Collin County Community College District (Collin College)

Forms (Benefits & Records)  

Insurance Change

You can now make changes online via the ERS OnLine system.  Start at the ERS website, www.ers.state.tx.us, to get to ERS OnLine.  Click on the ERS OnLine button, and then request a new password if necessary.  You need this password to make changes online.  (Hard copy of the enrollment form is available online at www.ers.state.tx.us, Forms, Insurance MultiPurpose Form.  The paper form must be faxed to HR at CPC at 972-548-6716 within 30 days of an eligible change.  Agency name is Collin College and agency number is 0949.)  Remember to designate a Primary Care Physician when you add someone to your health insurance.  The form to select or change your Primary Care Physician is online at: http://www.ers.state.tx.us/forms/GI-1207.pdf.  Send it to Human Resources at CPC for forwarding to the insurance company.  Agency name is Collin College and agency number is 0949.

Address Change

Name Change

Beneficiary Change

Other HR Forms

Monica Barron

Copyright 2005-06 (Collin College)

Last reviewed or revised 05/2006