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New Staff Benefit Information and Forms
(for New Hires)
New Staff Orientation August 20, 2008
 Please Read:
The following is a preview of your benefit package with
Blaine County School District. We will be distributing a paper packet
and discussing your benefits in detail with you at the August 20th
Orientation, so do not worry about printing or completing forms,
unless you desire to do so. Your benefits are scheduled to take
effect 9/1/08, as long as you have submitted all of the required forms
by 8/25/08. If you have any questions, please contact Human
Resources at (208) 578-5000.
Summary & Checklist of All Benefits
- forms in blue are required and
may be printed, completed, and returned at orientation.
Medical Insurance
- form in blue is required and may be printed, completed,
and returned at orientation.
Prescriptions
Dental Insurance
- Must choose the Willamette OR the Delta Dental Plan; form
in blue is required and may be printed, completed, and returned at orientation.
Willamette Dental Enrollment Form
(may print, complete,
and return at orientation if choosing to enroll in this plan)
Vision Insurance
(employee automatically
enrolled)
Life Insurance
- form in
blue is required and may be printed,
completed, and returned at orientation.
Flexible Benefit Plan
(optional
sign up)
Employee Assistance Plan
(employee
automatically enrolled)
Retirement Plans
- form in
blue is required and may be printed,
completed, and returned at orientation.
Other Forms for all New Staff
- forms in
blue are required and may be printed, completed, and
returned at orientation.
-
W-4 Form (Taxes)
- required
form - may print, complete, and return at orientation
- I-9 Employment Eligibility Verification Form
- required form - will complete at orientation. Please
bring your choice of identification with you to orientation on August 20th
(see 2nd page of form for accepted types of
identification)
- Idaho State Police Criminal History Records Request Form
- required form - may print, complete, and return at orientation
- Emergency Records Form
- required form - may print, complete, and return at orientation
- Policy Acceptance Form
- required form - may print, complete, and return at orientation
- Safe Workplace Form
- required form - may print, complete, and return at orientation
- Network Acceptable Use Agreement
- required form - may print, complete, and return at orientation
- Payroll Direct Deposit Form (optional, but highly recommended)
- 403 (b) Tax Sheltered Annuity Program and Vendor List (optional)
- 403 (b) Salary Reduction Agreement (optional)
- Bloodborne Pathogen Informational Handout (for your review; we will also show a film on this subject at orientation)
- COBRA Informational Handout (for your information, in case you leave employment with us)
Other Forms for CERTIFIED PROFESSIONAL Staff
- form in
blue
is required and may be printed, completed, and returned at
orientation.
Other Forms for NON-CERTIFIED (CLASSIFIED) Staff
- forms in
blue
are required and may be printed, completed, and returned at
orientation.
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