Please follow the below instructions on how to access your enrollment confirmation form.  Please review this document for accuracy and contact the Pay and Benefit Services Department with any discrepancies.  

• Click here to access our benefit administration site.

• Input your username and password.  
  • ​Your username is your employee code.
  • The first time you log-in, your password will be the last four digits of your social security number.  

• Under "My Forms," select "Enrollment Confirmation Form."

• Open the PDF "Enrollment Confirmation Form" that generates.  This will outline the benefits you are enrolled in as of the date listed.