish to make a change to your health plan or opt-out election, you will automatically retain your present coverage. Benefit choices made during the Open Enrollment Period for an employee or a dependent will take effect on January 1, 2021; provided the eligibility requirements are met, the participant is covered under the Plan, and all enrollment requirements are met.All benefit enrollment/change forms must be returned to the Office of Human Resources by the close of the business day on November 30, 2020.
Time Away From Work
- Vacation Carryover Request Form -- DUE DECEMBER 15, 2020
- Mission and Community Service Leave Request Form
- Alternative Work Schedule Policy & Form
Life Insurance Benefits
- Basic Life Beneficiary Form
- Voluntary Life Beneficiary Form
- Open Enrollment Term Life Enrollment/Change Form
- Cigna Voluntary Life Insurance Brochure
Benefit forms need to be completed when a benefit eligible staff or faculty member changes address, marital status, and/or benefit plan enrollment. These forms need to be completed and returned to the Human Resources office within 30 days of the qualifying event and/or status change.
- Qualifying Events: A change in your situation — like getting married, having a baby, or losing health coverage — that can allow benefit plan changes outside the yearly Open Enrollment Period
- Verifying dependents: When enrolling a spouse or child (or changing a spouse or child’s enrollment) in University Benefits, documentation demonstrating the current spousal or child relationship may be required
Payroll Change Form:
- Federal Withholding W-4
- Local Residency Tax Certification
- Direct Deposit Form
- Time Sheet for Special Compensation
Change of Information Packets:
- Staff/Faculty enrolled in Benefits
- Staff/Faculty not enrolled in Benefits
- Beneficiary Change
Additional Contribution to Retirement Plan Forms
If you are currently enrolled in the voluntary 403(b) contribution plan, you may change your contribution amount by completing the form for your provider.
If you are not currently enrolled in the voluntary 403(b) contribution plan, please contact the Office of Human Resources at (570) 941-7767.
Please submit the completed Salary Reduction Agreement to the Office of Human Resources. If you would like to maximize your contribution or you have questions, please contact BethAnn McCartney, Benefits Manager, at (570) 941-7767
The following information is for Graduate Assistants and Work-Study Students to complete the employment process. All forms are available in the Office of Human Resources.
The Form I-9 and Direct Deposit form must be completed in the presence of a University of Scranton Human Resource or Payroll staff member. Proper identification required.
- Staff and Administrators Handbook
Alternative Work Schedule
Mission and Community Service Leave
Time Away from Work
- Additional Benefits
- Elective Benefits
- Alternative Work Schedule
- Employment and Employee Relations
- Resources for Harassment and Discrimination
- Compliance Corner
- Early Learning Center
- HR News and Updates
Office of Human Resources
St. Thomas Hall, Suite 100
The University of Scranton
Scranton, PA 18510-4633
To Report Suspected Child Abuse:Call CHILDLINE: (800)-932-0313