University Human Resources. Click to go to the UHRS homepage Open Enrollment University Human Resources

Tobacco-free Affidavit

Available November 11 to 22, 2013

Those who are tobacco-free during Open Enrollment

The Tobacco-free Affidavit for 2014 will be available during Open Enrollment, November 11 - 22. Employees will be able to sign and submit the affidavit online, for themselves and covered spouse/domestic partner, in Onestart when making their medical plan selection.

Employees who complete the affidavit through OneStart will receive instant email confirmation that the affidavit was completed,
along with confirmation of 2014 benefit elections. Employees who cannot complete the affidavit online should contact , from November 11 - 22, for a paper affidavit form.

Those who are not tobacco-free at the time of Open Enrollment

Those who are not tobacco-free at the time of Open Enrollment can participate in the Quit For Life® tobacco cessation program to receive the premium reduction.