New Employee Benefits Package

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As a new employee, you have 31 days from your effective date of hire (first day worked) to enroll in benefits. Failure to elect coverage, including returning your completed enrollment forms during the enrollment period, may result in no coverage for a period of up to 12 months. Employees who do not meet this timeline must wait to enroll during the next open enrollment period.

LBCC Benefits Eligibility Acknowledgement Form

The attached Employee Benefits Guide will give you an overview of all the Health and Welfare Benefits LBCC has to offer. 

Employee Benefits Guide

A completed enrollment packet includes the following:

No enrollment form is needed for the mental health and vision benefits. Your enrollment is automatic unless you are declining all benefits or declining the dental, mental health and vision of which you’d need to complete the health declination form.  

LBCC Group Term Life Insurance Enrollment Form
Health Insurance Waiver Form (if declining any or all benefit plans)
Domestic Partner Affidavit

Optional & voluntary plans

Section 125 Plans

Flexible Spending Accounts Enrollment Kit

Unum

Instructions for enrolling in Unum Voluntary Products
Short Term Disability
Long Term Disability
Life and AD&D Insurance
Evidence of Insurability Form

Savings and Retirement Plans

Tax Sheltered Annuity 403(b)
Deferred Compensation Plan (DCP) 457(b)