BENEFITS |
BCBSM Community Blue 4 Traditional PPO Plan |
BCBSM Simply Blue HSA High Deductible PPO Plan |
BCN HMO HSA High Deductible Plan |
BCN HMO Traditional Plan |
Blue Care Network - How it Works |
Blue Care Network - Travel |
Blue Care Network Contact Numbers |
Blue Cross Blue Shield Custom Drug List Formulary |
Blue Cross Blue Shield Plan Coverage Comparisons |
Dental Benefits at a Glance |
Dependent Care Flexible Spending Account (FSA) |
Employee Assistance Program |
Employee Flexible Spending Account (FSA) |
Enrollment Forms - Administrator & Supervisor |
Enrollment Forms - Classified |
Enrollment Forms - Early Childhood |
Enrollment Forms - LIPSA |
Enrollment Forms - Teacher Assistant |
Guardian Enrollment Form |
FAQs Related to Plans Offered for 2018 Open Enrollment |
Open Enrollment Presentation (2018) |
Flexible Spending Account (FSA) Deduction Form (2018) |
Health Savings Account (HSA) Deduction Form (2018) |
Winning with a Health Savings Account (HSA) |
Life Insurance Beneficiary |
Life and AD & D Insurance Policy - Administrator & Supervisor |
Life and AD & D Insurance Policy - Classified |
Life and AD & D Insurance Policy - Early Childhood |
Life and AD & D Insurance Policy - LIPSA |
Life and AD & D Insurance Policy - RTC ≤ 4 Years of Service/25 hrs
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Life and AD & D Insurance Policy - RTC ≥ 5 Years of Service/25 hrs
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Life and AD & D Insurance Policy - Specialized ≥ 4 Years of Service/20 hrs |
Life and AD & D Insurance Policy - Specialized ≥ 5 Years of Service/20 hrs |
Life and AD & D Insurance Policy - Teacher Assistant |
Life and AD & D Insurance Enrollment Form |
Long-Term Disability Policy - Administrator & Supervisor |
Long-Term Disability Policy - Classified |
Long-Term Disability Policy - Early Childhood |
Long-Term Disability Policy - LIPSA
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Long-Term Disability Policy - Specialized Transportation |
Long-Term Disability Policy - Teacher Assistant |
Long-Term Disability Enrollment Form |
Long-Term Disability Insurance Claim Form |
Vision Benefits at a Glance |
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CONFERENCE ROOM RESERVATIONS |
Conference Room Request Form |
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FINANCE |
Daily Meeting & Mileage Reimbursement Request Form |
Professional Learning Approval & Reimbursement Request Form |
Purchase Reimbursement Request Form |
Purchase Requisition Form |
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HUMAN RESOURCES |
Address/Telephone/Name Change |
FMLA Certification of Health Care Provider - Employee |
FMLA Certification of Health Care Provider - Family Member |
FMLA Employee Guide |
FMLA Fact Sheet(s) |
FMLA Notice to Employees |
FMLA Road Map |
Leave of Absence Request |
Short-Term Disability Request |
New Hire Onboarding Packet - Classified |
New Hire Onboarding Packet - Early Childhood |
New Hire Onboarding Packet - LIPSA |
New Hire Onboarding Packet - Supervisors & Administrators |
New Hire Onboarding Packet - Teacher Assistants |
New Hire Onboarding Packet - Transportation |
Parent / Volunteer Background Check |
Personnel Action Request |
Student Teacher / Intern Affidavit |
Third Party Visitor |
Transfer/Status Change Request [LIPSA] |
Transportation - Bus Driver Signing Bonus (Installment I) |
Transportation - Bus Driver Signing Bonus (Installment II) |
Transportation - Bus Assistant Signing Bonus |
Transportation - Bus Driver Recruiting Bonus |
Transportation - Bus Assistant Recruiting Bonus |
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PAYROLL |
Direct Deposit |
Paycheck Codes & Abbreviations |
Payroll Schedule 2017-18 |
W-4 Federal |
W-4 Michigan |
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RETIREMENT |
Office of Retirement Services (ORS) |
MiAccount |
Social Security Administration |
Tax Sheltered Annuity 403b |
Tax Sheltered Annuity 457b |
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WORKER'S COMPENSATION |
Authorization for Treatment |
Worker's Compensation Procedures |
Employee Incident Report |
Supervisor's Report of Incident |