AY 2024/2025 PAYROLL DEDUCTION FORM & INT. GE WAIVER.**FOR RETURNING GE’S ONLY!**

If you are a RETURNING GE WHO HAS PREVIOUSLY BEEN ON THE GTFF INSURANCE PLAN you NEED to fill this out to have your insurance continue/be reinstated starting fall term and to be waived out of the the UO’s International Student insurance plan (if you are an Int. GE).

This form allows you to: 1) pay your premiums via payroll deductions, 2) waive out of the UO’s int. student plan if you are international, 3) add a dependent that is/was not already on your plan, 4) drop someone currently on the plan you no longer need or want on the coverage.

To change your DENTAL plan, please use THE FORM BELOW.

If you are a NEW GE–OR NEVER BEEN ON THE GTFF INSURANCE–you need to FIRST fill out an enrollment application. This form will be part of that application you will do in-person with Glenn, the benefits administrator. Do NOT fill this out yet!


AY 24/25 GTFF PAYROLL DEDUCTION & INT. GE WAIVER FORM HERE

WANT TO CHANGE YOUR DENTAL PLAN? USE THIS FORM HERE