New Employee Benefit Enrollment

The enrollment process has moved to an online system. Please complete your enrollment through Firefly (firefly.nebraska.edu). If you have any complications or require assistance with the enrollment process, please contact your campus benefits office or visit the benefits enrollment help page.

Step 1. Review Benefits Information

Summary of Benefits & Coverage (SBC)

Low Option

Basic Option

High Option

Qualified High Deductible

Step 2. Review Premium/Price Tag Information

Premium/Price Tag Summary

Step 3. Benefits Enrollment Form

Benefits Enrollment Form (Required)

Step 4. Complete Dependent Information Request Form

Dependent Information Request Form (Required IF covering dependents)

Dependent Verification Documentation Requirements

Step 5. Complete the Record of Prior Service.

AFTER your prior service has been approved and eligibility for the retirement plan has been verified, you will be contacted by your Benefits Office with specific enrollment instructions.

Record of Prior Service Form (Required)

Step 6. Complete Assurity Life Insurance Statement of Health Form

Assurity Life Insurance Statement of Health Form (Required if applying for $75,000 or more of voluntary employee coverage or $20,000 or more of spouse coverage)