NEISD Benefit Forms Library
FORMS ARE FOR FAMILY STATUS CHANGES ONLY
If you are a New Hire you must log into Lawson ESS (Employee Self Service link) to elect your benefits.
Completed forms along with supporting documentation of the event must be received with 31 calendar days of the family status change. IMPORTANT: If your 31st day falls on a weekend or holiday, your forms must be received in the Risk Management & Employee Benefits Office by the last working day prior to your 31st day.
Allstate Cancer Program
- Allstate - Change Form
- Allstate - Enrollment/Cancellation Form
- Cancer Claim Form
- Wellness Claim Form
Cafeteria Plan
Dental Plans
Flexible Spending Accounts
Healthcare Plans
- BCBS - Enrollment/Change Form
- HSA Contribution Change Form
- Experian BCBS Minor Plus
- Experian IDW - BCBS Information Sheet
- Experian - How to Enroll
- BCBS Global Core Member
- Designate Your Beneficiary flyer
- 4 reasons to contribute to HSA
- Express Scripts Home Delivery Form
- Prescription Drug Claim Form
- Prescription Drug Claim Form - Spanish
- BCBS Medical Claim Form
- BCBS Medical Claim Form - Spanish
- International RX Flyer
Disability Insurance
Hospital Indemnity
Life Insurance
- Disability/GTL Cancellation Form
- GTL Enrollment/Change Form - English
- GTL Enrollment/Change Form - Spanish
- The Standard Basic Life Insurance Plan Highlights - Spanish
Vision Plan