Current Students Faculty and Staff Alumni Parents Business Partners
Directory Contact Us A-Z Index
Admissions Athletics
More About - Back to Home (neoclassical)
Benefits
Benefits
FAQ's
FAQ's
Payroll
Payroll
Payroll and Employee Benefits
Payroll and Employee Benefits
PEB Site Map
PEB Site Map
Saving for Your Retirement
Saving for Your Retirement
 
Payroll and Employee Benefits
Administration Building
Room G29
2000 W. University Ave.
Muncie, IN 47306
Phone: (765) 285-8461
Fax: (765) 285-6612
PEB@bsu.edu
Hours: 8 a.m.- 5 p.m. Eastern Time


Forms
Insurance
Anthem Mail Order Form

Domestic Partner

Flexible Benefit Plan Short Plan Year

Flexible Spending Dependent Debit Card Request

Group Health Form

HIPAA Privacy Release Form

Life Insurance Beneficiary Form

Premium Conversion

Retiree Health Care Enrollment Form

403(b) Deduction Authorization Cancellation Form

457(b) Deduction Authorization Cancellation Form

FlexProTM Claim Form BSU JF.pdf
Health Care Plan Comparison FY 08.pdf
Fee Remission Forms
Fee Remission Form

Retiree Fee Remission Form
Payroll
Security Access Form
Payroll Forms Information
B-25 Individual Absence Report Faculty-Staff.pdf

B-77 Individual Absence Report-Other.pdf
 


Ball State University Copyright © 2008 Ball State University   2000 W. University Ave. Muncie, IN 47306
800-382-8540 and 765-289-1241
Legal Information    |    Employment    |    TTY Numbers
"Education Redefined" is a registered trademark of Ball State University.