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Human Resources

ImageTitleAuthorDocument LinkDatecategories_hfilterdoc_category_hfilter
FSA Medical Reimbursement Form (PDF)
FSA Medical Reimbursement Form (PDF)Tom Tally

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October 17, 2018flexible-spending-account-fsa human-resources
FAQ OTC Health Care Reform (PDF)
FAQ OTC Health Care Reform (PDF)Tom Tally

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October 17, 2018fsa-health-care-reform human-resources flexible-spending-account-fsa
Examples of Qualified Health FSA Expenses (Form 1131b) (PDF)
Examples of Qualified Health FSA Expenses (Form 1131b) (PDF)Tom Tally

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October 17, 2018fsa-health-care-reform human-resources flexible-spending-account-fsa
Mutual of America Website (401k)
Mutual of America Website (401k)Tom Tally

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October 16, 2018human-resources retirement
Online Access Instructions (PDF)
Online Access Instructions (PDF)Tom Tally

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October 16, 2018health-insurance human-resources
I-9 Form
I-9 FormTom Tally

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October 16, 2018human-resources i-9-form
ICCMHC Timestudy (XLSX)
ICCMHC Timestudy (XLSX)Tom Tally

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October 16, 2018human-resources iccmhc-time-study
Annual TB Questionnaire (PDF)
Annual TB Questionnaire (PDF)Tom Tally

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October 16, 2018annual-tb-questionnaire human-resources
Meals Reimbursment - revised 10-4-2018 (PDF)
Meals Reimbursment – revised 10-4-2018 (PDF)Tom Tally

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October 16, 2018human-resources mealsreimbursement
Tuition Reimbursement (PDF)
Tuition Reimbursement (PDF)Tom Tally

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October 16, 2018human-resources tuition-reimbursement-application
Personnel Requisition Form (XLSX)
Personnel Requisition Form (XLSX)Tom Tally

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October 16, 2018human-resources personnel-requisition-form
Personnel Action Form (XLSX)
Personnel Action Form (XLSX)Tom Tally

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October 16, 2018human-resources personnel-action-form
EAP Mutual Of Omaha (PDF)
EAP Mutual Of Omaha (PDF)Tom Tally

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October 15, 2018employee-assistance-program-eap human-resources
In Case Of Emergency Change Form (PDF)
In Case Of Emergency Change Form (PDF)Tom Tally

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October 15, 2018human-resources name-and-address-change-form
Hepatitis B Vaccination Form (PDF)
Hepatitis B Vaccination Form (PDF)Tom Tally

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October 15, 2018hepatitis-b-vaccination-form human-resources
Exit Checklist (PDF)
Exit Checklist (PDF)Tom Tally

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October 15, 2018employee-exit-checklist human-resources
Benefits Package Chart (PDF)
Benefits Package Chart (PDF)Tom Tally

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October 15, 2018benefit-package-chart human-resources
Application For Employment (XLSX)
Application For Employment (XLSX)Tom Tally

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October 15, 2018application-for-employment human-resources
2018 CMHC 401k SAR (PDF)
2018 CMHC 401k SAR (PDF)Tom Tally

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October 15, 2018human-resources retirement
Election to Contribute 401k Form 3-021 (PDF)
Election to Contribute 401k Form 3-021 (PDF)Tom Tally

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October 15, 2018human-resources retirement
401k Beneficiary Designation (PDF)
401k Beneficiary Designation (PDF)Tom Tally

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October 15, 2018human-resources retirement
401k Summary Plan Description (PDF)
401k Summary Plan Description (PDF)Tom Tally

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October 15, 2018human-resources retirement
401k Summary of Material Modification Updated 2003 (PDF)
401k Summary of Material Modification Updated 2003 (PDF)Tom Tally

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October 15, 2018human-resources retirement
401k Change in Allocation Form (PDF)
401k Change in Allocation Form (PDF)Tom Tally

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October 15, 2018human-resources retirement
401k Enrollment Form (PDF)
401k Enrollment Form (PDF)Tom Tally

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October 15, 2018human-resources retirement
2016 CMHC Health SAR (PDF)
2016 CMHC Health SAR (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Medicare D 2016 Annual Notification (PDF)
Medicare D 2016 Annual Notification (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Wellness Physical Form (PDF)
Wellness Physical Form (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
I NEED HELP Contact Sheet (PDF)
I NEED HELP Contact Sheet (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Dental Summary Plan Description Effective 7-1-2012 (PDF)
Dental Summary Plan Description Effective 7-1-2012 (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Summary of Benefits 2017 - 2018 (PDF)
Summary of Benefits 2017 – 2018 (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
6 Ways to Get Prescriptions (PDF)
6 Ways to Get Prescriptions (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Health Summary Plan Description Effective 7-1-12 (PDF)
Health Summary Plan Description Effective 7-1-12 (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Health Plan Enrollment and Change Request Form (PDF)
Health Plan Enrollment and Change Request Form (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Mail Order Pharmacy (PDF)
Mail Order Pharmacy (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
Important Notice from Community Mental Health Care Inc - Prescription Drug Coverage and Medicare (PDF)
Important Notice from Community Mental Health Care Inc – Prescription Drug Coverage and Medicare (PDF)Tom Tally

