• Bookstore
• Business Office
  • Student Account Services
  • Faculty/Staff Benefit Information
  • General Ledger and Budget
  • Staff
• Campus Safety
• Career Center
• Church Relations
• Office of Communications and Marketing
• Dining Services
• Financial Aid
• Information Technology Services
• Maintenance
• MDU - Millsaps Daily Update
• Post Office
• Records Office
• Office of the Dean

Home > Administrative Offices > Business Office > Faculty/Staff Benefit Information

Faculty/Staff Benefit Information

Business Office

Explore the information and forms below to find what you need. If you have questions, please contact Patricia Bruce, 601-974-1127, in the Academic Complex, Room 107.

You will need the software Adobe Acrobat Reader in order to access the PDFs. It's a free download.

Millsaps Employee General Information and Forms:

• Faculty and Staff Discounts
• 2010-11 Millsaps Holiday Schedule (PDF)
• Brief Summary of Employee Benefits (PDF)
• Change of Name and Change of Address Form (PDF)
• Employee Rights E-Verify Form (PDF)
• Employee Rights E-Verify Explanation (PDF)
• MHN Online Member Services - Member Matters newsletter
• Millsaps Handbook - Accessible on-campus only (PDF)
• Millsaps Payroll Direct Deposit Form (PDF)
• Request for Tuition Exchange Form (PDF)
• Staff Leave Report Form (PDF)
• Tuition Exchange Program Explanation (PDF)
• YMCA Corporate Membership Application (PDF)
• YMCA Corporate Membership Change Request (PDF)
• YMCA Payroll Deduction Form (PDF)
• YMCA Rates (PDF)

Dental Benefits:

• Millsaps Dental Plan Overview - Metlife (PDF)
• Metlife
• Find a PDP Dentist
• MetLife Dental Claim (PDF)
• MetLife Dental Enrollment Form (PDF)
• Metlife Dental Certificate (PDF)

Medical Benefits:

• Summary of Medical Benefits (PDF)
• Millsaps PPO Medical Plan (PDF)
• Millsaps High Deductible Medical Plan (PDF)
• Blue Cross Blue Shield of Mississippi
• Find a Blue Cross Blue Shield Network Provider
• Blue Cross Blue Shield Preferred Benefit Medication Search
• CVS Caremark RX (Mail) Service Forms (PDF)
• CVS Caremark RX (Online) Service
• Blue Cross Blue Shield Claim Form (PDF)
• Blue Cross Blue Shield Enrollment Form (PDF)

Long-Term Care Insurance:

• John Hancock Long-Term Care Insurance Information

Long-Term Disability Insurance:

• Metlife Long-Term Disability Certificate (PDF)
• Metlife Long-Term Disability Enrollment (DOCX)

Standard Life Insurance:

• Standard Life Insurance Enrollment and Change (PDF)
• Standard Life Insurance Portability Application (PDF)
• Standard Life Insurance Certificate (PDF)

Cafeteria Plan:

• Southern Administrators Cafeteria Plan
• SABC Cafeteria Plan '09 Changes (PDF)
• SABC Cafeteria Plan Balance Info
• SABC Cafeteria Plan Newsletter (PDF)
• SABC Cafeteria Plan Summary (PDF)
• SABC Claims SABC Claim Form (PDF)

Tax Information:

• Mississippi State Tax Withholding Form (PDF)
• W-4 Form for 2010 (PDF)
• Employment Eligibility Verification (Form I-9) expires 8-2012 (PDF)

Retirement:

• Defined Contribution Retirement Plan SPD - 5% (PDF)
• Tax Deferred Annuity Voluntary Plan SPD (PDF)
• TIAA-CREF Financial Services