Employee Information

Employee Handbook (EEOC "Know Your Rights")

Payroll Calendar 2023-2024

Time Sheet

W-4 & WT-4 Forms
Direct Deposit Form

Employee Benefits Guide 2023-2024

Employee Benefits Guide 2024-2025

 

*****

Medical Insurance Information:

Medical Insurance and Prescription Drug Benefit Plan Document

Summary of Benefits and Coverage for 2023-2024

Transparency In Coverage

Health Savings Account (HSA) Salary Reduction Agreement 2024-2025

  Enrollment/Waiver/Change Form  |  Member Portal

  Program Overview  |  Incentives List
TeladocTeladoc Doctor Visit $55  |  Teladoc Mental Health $90-$220  |  Teladoc Dermatology $85

Notice of Creditable Prescription Coverage for 2023

COBRA Model Election Notice 01-31-2023

Health Insurance Marketplace (exchanges)

CHIP - Children's Health Insurance Program

Women's Health and Cancer Rights Act

HIPAA Notice of Privacy Practices

Image result for delta dental logoDental Insurance Information:

Dental Insurance Summary Plan Description
Your Dental Benefits

Enrollment/Change/Waiver Form  |  Member Portal

Image result for VSP vision care    Vision Insurance Information:

Vision Insurance Summary Plan Description
Enrollment Form  |  Member Portal

Life Insurance Information:

Voluntary Life Insurance Coverage and Rates
Enrollment Form

Supplemental Insurance Information:

Aflac Insurance Options:
Accident Advantage, Critical Illness, Hospital Choice, Cancer Protection Assurance

Disability Insurance Information:

Long Term Disability Plan Document
LTD Plan Amendment

Short Term Disability Plan Document
STD Plan Amendment

Other Benefits Information:

Employee Assistance Program
Instructions for accessing the Employee Assistance Program: link

*****

Retirement Savings Plans:

403(b) Tax Sheltered Annuity

Authorized Vendors List

Summary Plan Description

403(b) Salary Reduction Agreement

 

Wisconsin Retirement System (WRS)

WRS Benefit Handbook (et-2119)

Beneficiary Designation (et-2320)

*****

Employee Exposure Control Plan

Exposure Control Plan

Website by SchoolMessenger Presence. © 2024 SchoolMessenger Corporation. All rights reserved.