Open Enrollment

Open Enrollment

Open Enrollment Forms

 

2024 Tobacco Affidavit
Online Tobacco Affidavit

Flexible Spending

Flexible Spending

A Flexible Spending Account (FSA) is a type of account, provided by your employer, that allows you to put aside money to pay for eligible healthcare and dependent daycare expenses. The money going into the account is tax-free (no payroll tax is withheld) which can save you money on items and services you are already purchasing. By enrolling in a flexible spending account, you may save up to 40% on your healthcare and dependent daycare costs. To enroll in the FSA program, please complete the enrollment form and email cgardner@vinu.edu.

Carryover Feature

FSA Dependent Care

FSA Enrollment Form

FSA HC Benefit Card

Health and Dental

Health and Dental

Vincennes University uses Anthem Blue Cross Blue Shield to offer comprehensive health and dental coverage to our employees.

Please contact Chris Gardner at cgardner@vinu.edu if you are interested in enrolling in the VU health insurance plan.

Tobacco Affidavit

Anthem Employee Enrollment Application

Working Spouse Affidavit

Optional Vision Insurance

Optional Vision Insurance

An optional vision plan that will help ease the cost of yearly examinations and the cost of glasses or contacts. 

To enroll in the VSP plan, please complete the VSP enrollment form and the Vincennes University enrollment form and email to cgardner@vinu.edu.

Vincennes University Enrollment Form

VSP Enrollment Form

VSP Summary of Benefits

VSP TruHearing Hearing Aid Discount Program

Optional Dental Insurance

Optional Dental Insurance

An optional dental plan that can be used as a supplement to your Anthem Dental coverage or as a free standing plan. The plan offers comprehensive dental coverage, as well as additional orthodontics coverage. 

To enroll in the dental plan, please compete the Paramount application and the Vincennes University enrollment form and email to CGARDNER@VINU.EDU.

Paramount Dental

Paramount Plan Summary

Paramount Printable Application & Update Form

Vincennes University Enrollment Form

Optional Cancer Insurance

Optional Cancer Insurance

Aflac cancer insurance is here to help you and your family cope financially – and emotionally – if a positive diagnosis of cancer ever occurs. 

Please contact Chris Gardner at cgardner@vinu.edu if you are interested in enrolling in an optional AFLAC plan.

AFLAC Application

AFLAC Authorization to Obtain Information

AFLAC Option 1 

AFLAC Option 2

AFLAC Option 3

AFLAC Suitability Notice

Vincennes University Enrollment Form