Don't Wait, Enroll Today

IMPORTANT: If you do not elect your benefits during the annual Open Enrollment period or within 31 days of your date of hire, you will not have Roper St. Francis Healthcare health plan coverage until the next year unless you have a qualified life event as defined by the IRS.

HAVE A QUESTION?

If you can’t find an answer to your question after reviewing the information on this site, please email HRBenefitsTeam@rsfh.com or call (843) 720-8400.

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Forms

If you need assistance with submitting a form, please contact HRBenefitsTeam@rsfh.com.

2022 Orientation and Holiday Schedule

2022 Payroll Dates

Affidavit of Common Law Marriage

BCBS Claim Reimbursement Form

Dental Reimbursement Claim Form

Dependent Documentation – List of Acceptable Docs

Disabled Dependent Coverage Application

Evidence of Insurability-The Hartford

How to Upload Documents and Enter Life Event Changes

Out of Network Claim Form

PTO Donation Form

The Hartford – Critical Illness Form

The Hartford Life Essentials Brochure

Tuition Reimbursement Form

Vision Claim Form

Have a Question?

Review the information found throughout this site. If you can’t find an answer to your question, please email HRBenefitsTeam@rsfh.com or call (843) 720-8400, Option 2.