Forms
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All Columbia College Employees should complete the following forms:
All Full-time employees must also complete the following forms:
(These must be completed even if you are declining the coverage.)
- Benefit
Election Form

- Health Insurance Enrollment Form

- Dental Insurance Enrollment Form

- Voluntary Vision Enrollment Form
- ASI Cafeteria Plan Enrollment Form
(Flexible
Spending plan)
Benefits forms that employees may need:
- ASI
Claims Form

Claim form for Flexible Spending plan - Dental Claims Form

To submit dental claims to Assurant Employee Benefits.
Employee State Withholding Allowance Certificates
Columbia College Forms
- Direct Deposit Form
For
payroll direct deposit - Employee Performance Evaluation CC Performance Evaluation
- Travel Expense
Report
For reporting travel expenses on Columbia College business - Application for Employment
- Background Check Release

- Network
Access Request/Change Form
For faculty and staff to request access to network resources such as Datatel,
or for current employees when there are changes to existing accounts, such as a name change, login ID change or department change.
More information about employee benefits
- Health Insurance
More information on
health insurance:
- Base plan

- Buy-up
overview
- or go to the United Healthcare Web site.
- Base plan
- Dental Insurance
More information
on dental insurance
or
visit the Assurant Web
site.
- Voluntary Life Insurance:
More
Information on Voluntary Life Insurance
or
visit the Assurant Web
site.
- Voluntary Vision Plan
More
Information on Vision plan
or
visit the VSP Web
site.
Questions should be directed to Columbia College Human Resources office at (573) 875-7255 or toll-free at (800) 231-2391, ext. 7255; or call The Insurance Group at (800) 752-3376.



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