BENEFIT ENROLLMENT FORMS EFFECTIVE JANUARY 1, 2020 FORMS:
Spousal Surcharge Form, Select the appropriate form:
ESPA for Support Staff
LIUEA for Professional Staff
ACT 93 for Administrators
Please contact the following for assistance:
For LIU benefits related questions: Heidi Eshenour at 717-624-6441 or via email at firstname.lastname@example.org.
Faxes can be sent via secure fax: 717-624-6520.
Retirees and individuals with COBRA related questions: Char Albin at 717-624-6547 or via email at email@example.com
Flexible Spending Account related questions: Natalie Kraus at 717-624-6492 or via email at firstname.lastname@example.org