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Employee Benefits Information
EMPLOYEE BENEFITS INFORMATION
Employee Health & Benefits Guide and Forms - Health, Life and Flexible Spending Account
2019 Open Enrollment Guide with Rates - Employees & Retirees
Benefit Enrollment Form
Basic Life Insurance Enrollment and Beneficiary Designation Form (PDF)
Supplemental Life and Evidence of Insurability Form (PDF)
Flexible Spending Account (FSA) Enrollment Form (2019)
2018 Employee Benefit Handbook
Dependent Life Insurance Enrollment Form (PDF)
Sick Leave Bank Enrollment Form
457 Deferred Compensation Plan
2018 Deferred Compensation Change Form (PDF)
ICMA-RC 457 Enrollment Form (Employer Plan Number - 303368)
ICMA Traditional and Roth IRA Authorization Form (PDF)
ICMA-RC IRA or ROTH Application Form
ICMA Emergency Withdrawal Form 457
ICMA Employee Information Change Form (PDF)
2018 - 457 Annual Leave Election Form (PDF)
2019 Deferred Compensation Change Form
2019 457 ANNUAL LEAVE ELECTION FORM
Occupational Health
Authorization for Evaluation and Treatment at Secure Medical Care (PDF)
Directions to Cardiovascular Consultants (PDF)
Directions to Hiland and Associates Office in La Plata (PDF)
Directions to Secure Medical Care Both Locations (PDF)
Tuition Assistance Program
TAP Practice (PDF) ( Amended 9-17-2018)
TAP Procedure and Application (PDF) (Amended 9-17-2018)
Domestic Partner Documents
Domestic Partner Recertification
Domestic Partnership Agreement and Affidavit
Prepaid Legal Plans
Legal Resources
U.S. Legal Services
Caremark Prescription
Employee Assistance Program
Family & Medical Leave Act (FMLA)
Flexible Spending Accounts (FSA)
Kaiser Permanente
Long Term Disability (LTD)
Sick Leave Bank
Delta Dental Plans
United Healthcare Exclusive Provider Organization
United Healthcare Point-of-Service (POS)
EyeMed Vision Plan
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