Payroll & benefits information & forms

Life insurance for employees
Life insurance enrollment/change form  HCA 50402
Life insurance evidence of insurability form  HCA 50645
Life insurance nonsmoker certification  HCA 50504
Life insurance change of beneficiary form  7384m-1
Long-term disability for employees
Long-term disability enrollment/change form  HCA 50504
Long-term disability evidence of insurability form  HCA 50407
Medical/dental benefits for employees
Medical/dental coverage enrollment form  HCA 50400
Medical declaration of marriage/partner form  HCA 50704
Medical: Extended dependent (foster child)  HCA 50500
Medical: Student certification form  HCA 50700
Medical: Certification of disabled dependent request form  HCA 50142
Tax-deferred annuity (403b): Voluntary salary reduction agreement 
Tax-sheltered annuity: Salary reduction agreement 
TIAA-CREF basic plan: Salary reduction agreement 
VEBA enrollment information & forms
Voluntary tax deferral salary reduction agreement
W-4 form (IRS)