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October 15, 2018health-insurance human-resources
LTD Certificate Summary (PDF)
LTD Certificate Summary (PDF)Tom Tally

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October 15, 2018human-resources life-insurance-long-term-disability-and-short-term-disability long-term-disability
LTD Benefit Summary (PDF)
LTD Benefit Summary (PDF)Tom Tally

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October 15, 2018human-resources life-insurance-long-term-disability-and-short-term-disability long-term-disability
STD Certificate Summary (PDF)
STD Certificate Summary (PDF)Tom Tally

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October 15, 2018human-resources life-insurance-long-term-disability-and-short-term-disability short-term-disability
STD Benefit Summary (PDF)
STD Benefit Summary (PDF)Tom Tally

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October 15, 2018human-resources life-insurance-long-term-disability-and-short-term-disability short-term-disability
Voluntary Life Certificate Summary (PDF)
Voluntary Life Certificate Summary (PDF)Tom Tally

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October 15, 2018human-resources life-insurance life-insurance-long-term-disability-and-short-term-disability
Life Beneficiary Designation (PDF)
Life Beneficiary Designation (PDF)Tom Tally

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October 15, 2018human-resources life-insurance life-insurance-long-term-disability-and-short-term-disability
Life Benefit Summary (PDF)
Life Benefit Summary (PDF)Tom Tally

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October 15, 2018human-resources life-insurance life-insurance-long-term-disability-and-short-term-disability
GTL Certificate Summary Part-Time (PDF)
GTL Certificate Summary Part-Time (PDF)Tom Tally

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October 15, 2018human-resources life-insurance life-insurance-long-term-disability-and-short-term-disability
Flex Your Dollars Information Sheet (PDF)
Flex Your Dollars Information Sheet (PDF)Tom Tally

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October 15, 2018flexible-spending-account-fsa human-resources
FSA Summary Plan Description (PDF)
FSA Summary Plan Description (PDF)Tom Tally

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October 15, 2018flexible-spending-account-fsa human-resources
FSA Election Form (PDF)
FSA Election Form (PDF)Tom Tally

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October 15, 2018flexible-spending-account-fsa human-resources
FSA Dependent Care Reimbursement Form (PDF)
FSA Dependent Care Reimbursement Form (PDF)Tom Tally

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October 15, 2018flexible-spending-account-fsa human-resources
EyeMed Vision Summary of Benefits (PDF)
EyeMed Vision Summary of Benefits (PDF)Tom Tally

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October 15, 2018human-resources vision-insurance
EyeMed Vision Insurance FAQs (PDF)
EyeMed Vision Insurance FAQs (PDF)Tom Tally

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October 15, 2018human-resources vision-insurance
EyeMed Member Online (PDF)
EyeMed Member Online (PDF)Tom Tally

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October 15, 2018human-resources vision-insurance
EyeMed Out of Network Claim Form (PDF)
EyeMed Out of Network Claim Form (PDF)Tom Tally

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October 15, 2018human-resources vision-insurance
Web Site to View In-Network Doctors
Web Site to View In-Network DoctorsTom Tally

VISIT WEBSITE

October 15, 2018health-insurance human-resources
Health Insurance Web Site (URL)
Health Insurance Web Site (URL)Tom Tally

VISIT WEBSITE

October 15, 2018health-insurance human-resources
2018 Annual Legal Notices & Model Initial COBRA Notice (PDF)
2018 Annual Legal Notices & Model Initial COBRA Notice (PDF)Tom Tally

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October 12, 2018health-insurance human-resources
GTL Certificate Summary (PDF)
GTL Certificate Summary (PDF)Tom Tally

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October 9, 2018life-insurance life-insurance-long-term-disability-and-short-term-disability human-resources
EyeMed Enrollment Form (PDF)
EyeMed Enrollment Form (PDF)Tom Tally

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October 9, 2018human-resources vision-insurance
2016 CMHC Health SAR
2016 CMHC Health SARTom Tally

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October 3, 2018health-insurance human-resources
Dental Benefits Sumary 2012 - 2013
Dental Benefits Sumary 2012 – 2013Tom Tally

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October 3, 2018health-insurance human-resources