HR – Benefits & Forms

Click on the following Oxford Health links to download information and forms. If you have any questions, please contact Valerie Jack, Director of HR, ext. 257.

Health and Welfare Benefits

Plan Summary

PremiumConversion Plan Summary

Medical Coverage

Oxford Health Care


Plan Summary

Enrollment Form


HRA Enroll

FSA DCA Enroll

FSA DCA claim form

Health & Dependent Care Flex Spending

Health Reimbursement Arrangement

Basic Life and AD&D    

Life and Accidential Death Insurance

Long Term Disability    

Colonial Life Plans    

Claim Form


Plan Summary

401K Enrollment Form

Transition Guide

Employee Resources

Direct Deposit Form

Expense Reimbursement Form

Tax Forms