Human Resources
RX Creditibilty Notice -Schoolcraft BSBS & BCN
9-11-2012
Forms & Web Resources
Medical, Vision, and Dental Insurance Benefits
- Blue Cross Blue Shield of Michigan
- Blue Care Network
- MESSA (Adjuncts)
- Aetna Dental Form (Staff)
- Aetna
- Delta Dental of Michigan
- Meritain Health Vision Form (Staff)
- Meritain
- Vision Service Plan
- BCBSM Medco by Mail Order Form
- Medco Mail Order
- BASIC
- IIAS
Flexible Spending Account (FSA)
- FSA BASIC Presentation
- FSA Guidelines
- FSA Enrollment Form
- IRS Eligible Expenses
- FSA Child Care Plan
- Fifth Third Bank
Family Medical Leave Act (FMLA)
Michigan Public School Employees Retirement System (MPSERS)
Payroll
- Time Card & Leave Time Adjustment Form
- Direct Deposit Form
- Payroll Schedule
- Visa® Debit Payroll Card Enrollment Form
- Election of Pay Schedule (Full-Time Faculty)
- W-4 Federal
- W-4 State
- 403B Tax Sheltered Annuity Form
- Roth 403B Form
Benefits Enrollment
- Benefit Online Training Manual
- Basic Enrollment Form
- Blue Care Network Benefits w/RX – Faculty
- Blue Care Network Benefits w/RX – Staff
- Change Status Form
- Community Blue PPO Benefits at a Glance
- Community Blue PPO Rx Coverage
- Dental Plan Administrators
- Dental Plan Classified EEs
- Dental Plan Executives
- Dental Plan Facilities
- Dental Plan Office and Clerical
- Flexible Blue w/ Rx
- FSA Medical Guidelines
- FSA Child Care Guidelines
- HSA Family Election
- HSA Single Election
- Instruction Online Fifth Third Enrollment
- Vision Plan 1
- Vision Plan 2
- 80-20 Rate Chart - Administrative
- 80-20 Rate Chart - Executive
- 80-20 Rate Chart - Classified
- Clerical Rate Analysis
- Facilities Rate Analysis
- Qualified Medical and Dental Expenses
- Waiver of Medical Coverage
- Waiver of Medical Coverage