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Open Enrollment 2026 - FSA & Teamsters Selection

EPS logo, wavy design in crimson and gold
HUMAN RESOURCES DEPARTMENT

This form should be used to submit documentation for the new FSA and Teamsters benefits selected in the 2026 open enrollment period
(April 27, 2026 - May 8, 2026)

All existing FSA participants must re-enroll through the FSA portal. You can use this link to do so: https://getebm.com/spending-accounts/

No other forms will need to be submitted. All selections will be completed with a Benefits Advisor.

Remember to schedule a one-on-one meeting with a benefits counselor during the enrollment period. These sessions are the best way to ensure you fully understand your options and make the most informed decisions for yourself and your family. Take the time to make the best decisions for you and your family during this important period.

If you have any questions, please contact the HR Department.

Required fields marked with an asterisk *

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email Address*

Answer required for "Email Address"

Employee ID Number

Answer required for "Employee ID Number"

School/Location*

Answer required for "School/Location"

Which Health Benefit are you enrolling in?*

Answer required for "Which Health Benefit are you enrolling in?"

Teamsters (Dental & Vision)

Flexible Spending Accounts

Upload Attachment/JPEG*

Please attach appropriate enrollment forms.

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Upload Attachment/JPEG*

Please attach supporting documents (i.e. birth certificates, marriage certificates, etc.)

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FOR INTERNAL USE ONLY

EPS Human Resources Department

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Confirmation Email

Confirmation Email *

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