Benefits
- Basic Health Care & Supplemental Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability Insurance
- Leave Provisions & Holidays
- Retirement
- Tuition Waiver
- Other Benefits
APSCUF (Faculty) Benefit Summary including:
- Basic Health Care & Health & Welfare Fund Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability Insurance
- Leave Provisions & Holidays
- Retirement
- Other Benefits
APSCUF Web Page http://www.apscuf.com
APSCUF Tuition Waiver
OPEIU HEALTHCARE PA (Nurses) Benefit Summary including:
- Basic Health Care & Management Supplemental Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability Insurance
- Leave Provisions & Holidays
- Retirement
- Other Benefits
OPEIU HEALTHCARE PA (Physicians) Benefit Summary
OPEIU Web Page http://www.opeiuhealth.org
OPEIU Tuition Waiver
SCUPA Benefit Summary including:
- Basic Health Care & Health & Welfare Fund Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability
- Leave Provisions & Holidays
- Retirement
- Other Benefits
SCUPA Web Page http://www.homestead.com/scupa
SCUPA Tuition Waiver
SPFPA Benefit Summary including:
- Basic Health Care & Supplemental Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability
- Leave Provisions & Holidays
- Retirement
- Other Benefits
SPFPA Web Page
SPFPA Tuition Waivers
STATE SYSTEM COACHES Benefit Summary including:
- Basic Health Care & Management Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability
- Leave Provisions & Holidays
- Retirement
- Tuition Waivers
- Other Benefits
STATE SYSTEM MANAGERS Benefit Summary including:
- Basic Health Care & Management Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability
- Leave Provisions & Holidays
- Retirement
- Other Benefits
- MANAGEMENT Tuition Waivers
STATE SYSTEM VICE PRESIDENTS Benefit Summary including:
- Basic Health Care & Management Benefits
- Flexible Spending Accounts
- Group Life Insurance
- Voluntary Group Life & Personal Accident Insurance
- Voluntary Long-Term Disability
- Leave Provisions & Holidays
- Retirement
- Other Benefits
- Tuition Waivers
Healthy U
PASSHE’s new Health Care Management Program (HCMP) for management, faculty, non-faculty coaches, police and security personnel and nurses:
http://www.passhe.edu/executive/HR/SystemHR/Benefits/healthyu/Pages/default.aspx
Forms
Print and Fill Out Forms and Mail as Appropriate
Beneficiary Change Forms
Faculty Health & Welfare Forms
- Dental Claim Form
- Enrollment Form
- Hearing Benefit Form
- Immunization Claim Form
- Mammography Exam
- Vision Benefit Form
- Wellness Exam
PASSHE Health Insurance Forms (for Faculty, Managers, Coaches, Nurses, Police)
- Highmark Blue Shield Claim Form
- PASSHE Student Certification Form
- Prescription Mail Order Form
- United Concordia
Flexible Spending Account Forms
- FSA Enrollment Form Dependent Care
- FSA Enrollment Form Medical
- FSA Reimbursement Form Dependent Care
- FSA Reimbursement Form Medical
- Status Change Form for Medical & Dependent Care
PEBTF Forms (for AFSCME and SCUPA employees)
Retirement Forms
Tax Sheltered Annuity Forms
- Tax Sheltered Annuity Salary Reduction Form
Workers' Compensation Forms


