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Employee Forms
Wellness Reimbursement Form
2019 Payday Holiday Calendar
90 Day New Employee Evaluation Survey
Alert System Everbridge Enrollment Form
Direct Deposit Form
Emergency Contact Info Form
Employee of Quarter Nomination Form
Employee Time Sheet (1 Week, No Mileage)
Employee Time Sheet 9/80 (1 Week, No Mileage)
Employee Time Sheet (Police - 2 Weeks)
Employee Time Sheet (With Tips)
Exempt Employee Leave Report
FML Doctor's Note - Employee
FML Doctor's Note - Family
HSA Contribution Options Form
Longevity Election Change Form
Longevity Election Form
Sick Leave Calculation
TMRS Change Address Form
Tuition Reimbursement Form - Before
Tuition Reimbursement Form - After
United Way Contribution Form
Wellness Confirmation 2019 Form
W-4 2019 Form
Open Enrollment Meetings Date/Time
2020 COBRA Retiree Benefits Guide
2020 Benefits Changes
2020 Benefits Guide
2020 Spanish Benefits Changes
2020 Spanish Benefits Guide
2020 Expanded Preventive Prescription List
2020 Prescription Drug List
Bentek Enrollment Link
Compass Webinar Link (Google Chrome browser needed)
Spouse Eligibility Letter for Qualifying Event Effec 1-1-2019
2019 Benefits Guide (English)
2019 Benefits Guide (Spanish)
2019 Retiree and COBRA Benefits Guide
2019 UHC HD-HSA Plan Summary of Plan Description (Detailed Summary)
2019 UHC HD-HSA Plan Summary of Benefits and Coverage
2019 UHC Copay-GAP Plan Summary of Plan Description (Detailed Summary)
2019 UHC Copay-GAP Plan Summary of Benefits and Coverage
2019 Prescription Drug List
2019 Expanded Preventive Prescription List
Open Enrollment Meeting for Plan Year 2019
UHC - Dental Summary of Benefits
UHC - Vision Summary of Benefits
UHC - Vision Certificate of Coverage
UHC - Vision Group Policy
Annual Notices - Fall 2019 through Plan Year 2020
Compass Flyer
LapCorp - Lab Network Provider
UHC Contact List
UHC Cost Estimator
UHC Find A Network Doctor
UHC Finding The Right Care Center
UHC Health Discount Program
UHC Health4Me App
UHC Virtual Visits
UHC Vision Plan
UHC Preventive Care Guidelines Flyer
Beneficiary Companion Flyer
Health Companion Flyer
Identity Theft Protection Flyer
Travel Assistance FAQ
Travel Assistance Program Flyer