Benefits Forms

Forms:

Medical / Dental / Vision Change Form - Login to BenefitFocus via CPS portal to make change. Choose "Life Change" link in the left menu and follow the prompts.

403(b) Salary Reduction Form-Return to Employee Benefits for processing

457(b) Salary Reduction Form-Return to Employee Benefits for processing

Purchase Service Credit Transfer Request Form - CPS must sign, then return to TIAA for processing

Beneficiary Change Forms:

Non-Teacher Retirement Beneficiary Change Form - Return to the retirement office for processing

Teacher Retirement Beneficiary Change Form - Return to the retirement office for processing

Landmark Bank HSA Beneficiary Change Form - Return to Landmark Bank for processing

The Columbia Public School District does not discriminate on the basis of race, color, religion, gender identity, gender expression, sex, sexual orientation, national origin, ancestry, disability, age, or use of leave protected by the Family and Medical Leave Act, in its programs, activities, or with regard to employment. The Columbia Board of Education is an equal opportunity employer. Inquiries regarding Columbia Public Schools' compliance with IDEA and Section 504 regulations should be directed to Special Services.

Benefits

Benefits Forms

Forms:

Beneficiary Change Forms:

Columbia Public Schools