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General Information
Regular Benefits
Optional Benefits
Forms
Benefits
Andrews University
Berrien Springs, MI 49104-0840
Phone: 269. 471. 3886
Fax: 269. 471. 6293
benefits@andrews.edu
Human Resources
New Enrollment Packet
Flexible Spending Account Debit Card Verification Form
Flexible Spending Account Enrollment and Election Form (Standard/Premier)
Flexible Spending Account Enrollment and Election Form (HSA/HDHP)
Flexible Spending Account Reimbursement Form
Medical Plan Election Form
Medical Enrollment Form
Medical/Vision Reimbursement Form
Pharmacare Reimbursement Form
Protected Health Information (PHI) Release Form
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© 2007 Andrews University Human Resources Department