Welcome to The College of Wooster! We are so happy to have you join us as our colleague. As a newly eligible employee, please complete the following forms tot in the college’s benefits plans. Please return completed forms to the Office of Human Resources.
Health, Dental, Vision, Flexible Spending Accounts, Health Spending Accounts start for all eligible employees’ date of hire. Basic Life and Accidental Death & Dismemberment benefits start on all eligible salaried employees’ date of hire.
Enrollment must be completed within 30 days of hire date to be eligible for the Special Enrollment period.
The College’s Open Enrollment dates are during November with an effective date of January 1 annually.
Please note that benefits-eligible employees who enroll during their new hire period with a start date before the 15th of the month will be charged for first months’ premium on first paycheck, or there will be a catch-up cost on the first available paycheck.
Benefit Booklet: 2023 College of Wooster Benefits
Benefits Enrollment Forms
Benefits Enrollment Confirmation Form [PDF] [Adobe Sign Web Form]
Use this form to indicate whether you make an election or decline.
Health, Dental and Vision Enrollment Form [PDF] [Adobe Sign Web Form]
Use this form to select your healthcare plans and enroll dependents.
HSA Election Form [PDF] [Adobe Sign Web Form]
Use this form to enroll in a Health Savings Account (HSA) if you want to contribute to the HSA AND elected the HDHP health plan.
Health Care FSA Enrollment Form [PDF] [Adobe Sign Web Form]
Use this form to enroll in a health care Flexible Spending Account (FSA).
Dependent Care FSA Enrollment Form [PDF] [Adobe Sign Web Form]
Use this form to enroll in a Flexible Spending Account Dependent Care Account (FSA DC).
Premium Calculator for Health Care
Health Care Premium Calculator
Use the calculator to find out how much your healthcare will cost per pay period.
Retirement Account Enrollment Forms
TIAA Initial Auto Enrollment & QDIA Notice
403(b) Plan Reduction (All Faculty) (Staff hired before 1/1/2011) [PDF] [Adobe Sign Web Form]
Faculty colleagues (and staff hired before 1/1/2011) use this form to contribute to your retirement account.
403(b) Plan Reduction (All Staff hired after 1/1/2011) [PDF] [Adobe Sign Web Form]
Staff colleagues hired on or after 1/1/2011 use this form to contribute to your retirement account.
Verification of Previous Benefits
Provide this letter for service credit from your prior higher education employer.
Lincoln Life and Long-Term Disability
Group Life and AD&D brochure:
Fulltime Faculty & Salaried Staff Life and AD&D brochure
Fulltime Hourly Staff Life and AD&D brochure
Voluntary Life Insurance Brochure
Life Insurance Enrollment, Change and Beneficiary Form [PDF] [Adobe Sign Web Form]
Use this form to enroll in life insurance and assign beneficiaries.
Voluntary AD&D Insurance (New York Life)
Voluntary Personal Accident Insurance Brochure
Voluntary Personal Accident Insurance Enrollment Form
Use this form to enroll in voluntary accident insurance.
If you have questions, please contact Human Resources at 330-263-2526