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Benefits
Forms and Documents

Benefits

 New Hire Forms

Verification of Eligible North Carolina State Employmenticon
Direct Deposit Authorizationicon
2011 Federal Tax Withholding (W-4)icon
2011 NC State Withholding formicon

 

Employee Benefits

 Dental

2011 Federal Tax Withholding (W-4)icon
2011 NC State Withholding formicon
2010-2011 Ratesicon
Cigna Dental Basic Planicon
Cigna Dental DHMO Planicon
Cigna Dental Enhanced Planicon
Benefit Enrollment Guide 2011icon

 Medical

FMLA FAQicon
Benefits Booklet- PPO SmartChoice Basic Planicon
Benefits Booklet- PPO SmartChoice Standard Planicon
State Health Plan Authorization Request Form (optional)icon
Prescription Claim Formicon
PPO Claim Formicon
Medical Benefitsicon
2011 Federal Tax Withholding (W-4)icon
2011 NC State Withholding formicon
2010-2011 Ratesicon
Benefit Enrollment Guide 2011icon
2011-2012 plan-comparisonicon
2011-2012 employee and retiree ratesicon

 Basic Term Life

Basic Term Life Overviewicon
Life Insuranceicon
Benefit Enrollment Guide 2011icon

 Employee Benefits

Benefit Enrollment Guide 2011icon
Annual Enrollment 2012icon

 State Retirement System

Retirement Planning Guideicon
NC Pension Fundicon
CMS Retirement Formicon
CMS_ExitQuestionnaire_Formicon
Retirement icon

 

Voluntary Benefits

 Vision

2011 Federal Tax Withholding (W-4)icon
2011 NC State Withholding formicon
2010-2011 Ratesicon
Vision Summary Standardicon
Vision Summary Premiumicon
Instruction for printing ID cardicon
Benefit Enrollment Guide 2011icon

 Supplemental Retirement Plans

Retirement Planning Guideicon
NC Pension Fundicon
403(b) Plan Documenticon
457 Plan Documenticon
Retirement icon

 Flexible Benefits

Flexible Benefits Bookleticon
Flexible Benefitsicon
FSA Online Account Accessicon
FSA Reimbursement Request Formicon
Benefit Enrollment Guide 2011icon

 Supplemental Life and Dependent Life

Sun Life Coverage Overviewicon
Permanent Life and Term Life Insuranceicon
Life Insuranceicon
Supplemental Life Rate Tableicon
Benefit Enrollment Guide 2011icon

 Voluntary Benefits

Hyatt Legal Plan Documenticon
Long Term Disability Coverage Overviewicon
Sun Life Coverage Overviewicon
Voluntary Benefitsicon
Benefits for Life Guideicon
Benefit Enrollment Guide 2011icon
UNUM Specified Disease Group Policyicon

 

Leaves

 Maternity Leave

Health Care Provider Certification For Medical Leaveicon
Maternity Leave FAQicon
FMLA FAQicon
REQUEST FOR LEAVE FORMicon
VOLUNTARY SHARED LEAVE POLICY REVISEDicon
VSHR Applicationicon
VSHR Donor Formicon

 Workers Compensation

Disability Applicationicon
Workers Compensation FAQsicon
Workers Comp Coordinator Training Manualicon
Instructions for Completing WC Claimsicon
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Health and Wellness

 Medicare

Medicare and You - En Espanolicon
Medicare and You-Englishicon
Board of Education Superintendent Calendars/Schedules School Safety