Insurance Forms
- OGB Health Insurance Premiums (2025)
- OGB Enrollment/Change Form GB-01
- OGB Flexible Spending Enrollment Form (2025)
- ACH Debits Authorization Form
- Metlife Dental & Vision Enrollment Form
- Metlife Longterm Disability Rates
- Metlife Statement of Health Form
- Metlife Shorterm Disability Plan
- Metlife Shorterm Disability Enrollment Form
-
Health Savings Account Form
Completed Forms may be submited via our secure fax line (337-482-1452) or via the University's Data Mover program. If Emailing your forms, Please do NOT include your social security number on the forms for security purposes, but instead leave blank, and indicate your ULID (C#) In the subject line of your email.