On this site, you may access forms which are available to be viewed and printed. To access any of the following forms, click on the form you are interested in, and then use the print feature in the application it is displayed in. To view PDF files you need to get Adobe Acrobat Reader.
2018-2019 Simpson College Open Enrollment Benefits Guide
2018-2019 Checklist
2018-2019 Simpson College Annual Notices
Medical
2018-2019 Wellmark Application – Everyone needs to Complete a new application.
2018-2019 Wellmark Personal Doctor Selection Form
2018-2019 Simpson Benefit Calculator (use this to help determine a good plan choice)
2018-2019 Medical Renewal Rates
2018-2019 HSA Enrollment Form
2018-2019 HSA Payroll Deduction Form
Medical Flex & HSA Eligible Expenses IRS-213
SC Pharmacy Generics Flyer
Dental/Vision
2018-2019 Dental/Vision Enrollment Form
2018-2019 Dental Vision Rates
Flex
2018-2019 Flex Enrollment Form
2018-2019 Flex Plan Information Flyer
New Voluntary Benefits
2018-2019 Allstate Enrollment Form for Accident and Critical Illness
2018-2019 Allstate Accident Insurance and Rates Flyer
2018-2019 Allstate Critical Illness and Rates Flyer
2018-2019 Nationwide Pet Insurance Flyer
2018-2019 Nationwide Pet Insurance Brochure