Below are links to forms and websites to help you answer your benefits questions. For additional assistance please contact Human Resources at 994-3651!

MUS Mid-Year Benefit Changes


FY16 CHOICES (2015-2016)

CHOICES FY16 Workbook
2015/2016 CHOICES Enrollment Form
2015/2016 CHOICES Mid-Year Change Form
CHOICES Retiree FY16 Workbook
CHOICES Retiree Enrollment Form


Adult Dependent
Allegiance Authorization to Release Confidential Information
Allegiance Medical Claim Form
Allegiance Physician's Statement of Disability
Alternate ID Form
Blue Cross Blue Shield International Claim Form
Change in Beneficiary

Office Visit Copays: Non-Specialty and Specialty Providers

Prescription Reimbursement Form

Ridgeway Enrollment Form
Family Medical Leave Form
Family Medical Leave Fact Sheet
Montana Medical Care Savings Account
Vision Hardware Claim Form
Medical Massage Claim Form

CHOICES Informational Links

Allegiance Card Instructions (How to Read)
Allegiance Website Guide for Employees
Healthy Montana Kids
Frontier MEDEX Travel Assist brochure/card
MSU Benefits Committee
Standard Additional Life Insurance Information
Standard Life & Disability Information
Standard Travel Benefit Brochure
Standard Travel Benefit Brochure (Ex pat-over 90 days)
Standard Travel Benefit Form (Ex pat-over 90 days)
Summary Plan Description

Flexible Spending Accounts - Allegiance

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