Mailing Address
Dept. of Human Resources
PO Box 127
Hampden-Sydney, VA 23943
Need to update your
directory information?
Contact Linda Layne,
(434) 223-6296
Verifying Employment?
Please fax your request to
(434) 223-7049
Quick FactThe student-faculty ratio is 11:1.
OPEN ENROLLMENT 2013
WELCOME!
The open enrollment period for benefit elections effective January 1, 2013 begins Thursday, November 1, 2012 and ends at:
5:00 pm on Tuesday, November 20, 2012.
WAIVE YOUR RIGHT TO COVERAGE: if you are not a current participant in the College's insurance programs and wish to continue as such for 2013, please complete and return the above form. All others, please see below.
Application forms for each benefit are provided below. You can complete the application online. It can be saved to your computer. Completed forms should be sent to Brandy Puckett, Administrative Secretary, at one of the following: bpuckett@hsc.edu , fax 434.223.6344, Campus Box 127, or delivered to the office on the 1st Floor, Cabell House. Forms must be RECEIVED by 5:00 pm on Tuesday, November 20, 2012.
Medical/Dental/Vision Insurance
If you are not changing your current basic coverage or adding new coverage, you are not required to complete a new Anthem or Delta application. If you wish to elect or cancel High Option coverage, a new dental application is required.
| Anthem (Medical): | Information Booklet |
| Summary of Benefits and Coverage | |
| Preventive Care | |
| CHIP | |
| Autism | |
| Grandfathered Status | |
| Application | |
| Delta (Dental): | Information |
| Information on High Option | |
| Application | |
| Davis (Vision): | Information on High Option |
| →Additional Information for Contacts | |
| Application |
Flexible Spending Accounts
If you wish to participate in the FSA Healthcare and/or Dependent Care Account(s), you must complete an application.
| LD&B (FSA): | Information |
| Application |
Cancellation of Coverage
If you wish to cancel your medical/dental coverage or drop dental High Option coverage or drop vision High Option coverage, you must complete the following form:
| Cancellation of Coverage | Form |