Forms and Handbooks

Life and Accidental Death/Dismemberment (AD&D) Insurance

  Sponsored Life and AD&D Plan (provided by UAB at no cost for eligible employees)
  Sponsored Life/AD&D Beneficiary Designation Form
  Sponsored Life Summary
  Sponsored Life/AD&D Certificate
   
  Voluntary Life
  Voluntary Life Summary
  Voluntary Life Certificate
  Voluntary Life Beneficiary Change Form
 

Voluntary AD&D Plan

  Voluntary AD&D Enrollment/Beneficiary Designation Form
  Voluntary AD&D Summary
  Voluntary AD&D Certificate
   

Teacher's Retirement System of Alabama

  Member Handbook (Tier 1)  
  Member Handbook (Tier 2)  
  Enrollment Form  
  Change of Beneficiary Form  
  Change of Address Form  
  DROP Program Handbook  
  Note: The DROP program ended for new participants effective March 24, 2011  
     

Medical Dental and Vision Insurance

  Enrollment/Change Forms  
  2014
 
  UAB Select Enrollment/Change Form  
     
  Booklets  
  2014 Plan Year  
  Viva UAB Summary Booklet  
  Viva UAB Certificate of Coverage - COMING SOON
 
  Viva Access Summary Booklet  
  Viva Access Certificate of Coverage - COMING SOON  
  Blue Cross/Blue Shield Summary Booklet  
  Dental Summary- Basic  
  Dental Summary - Comprehensive  
  Basic Dental Plan Certificate - COMING SOON  
  Comprehensive Dental Plan Certificate - COMING SOON  
  VSP Vision Summary  
     
  2013 Plan Year  
  Viva UAB Summary Booklet  
  Viva UAB Certificate of Coverage  
  Viva Access Summary Booklet  
  Viva Access Certificate of Coverage  
  Blue Cross/Blue Shield Summary Booklet  
  Blue Cross/Blue Shield Certificate of Coverage  
  Dental Summary- Basic  
  Dental Summary - Comprehensive  
  VSP Vision Summary  
     

Flexible Spending Account (Healthcare & Dependent Daycare)

 

PayFlex
2014
FSA Summary
FSA Enrollment Form
FSA Election Change Form
Payflex Reimbursement Request Form
Payflex Direct Deposit Authorization
Tax Savings Calculator
Mobile App

 

Long -Term Disability

  Certificate of Coverage