Human Resources

Program Details

• Referral Program Details
• Referral Incentive Form

2021 Benefits Summary

• 2021 Benefits Information Sheet

Health Insurance

• 2021 Health Insurance Summary of Benefits & Coverage (SBC)
• Teledoc Brochure
• Health Ins Enrollment Form

Employees on Spouse's Health Insurance

• Health Insurance Spouse Verification

Dental Insurance

• 2021 Dental Summary
• Dental Enrollment

Vision Insurance

• 2021 Vision Summary
• Vision Enrollment Form

Group Life Insurance/AD &D

• 2021 Life Summary
• Value Add Benefits
• Beneficiary Form

Voluntary Life Insurance

• 2021 Voluntary Life Summary
• Vol Life Rate Sheet
• Enrollment Form
• Beneficiary Form

Short-Term Disability Insurance

• Claim Form
• Follow-Up Claim Form

Long-Term Disability Insurance

• 2021 LTD Summary
• Enrollment Form

Accident Insurance

• Accident Ins Summary of Benefits & Coverage
• Online Account Access
• Accident Ins Enrollment Form
• Cancellation Form
• Beneficiary Change Form

Critical Illness Insurance

• Critical Illness Summary of Benefits & Premium
• Online Account Access
• Critical Illness Ins Enrollment Form
• Cancellation Form
• Beneficiary Change Form

Flex Savings Account (FSA)

• Flex Guide Kit
• Flex Enrollment Form
• Mobile App

401K Retirement Plan

• 401K Informational Flyer
• ROTH 401k
• Investment Fast Facts
• Rollover Request Form From Previous Employer
• 401K Benficiary Form
• 401K Bonus Contribution Election Form

Wellbeing Program

• 2021 Manatts Program Overview
• Physician Certification Form 2021

Direct Deposit

• Direct Deposit Payroll Form

Paid Time Off (Vacation)

• Request Form

Payroll Check Email Notification

• Email Authorization Form

Tax Withholding

• Federal W4
• Iowa W4
• Illinois W4
• Statement of Iowa Nonresidence Form

Employee Assistance Program (EAP)

• Brochure

Facility & Fuel Systems

• Facility Access Request

Personal Cell Phone

• Allowance Request

Company Vehicle

• Sign In & Out Form

Health Club (Brooklyn Facility)

• Health Club Membership

Summary Plan

• Employee Benefit Plan SPD
• Health Plan SPD
• Group Dental SPD
• Vision Care Plan Certificate
• Group & Vol Life SPD
• Flexible Benefit Plan SPD
• Long Term Disability Certificate
• Short Term Disability SPD
• 401K Retirement Plan SPD