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Employee Forms
Standard Employee Documents
2022 Payday Holiday Calendar
Direct Deposit Form
Employee of Quarter Nomination Form
HSA Contribution Options Form
Lighthouse-Ethics Line Poster (Eng/Spanish)
Longevity Election Change Form
Longevity Election Form
Terminal Pay Beneficiary Form
TMRS Change Address Form
Tuition Reimbursement Form
United Way Contribution Form
2022 Wellness Form
Flexible Wellness Reimbursement Form
W-4 2022 Form
COVID-19 Related Information
COVID-19 Response Policy
Pandemic Response Policy
How to connect to Virtual Visits by Teladoc
Employee Rights (English) - Families First Coronavirus Response Act
Employee Rights (Spanish) - Families First Coronavirus Response Act
City of Burleson - Webinar Pandemic/COVID Presentation
City of Burleson - (English) Printout Pandemic/COVID Presentation
City of Burleson - (Spanish) Printout Pandemic/COVID Presentation
Family First Coronavirus Act - (English) Summary Matrix
Family First Coronavirus Act - (Spanish) Summary Matrix
AWP COVID-19 Webinar Presentation
AWP COVID-19 Printout Presentation
First Report Of Injury CareNow
First Report Of Injury Concentra
- COB Worker’s Comp Information for Concentra Virtual Visit
- COB Supervisor Authorization Form for Concentra
- Concentra Virtual Visits Instructions ~ English
- Concentra Virtual Visits Instructions ~ Spanish
First Report Of Injury No Doctor
First Report Of Injury Huguley
First Report Of Injury THR
2021 Open Enrollment Presentation
2021 Employee Benefits Guide
2021 Spanish Employee Benefits Guide
2021 Retiree COBRA Benefits Guide
2021 Prescription Drug List
2021 Expanded Preventive Prescription Drug List
2022 Insurance Open Enrollment Presentation
2022 Employee Benefits Guide
2022 What's New and Changing
2022 Insurance Open Enrollment Presentation - Spanish
2022 Employee Benefits Guide - Spanish
2022 What's New and Changing - Spanish
2022 Retiree COBRA Benefits Guide
2022 Prescription Drug List
2022 Expanded Preventive Prescription Drug List
2020 Section 125 Plan
How to connect to Virtual Visits by UHC Teladoc
Bentek Enrollment Link
Alight Webinar Link (Google Chrome browser needed)
2021 UHC HD-HSA Plan Summary of Plan Description (Detailed Summary)
2021 UHC HD-HSA Plan Summary of Benefits and Coverage
2022 UHC HDHP-HSA Plan Summary of Benefits and Coverage
2021 UHC Copay-GAP Plan Summary of Plan Description (Detailed Summary)
2021 UHC Copay-GAP Plan Summary of Benefits and Coverage
GAP Presentation Recording
GAP-Presentation-Slides
2022 UHC CoPay - HRA Plan Summary of Benefits and Coverage
2022 CoPay-HRA Plan Reimbursement Summary - Flores
UHC - Dental Summary of Benefits
UHC - Vision Summary of Benefits
UHC - Vision Certificate of Coverage
UHC - Vision Group Policy
2022 UHC Vision Summary of Benefits
Annual Notices - Fall 2021 through Plan Year 2022
Annual Notices - Fall 2020 through Plan Year 2021
Alight Flyer
LapCorp - Lab Network Provider
UHC Cost Estimator
UHC Find A Network Doctor
UHC Finding The Right Care Center
UHC Health Discount Program
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