For new Open Enrollment Information that may affect your 2015 Health Plan, please see links below.

There have been changes to the health care plan, as well as the addition of a new Wellness Program. For key changes in the open enrollment and wellness plan, please read memorandum from David Rieger, Assistant Director for Benefits. 

Maryland Health Benefits Homepage

Wellness Program FAQs

Open Enrollment FAQs

Payroll and Benefits 

Payroll Forms

Please find your appropriate category – US Citizen vs Non US citizen. Then print and fill out all payroll documents necessary for that category. We understand there might be questions regarding them, please take all forms that are as completed as you possibly can and bring all required documentation such as passport or driver’s license and birth certificate (where appropriate) and take them to Ms. Sharon Welton, our payroll coordinator, and she will be glad to assist you in completing all documents. She can be found in room 1304 Math building and her extension is 5-5065. 

U.S. Citizens:  

W-4 Instructions: U.S. Citizens

Form W-4: 

Form I-9

Non- U.S. Citizens:

Payroll Forms Instructions: Non-Citizen

Non-Resident Forms

To be completed by all employees

Emergency Contact Form

Employee Information Form

Direct Deposit

Benefits Forms

Students are required to fill out the document below.

Health Benefits Enrollment and Change Form

 All other faculty/staff please click on the link below that will take you to the university UHR website where all plans and forms are available for review and download. Please note you have 60 days from the date of your appointment to pick a health plan– if it is not done within that timeframe, a plan will be picked for you by the state.

www.uhr.umd.edu/benefits