EMPLOYEE BENEFITS INFORMATION
Employee Health & Benefits Guide and Forms - Health, Life, LTD, Sick Leave Bank and Flexible Spending Account
- Health Plan Price Transparency in Coverage
- Employee and Retiree 2024 Benefits Guide
- Guía de beneficios para empleados y jubilados (en español)
- 2024 Healthcare Plan Rates
- Employee Benefits Handbook
- Benefit Enrollment/Change Form
- Flexible Spending Account Election Form 2023
- Flexible Spending Account Election Form 2024
- Life Insurance Beneficiary Designation Form (Basic/AD&D/Supplemental/PDF)
- FOP ADDITIONAL LIFE $50k Designation of Beneficiary Form
- Supplemental Life and Evidence of Insurability Form (PDF)
- Dependent Life Insurance Enrollment Form (PDF)
- Life Insurance Brochure/Rate Worksheet
- Sick Leave Bank Enrollment Form
- Supplemental Long Term Disability (Salary Must Be Greater Than or Equal to $108,000)
- Guide to Viewing Current Benefits and Designating Your Group Life Beneficiaries Using ESS
- M-NCPPC Behavioral Health Resources Snapshot 2020
457 Deferred Compensation Plan
- EASY ONLINE ENROLLMENT - MissionSquare 457/Roth & Traditional IRAs
- Maximize Your MissionSquare 457 Plan Retirement Benefits
- MissionSquare (formerly ICMA-RC) 457 Enrollment Form (Employer Plan Number - 303368)
- ICMA Traditional and Roth IRA Authorization Form (PDF)
- ICMA-RC IRA or ROTH Application Form
- 5 Reasons to Choose an ICMA-RC Payroll Roth IRA
- MISSIONSQUARE (formerly ICMA-RC) Emergency Withdrawal Form 457
- ICMA Employee Information Change Form (PDF)
- MissionSquare 2023 457 Deferred Compensation Change Form
- MissionSquare 2024 457 Deferred Compensation Change Form
Occupational Health
Tuition Assistance Program
Domestic Partner Documents
Prepaid Legal Plans
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