Submit Benefit Forms

Submit your forms and supporting documentation here to enroll or change benefits, including insurances and retirement. Submit one form per ticket.

Process: Once the completed form and supporting documentation has been received, Benefit Services will route the enrollment to the State of NM administrator for medical and dental enrollment, and to Payroll for payroll deductions and enrollment processing for all other benefits, and to NMERB for retirement benefits. 

Deadlines:

  • Benefit Enrollment/waiver forms and Flexible Spending Account forms must be submitted within 31 days of date of hire or date of qualifying life event. All applicable supporting documentation must be attached with forms.
  • ARP enrollment must be submitted within 90 days of date of hire.
  • ARP 7-year switch to NMERB defined benefit plan forms must be submitted within 120 days of eligibility
  • Voluntary retirement Salary Reduction Agreements –see payroll deadlines at https://inside.nmsu.edu/payroll/pay-deadlines/

For questions or concerns, submit a ticket using the appropriate service.

Attachments:

Calculate benefit enrollment paperwork due date and estimate pay period deductions https://benefits.nmsu.edu/documents/Benefit-Calculator-9-1-2024.xlsx

Benefit Enrollment/Waiver Form: https://benefits.nmsu.edu/documents/Benefit-Enrollment-Form-2022-0021.pdf  

FSA Enrollment Form: https://benefits.nmsu.edu/documents/2022-Annual-FSA-Enrollment-Form-01.20.22.pdfNMERB Employee Data Form:  https://www.erb.nm.gov/wp-content/uploads/2023/08/Employee-Data-Form-08-2023.pdf

403b Salary Reduction Agreement: https://hr.nmsu.edu//documents/B_F_Annuities_403b_Salary_Reduction_Agreement.pdf

457 Salary Reduction Agreement:  https://benefits.nmsu.edu/documents/B_F_Annuities_457b_Salary_Reduction_Agreement.pdf