EMPLOYER INFORMATION RESOURCES
POLICIES, DOCUMENTS AND FORMS
- Administrative Guide
- Benefits Eligibility Acknowledgement Form
- COBRA Notification to Term Benefits
- RMD Current Year Refund Request (Employee)
- RMD Current Year Refund Request (Employer)
- DFA Summary Page (Download)
- Disability Policy
- Domestic Partnership Forms
- Employee Enrollment Resources
- LWOP Benefit Premium Transmittal Forms
- POP Waiver Form (State)
- PREMIUM RATE SHEETS – STATE
- RMD Prior Calendar Year Refund Request Form (Employee)
- RMD Prior Calendar Year Refund Request Form (Agency)
- W-9 Form Instructions
- W-9 New Form
LPB FORMS
NOTICES, RESOURCES AND INFORMATION
- Benefits Comparison Guide 2021
- Benefits Comparison Guide 2022
- Benefits Information
- Benefit Plan Contacts
- Benefits Premium Calculator
- COBRA Resources Page
- Disability Resources Page
- Federal Medicare Part D Creditable Coverage Notices
- HIPAA Privacy Notice
- HR Meetings and Recordings
- Newsletter Archive
- SHARE Self Service Instruction Guide
- Trifold Benefits Brochure