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Contact Us
Human Resources
Montana State University
19 Montana Hall
P.O. Box 172520
Bozeman, MT 59717-2520

Location: Room 19
Lower Level - Montana Hall

Email:
humanresources@montana.edu

Tel: (406) 994-3651
Fax: (406) 994-5974
TDD: (406) 994-4331

Dial-A-Job:
(406) 994-3343
Classification/Compensation:
(406) 994-3739
Classified Recruitment, Health Insurance Benefits, Payroll, or Retirement:
(406) 994-3651

Interim Assistant Vice President for Human Resources:
Jo Oudshoorn

Health Benefits

Below are links to forms and websites that should be helpful with benefits questions. If you have specific questions please call the front desk at 994-3651 to be forwarded to a Human Resources Benefit Technician.

All forms are in PDF format. Many of the forms utilize the typewriter tool in Adobe Acrobat 7.0.5, allowing you to fill them out electronically. To use the typewriter function, you must download the form to your desktop or harddrive. If you need to download the most recent copy of Adobe Acrobat Reader, please visit the Adobe website.

New Employee Choices Benefits and Retirement Forms Submittal Deadline

All Choices and Retirement paperwork must be returned to Human Resources within 30 days of your first day of employment.

If you do not return the required Choices forms within 30 days, your Choices Health coverage will be defaulted.
Default Coverage will be:
Employee Only Coverage of the following:
Medical Traditional Plan B (Allegiance)
Dental Basic Plan (Preventive)
Basic Life Insurance (AD&D) $10,000
Long Term Disability 60% of pay/6-month wait

If you do not return the required Retirement forms, your 1st paycheck will be held in HR until the completed paperwork is turned in.



Choices Forms

Adult Dependent
Allegiance Authorization to Release Confidential Information
Allegiance Physician's Statement of Disability
Alternate ID Form
Change in Beneficiary
Choices Enrollment Form 2008
2008-2009 Choices Workbook
2008-2009 COBRA Form
Prescription Reimbursement Form
Pharmacare Claim Form
EyeMed Out of Network Claim Form
Pharmacare Reimbursement
Family Medical Leave
Family Medical Leave Fact Sheet
Ridgeway Enrollment Form

CHOICES Informational Links

Allegiance Card Instructions (How to Read)
Allegiance Website Guide for Employees
Accidental Death & Dismemberment booklet
Benefit Package – Classified Employee
Benefit Package – Professional Employee
Flexible Benefits Program
Employee Benefit Resources Summary Plan
Group Benefits Plan Book - Indemnity
Group Benefits Plan Book - Managed Care
Health Care & Dependent Care Spending Accounts
Inter-Unit Benefits Committee
Insurance Card Example - Allegiance Members
Insurance Card Example - Blue Cross Blue Shield Members
Insurance Card Example - New West Members
Long Term Care Insurance, AARP
MEDEX Travel Assist
MSU Benefits Committee
MSU Benefit Providers
Shopping for a Long-Term Care Policy
Standard Additional Life Insurance Information
Standard Life & Disability Information

Download the most current Adobe Acrobat Reader.

Flexible Benefits Reimbursement Forms

EBR Debit Card "Benny Card"
EBR Direct Deposit
Flex Change in Status
Flexconnect Claims Rollover
Flex Dependent Care Reimbursement
Flex Direct Deposit
Flex Medical Care Reimbursement
Insurance Premium Reimbursement
Medical Expenses that Qualify
Medical Expenses that Do Not Qualify
Over the Counter Medications that Qualify

Working Families Tax Relief

Declaration of Tax Status of Dependents Form
Working Families Tax Relief Act

Informational Websites/Links

Allegiance
APS Employee Health Care Employee Assistance Program
Blue Cross Blue Shield
Caremark
CHOICES Website
CHOICES Newsletters
Delta Dental
Employee Benefit Resources
Eye Med
Managed Care Program
Medex
Military Family Leave
Montana University System (MUS)
MUS Benefits Committee Members
New West Health Services
Ridgeway Pharmacy
Self Audit Program
Starbaby
Standard Life Insurance
TLC (The Life Connection)
UNUM Long Term Care Insurance
MSU Wellness

View Text-only Version Text-only Updated: 12/4/08
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