Employee Benefit Information


Health Insurance
Health benefits overview pdf
Preventive schedule  pdf
Preventive schedule - women's services   pdf
Summary of  benefits/coverage - single coverage  pdf
Summary of benefits/coverage - dependent or family coverage  pdf
Health insurance enrollment  pdf
Health insurance summary plan description  pdf
Health insurance cancellation form pdf
Summary of changes in health coverage pdf
Notice of health privacy practices pdf
Women's Health and Cancer Rights Act of 1998 pdf

Health Savings Account
Distribution request
Enrollment application
Investment choices

Employment Applications
Supplemental employment application
Staff employment application

Family Medical Leave
Family Medical Leave overview
Certification of health care provider for employee
Certification of health care provider for family member
Certification for serious injury or illness of covered servicemember
Certification of qualifying exigency for military family leave

Flexible benefits overview
Medical & dental summary plan description
Dependent care summary plan description
Tuition Exchange preliminary eligibility form

Life & Disability Insurance
Life and disability insurance overview
Enrollment form
Life & disability summary plan description
Employee Assistance Program overview
Employee Assistant Program brochure (with contact information)
ID Theft and Fraud Resolution program
MEDEX Travel Assist (pdf)

New Hire Forms
Automatic deposit enrollment
Local school district tax
Ohio Tax

Worker's Compensation