BENEFITS — HEALTH, DENTAL & VISION PLAN INFORMATION
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| 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 |
| Vision Benefits at a Glance |
| Dependent Care Flexible Spending Account (FSA) |
| Employee Flexible Spending Account (FSA) |
| Winning with a Health Savings Account (HSA) |
| Open Enrollment Presentation (2018) |
| FAQs Related to Plans Offered for 2018 Open Enrollment |
| Employee Assistance Program |
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| BENEFITS — HEALTH, DENTAL & VISION ENROLLMENT & DEDUCTION FORMS |
| Enrollment Forms - Administrator & Supervisor |
| Enrollment Forms - Classified |
| Enrollment Forms - Early Childhood |
| Enrollment Forms - LIPSA |
| Enrollment Forms - Teacher Assistant |
| Guardian Enrollment Form |
| Flexible Spending Account (FSA) Deduction Form (2018) |
| Health Savings Account (HSA) Deduction Form (2018) |
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| BENEFITS — LIFE and AD & D INSURANCE PLAN INFORMATION |
| 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 / AD&D & Long-Term Disability Enrollment Form |
| Life Insurance Beneficiary Designation Form |
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| BENEFITS — LONG-TERM DISABILITY |
| 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 Insurance Claim Form |
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| LEAVES OF ABSENCE & FMLA |
| FMLA Notice to Employees |
| FMLA Fact Sheet |
| FMLA Checklist |
| Leave of Absence Request |
| Short-Term Disability Request |
| FMLA Certification of Health Care Provider - Employee |
| FMLA Certification of Health Care Provider - Family Member |
| Return to Work Certification |
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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 |
| AFSCME Sick Day Cash Out Request |
| 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
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| Direct Deposit |
| Paycheck Codes & Abbreviations |
| Payroll Schedule 2017-18 |
| W-4 Federal |
| W-4 Michigan |
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RETIREMENT
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| Office of Retirement Services (ORS) |
| MiAccount |
| Social Security Administration |
| Tax Sheltered Annuity 403b |
| Tax Sheltered Annuity 457b |
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WORKER'S COMPENSATION
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| Authorization for Treatment |
| Worker's Compensation Procedures |
| Employee Incident Report |
| Supervisor's Report of Incident |