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Employee Benefits Information
EMPLOYEE BENEFITS INFORMATION
Employee Health & Benefits Guide and Forms - Health, Life and Flexible Spending Account
2020 M-NCPPC Employee Benefit Guide
Retiree Benefit Guide 2020
Employee Benefits Handbook
Benefit Enrollment Form
Flexible Spending Account Election Form 2020
Basic Life Insurance Enrollment and Beneficiary Designation Form (PDF)
Supplemental Life and Evidence of Insurability Form (PDF)
Dependent Life Insurance Enrollment Form (PDF)
Sick Leave Bank Enrollment Form
457 Deferred Compensation Plan
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)
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 and TAP Application (PDF) ( Amended 9-17-2018)
TAP Procedure (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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