University of Georgia Human Resources Logo
215 S. Jackson St.
Athens, GA 30602
Tel (706) 542-2222
Email: hrweb@uga.edu

Benefits forms

 

Unless noted below, transactions related to benefits should be handled using the OneUSG Connect - Benefits  website. Select the UGA logo and use your MyID and password to log in. If needed, you may also call the OneUSG Connect - Benefits Call Center toll free at 1-844-5-USGBEN (1-844-587-4236).

  • New employees should visit the OneUSG Connect - Benefits website to enroll.
  • Current employees who wish to make coverage changes due to life events should also use the 
    OneUSG Connect - Benefits website to request changes.
  • Retirees: use the OneUSG Connect - Benefits website and follow instructions to log in. If needed, you may also call the OneUSG Connect - Benefits Call Center toll free at 1-844-5-USGBEN (1-844-587-4236).
Health insurance

Health expense claim form (for the Comprehensive Care and Consumer Choice HSA plans)

Dental insurance

Dental expense claim (please select "Delta Dental Insurance Company" under "Select Your Plan")

Long term disability insurance

Leave Declaration for Disability Claims

Short term disability insurance

Leave Declaration for Disability Claims

HSA, FSA, LPFSA

Handle changes to contributions on the OneUSG Connect - Benefits website. Use the link above. Handle reimbursement transactions on the Optum site.

Optional Retirement Plan

529 Higher Education Savings Plan

529 payroll deduction form

Georgia 529 banking form

Leave

Leave without pay

Questions about benefits forms may be directed to 706-542-2222.

 

06.26.17