Human Resources
Payroll & Benefits

Jenn Delehanty
Payroll & Benefits

Nikki Oathout
Personnel Clerk

Important Forms & Documents
Benefit-Related Documents and Publications - Current Year
Current Contracts
Health Insurance Information
- HSA FAQs
- Healthy Blue with Copays 15/25/30 WFA
- Healthy Blue with Copays 25/30/40 CSEA
- Signature HDHP $1800/$3600
- Signature HDHP $5500/$11000
- Dental Blue Options
- Telemedicine Services
Life Insurance Information
Retirement Information

2025-26 Insurance Forms
- 2025-2026 Rates for WFA Hired prior to July 1, 2022 & CSEA
- 2025-2026 Rates for WFA Hired on or after July 1, 2022
- 2025-2026 Dental Rates (All WFA/CSEA)
- Dependent Verification Information Form
- 2025-2026 Annual Dependent Verification Form
- COBRA Continuation Notice
- COBRA Election of Continuation
- Excellus Enrollment/Change Form - WFA
- Excellus Enrollment/Change Form - CSEA
- Excellus Enrollment/Change Form - Admin
- Excellus Enrollment/Change Form - Director
- Excellus Enrollment/Change Form - Conf
- FSA Enrollment/Change Form
- HSA Bank Deduction Form
Health Insurance Information


