Benefits and Wellness

All forms for Benefits and Wellness can be found here

Services (4)

Health Savings Account (HSA) Certification

Health Savings Account (HSA) Certification

Health Savings Account (HSA) Enrollment / Change

Health Savings Account (HSA)
Enrollment / Change Form

MESSA Open Enrollment Elections

Complete this form if you would like to change your 2027 MESSA plan election and/or add or remove a dependent(s). This form must be submitted by Friday, October 30, 2026, at 5:00 pm (EST).

Other Eligible Individual (OEI) Eligibility

Form for designating an Other Eligible Individual (OEI)