STA Benefit Trust Documents

Affidavit for Domestic Partnership

Affidavit for Financial Interdependence

Application for Continuation of Domestic Partnership

Dental Benefits - Basic Services

Dental Benefits - Dentures

Dental Benefits - Diagnostic and Preventative

Dental Benefits - Oral Surgery

Family and Medical Leave Act (FMLA)

Fitzharris Address Change Form

Fitzharris Application

General Notice of COBRA Continuation Coverage Rights - Page 1

General Notice of COBRA Continuation Coverage Rights - Page 2

General Notice of COBRA Continuation Coverage Rights - Page 3

General Notice of COBRA Continuation Coverage Rights - Page 4

Instructions for Enrolling Domestic Partners

Proof of 12-Month Residency

Request for Domestic Partner Application

STA Benefit Trust Policies and Practices

STA Trust Privacy Notice - Page 1

STA Trust Privacy Notice - Page 2

STA Trust Privacy Notice - Page 3

STA Trust Privacy Notice - Page 4

STA Trust Privacy Notice - Page 5

STA Trust Privacy Notice - Page 6

STA Trust Privacy Notice - Page 7

STA Trust Privacy Notice - Page 8

STA Trust Privacy Notice - Page 9

STA Trust Privacy Notice - Page 10

STA Benefit Trust Maternity Leave Form

Unum Death Beneficiary Card

Vision Plan - VSP