Payroll

Forms
I-9    I-9 Form & Instructions
W-4
Direct Deposit Form
Drug Testing Policy - 300.20a
Drug Testing Policy Acknowledgement

Regence - Health Insurance
Website
Employee Assistance Info.
Enrollment Form
Benefits Summary
Benefits Booklet


Delta Dental
Website
Area PPO Providers
Area Premier Providers
General Benefit Plan Summary
Enrollment Form

Lifemap Vision
VSP Info
Vision Summary
Vision Enrollment
Vision Waiver
 Persons Covered
Employee
Employee/Spouse
Employee/Children
Family




Employee
Employee/Spouse
Employee/Child
Employee/Children
Family


Employee
Employee/Spouse
Employee/Children
Family
 Total Cost
$  584.66
 1,169.32
 1,110.85
 1,695.51



 
 32.66
  65.31
  64.90
  95.07
125.81


  6.63
13.25
14.19
22.66 		Employee Cost
$   -0-      
   584.66
   526.19
1,110.85




  -0-
  32.65
  32.24
  62.41
  93.15


  -0-
   6.62
   7.56
  16.03

Public Employees Retirement System of Idaho (PERSI)
Website
Beneficiary Designation
Choice 401k Forms and Information