EMPLOYEE BENEFITS INFORMATION 

                                                                                                                                                                                Employee Health & Benefits Guide and Forms -                                                          Health, Life and Flexible Spending Account                                                     

  1. Employee Benefit Guide 2021
  2. Retiree Benefit Guide 2021
  3. Employee Benefits Handbook
  4. Benefit Enrollment Form
  5. Flexible Spending Account Election Form 2021
  6. Basic Life Insurance Enrollment and Beneficiary Designation Form (PDF)
  7. Supplemental Life and Evidence of Insurability Form (PDF)
  8. Dependent Life Insurance Enrollment Form (PDF)
  9. Life Insurance Brochure/Rate Worksheet
  10. Sick Leave Bank Enrollment Form
  11. Supplemental Long Term Disability (Salary Must Be Greater Than or Equal to $108,000)

457 Deferred Compensation Plan

  1. ICMA-RC 457 Enrollment Form (Employer Plan Number - 303368)
  2. ICMA Traditional and Roth IRA Authorization Form (PDF)
  3. ICMA-RC IRA or ROTH Application Form
  4. 5 Reasons to Choose an ICMA-RC Payroll Roth IRA
  5. ICMA Emergency Withdrawal Form 457
  6. ICMA Employee Information Change Form (PDF)
  7. 457 Deferred Compensation Change Form (2021)
  8. 2020 457 ANNUAL LEAVE ELECTION FORM

Occupational Health

  1. Authorization for Evaluation and Treatment at Secure Medical Care (PDF)
  2. Directions to Cardiovascular Consultants (PDF)
  3. Directions to Hiland and Associates Office in La Plata (PDF)
  4. Directions to Secure Medical Care Both Locations (PDF)

Tuition Assistance Program

  1. TAP Practice and TAP Application (PDF) ( Amended 9-17-2018)
  2. TAP Procedure (PDF) (Amended 9-17-2018)

Domestic Partner Documents 

  1. Domestic Partner Recertification
  2. Domestic Partnership Agreement and Affidavit

Prepaid Legal Plans 

  1. Legal Resources