PERSONNEL

Microsoft Outlook

Essential Personnel

employment applications

• Employment Application

policies

• Personnel Policy

Tax forms

• W-4 Form (Federal Tax Withholding)
• NC-4 EZ Form (State Tax Withholding)

Direct Deposit

• Direct Deposit Form
• Direct Deposit FAQs

Labor Laws

• English
• Spanish

E-Verify Forms

• Employment Eligibility Verification Form (I-9)
• I-9 Instructions

FAMILY MEDICAL LEAVE ACT (FMLA)

• Your Employee Rights Under the Family and Medical Leave Act

INSURANCE FORMS

Employee Benefit Synopsis

MedCost – Health Insurance (1-800-217-5097)

• Change Form 040 MIT, MBS
• Cost Estimator Flyer
• Digital ID Card
• Enrollment Form 065 MDL, MIT, MBS
• M599 Town of Biscoe MED 3000 30-40 Schedule
• Member Account Flyer
• MIT Wellness Participation 2019-2020
• MIT Wellness Participation Checklist
• Naturally Slim Flyer
• PCM Healthier You NCLM
• SmartStarts Precious Gift NCLM
• Teladoc
• Trestle Tree

MetLife – Dental Insurance (1-800-275-4638)

• MetLife Change Term
• Metlife Dental Enrollment Form

AlwaysCare – Vision (1-888-729-5433)

• AlwaysCare Employee Change Form
• Always Care Enrollment Form

Transamerica - Life Insurance (1-888-763-7474)

• Application
• Request for Policy Service
• TransElite HFA Rates
• About TransElite

AFLAC – Supplemental Insurance (1-800-992-3522)

• Accident Insurance
• Cancer Insurance
• Critical Illness Insurance
• Life Insurance
• Hospital Insurance
• Short Term disability Insurance
• Dental Insurance
• Vision Insurance

USABLE - Short-term Disability, Long-term Disability, Accidental Death & Dismemberment (AD&D), Life Insurance

– (1-800-370-5856)

Retirement Contracts

401K - Prudential Retirement

• Address and Name Change Form
• Beneficiary Designation Form
• Employer Change Form
• Enrollment Form
• Investment & GoalMaker Election and Contribution Change Form
• One Time Contribution Form
• Report of Termination/Request for Distribution Form
• Request for Hardship Form
• Request for Minimum Distribution Form
• Request for Systematic Disbursement Form
• Rollover Pre-Approval Form
• Service Credit Purchase Form
• Special Tax Notice

457B - Prudential Retirement

• Address and Name Change Form
• Beneficiary Designation Form
• Employer Change Form
• Enrollment Form
• Investment & GoalMaker Election and Contribution Change Form
• One Time Contribution Form
• Report of Termination/Request for Distribution Form
• Request for Minimum Distribution Form
• Request for Systematic Disbursement Form
• Request for Unforeseen Emergency Form
• Rollover Pre-Approval Form
• Service Credit Purchase Form
• Special Tax Notice
• Voluntary In-Service Disbursement Form

NC Local Government Retirement System

• NCLGRS Retirement Planning Video
• LEO Separation Allowance