STA Benefit Trust Documents

Benefit Booklet

Dental Benefits Synopsis

Dental Benefits

Dental Benefits (Update)

Guardian Dental

Legal Plan

Life Insurance Benefits

Unum Travel Assistance

Unum Life Benefit Planning Benefit

Vision Plan - VSP

Forms

Dental Claim Form

STA Member Form

Payroll Deduction Authorization

Fitzharris Application

Fitzharris Address Change Form

STA Benefit Trust Policies and Practices

Privacy Notice

Appointment of a Personal Representative

Instructions for Enrolling Domestic Partners

Request for Domestic Partner Application

Proof of 12-Month Residency

Affidavit for Domestic Partnership

Affidavit for Financial Interdependence

Application for Continuation of Domestic Partnership

Unum Death Beneficiary Card

COBRA Information

COBRA Notice Form #3

General Notice of COBRA Continuation Coverage Rights

Family and Medical Leave Act (FMLA)

STA Benefit Trust Maternity Leave Form