Directions:  If you are a Benefits Eligible TA/TF than please review the PowerPoint Presentation below.  Once you have viewed the presentation, download the insurance packet.  Please fill out the packet as much as possible.  Once you have completed the necessary documents,  come by our office in Marquis Hall, Room 150.  We will review your documents for completion and enroll you in your benefit selections.  All eligible TA/TF's are automatically enrolled in a waived status until completion of the necessary documents.  Failure to complete and return the packet can prevent an employee from obtaining benefits.

Benefits Eligible 
Graduate Student Insurance Packet

Please view the Benefits Eligible Graduate Student PowerPoint Presentation before filling out the forms below.  

1.  Graduate Student Welcome Letter and Eligibility Verification
2.  Insurance Multipurpose Form
3.  University of North Texas Insurance & Texflex Options
4.  2006-2007 Rate Sheet
5.  Texas Employees Group Benefits Program (GBP) Supplemental Information Form
6.  Continuation Coverage Notification (COBRA)
7.  The Employees Retirement System of Texas Summary Notice of Privacy Practices