Langston University offers a variety of benefit packages for its employees. Please take the time out to review benefit options including vision, dental, and health. For your convenience, we have compiled a contact list of vendors below. All spouses recognized under applicable law are eligible for University benefits in agreement with the University’s plan documents. For questions about eligibility, please contact the benefits manager at (405) 466-3212.

Benefits Forms

Benefits Overview

ING Evidence of Insurability

Beneficiary Change Request

2018 Insurance Enroll-Change Form

2018 Life and Long-Term Disability Enrollment/Change form

Additional Dependent Form

Change of Name/Address Notification (OTR)

Beneficiaries Designation (OTR)

Dependent Day Care Reimbursement Form/ Acknowledgment Form

American Fidelity Section 125 Flexible Benefit Plan: Expense Reimbursement Voucher

Individual Cancer, Intensive Care or Dread Disease Benefit Statement

Request for Testing Benefits

ING Travel Assistance

ING Funeral Planning Services

Tobacco Affidavit

TFCU Direct Deposit Form

2018 TIAA-CREFF Salary Reduction Agreement Form


Catapult Health Exemption Form

2018 Waive Langston Health Form

Online Add-Drop form

State of Oklahoma Outstanding Wages Beneficiary Designation.pdf


Health Care Information

Women's Preventive Contraception Fact Sheet

Preventive ACA Fact Sheet

Diabetes Management

Coronary Artery Disease Condition Management Program

Affordable Care Act (ACA): 2012 and Beyond

Notice of Privacy Practices



2018 Langston Vision Guide

2018 Langston Low Dental Guide

2018 Langston High Dental Guide

Adjunct ACA Calculation Conversion Chart

Generic Brands

Oklahoma Teachers’ Retirement System Client Handbook

Oklahoma Teachers’ Retirement System – New Rules Affect Service Credit for Sick Leave

Guide to Wellness Incentives

Workers Compensation Manual

Value Benefits- Diabetes Management Program (BlueOptions PPO)

Value Based Benefits- Coronary Artery Disease Condition Management Program (Blue Options PPO)

Special Beginnings Maternity Program (BlueOptions PPO)

Healthy Interactions

American Fidelity Assurance Company

Combined Voluntary Retirement Plan A&M Info


Health Plans

Blue Cross and Blue Shield 1-877-258-6781 Fax (918) 551-2333

Dental Plan

Cigna Dental  (800) 244-6224

Vision Plan

EyeMed (866) 800-5457 

Voluntary Retirement Plan

TIAA-CREF (800) 842-2252