United Healthcare Enrollment Form
If you would like to sign up for or make changes with United Healthcare, print and fill out this form. Bring or send the form to Human Resources.

Health Insurance: Change in Family Status Form
If you have had a change in family status within the last 30 days you may be allowed to make changes in your insurance coverage. Print and fill out this form and return it to Human Resources with the required supporting documentation and the United Enrollment/Change form.

Premium Conversion Plan Signup Form
Plan that allows employees to have health insurance premiums withheld either before or after taxes are paid.

Health Insurance Waiver Form
To opt out of a University sponsored Health Plan, you have to bring this signed form to HR.

Prescription Drug Reimbursement Form

FSA Medical Enrollment
FSA enrollment instructions for medical accounts.

Medical Flexible Spending Account Plan
This plan allows Tulane employees to withhold pre-tax dollars from their paycheck and have this money placed into an account which is drawn from during the year to cover medical expenses.

Employee Assistance
A program that offers emotional-psychological services to employees.