{"id":32,"date":"2022-12-06T15:00:44","date_gmt":"2022-12-06T15:00:44","guid":{"rendered":"https:\/\/stgschoolcraft.wpengine.com\/human-resources\/?page_id=32"},"modified":"2026-04-08T19:32:01","modified_gmt":"2026-04-08T19:32:01","slug":"forms-benefits","status":"publish","type":"page","link":"https:\/\/www.schoolcraft.edu\/human-resources\/forms-benefits\/","title":{"rendered":"Forms &amp; Benefits"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Forms and Benefits<\/h1>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Medical, Vision, and Dental Insurance Benefits<\/h2>\n\n\n\n<ul class=\"wp-block-list no-bullets\">\n<li><a href=\"http:\/\/www.bcbsm.com\/\">Blue Cross Blue Shield of Michigan<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.messa.org\/\">MESSA (Faculty)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.deltadentalmi.com\/\">Delta Dental of Michigan<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.eyemed.com\/en-us\">EyeMed (Staff)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.vsp.com\/\">Vision Service Plan (Faculty)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.basiconline.com\/\">BASIC<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Flexible Spending Account (FSA)<\/h2>\n\n\n\n<ul class=\"wp-block-list no-bullets\">\n<li><a href=\"\/human-resources\/wp-content\/uploads\/sites\/39\/2022\/12\/FSA-Basic-Presentation.pdf\">FSA BASIC Presentation<\/a><\/li>\n\n\n\n<li><a href=\"\/human-resources\/wp-content\/uploads\/sites\/39\/2022\/12\/FSA-Enrollment-Form.pdf\">FSA Enrollment Form<\/a><\/li>\n\n\n\n<li><a href=\"\/human-resources\/wp-content\/uploads\/sites\/39\/2022\/12\/IRS-Eligible-Expenses.pdf\">IRS Eligible Expenses<\/a><\/li>\n\n\n\n<li><a href=\"\/human-resources\/wp-content\/uploads\/sites\/39\/2022\/12\/FSA-Child-Care-Plan.pdf\">FSA Child Care Plan<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Family Medical Leave Act (FMLA)<\/h2>\n\n\n\n<ul class=\"wp-block-list no-bullets\">\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/03\/FMLA-Contact-Info.docx\" data-type=\"link\" data-id=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/03\/FMLA-Contact-Info.docx\" target=\"_blank\" rel=\"noreferrer noopener\">FMLA Contact Info<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Michigan Public School Employees Retirement System (MPSERS)<\/h2>\n\n\n\n<ul class=\"wp-block-list no-bullets\">\n<li><a href=\"http:\/\/www.michigan.gov\/orsschools\">MPSERS \u2013 Office of Retirement Services<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Payroll<\/h2>\n\n\n\n<ul class=\"wp-block-list no-bullets\">\n<li><a href=\"\/human-resources\/wp-content\/uploads\/sites\/39\/2022\/12\/Time-Card-Leave-Time-Adjustment-Form.xls\">Time Card &amp; Leave Time Adjustment Form<\/a><\/li>\n\n\n\n<li><a href=\"\/human-resources\/wp-content\/uploads\/sites\/39\/2022\/12\/DW-4-Detroit.pdf\">DW-4 Detroit<\/a><\/li>\n\n\n\n<li><a href=\"\/human-resources\/wp-content\/uploads\/sites\/39\/2022\/12\/W-4-State.pdf\">W-4 State<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/04\/W-4-Federal-2026.pdf\">W-4 Federal 2026<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/04\/403b-Form-New.pdf\">403b Form-New<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/04\/457b-Form-New.pdf\">457b Form-New<\/a><\/li>\n<\/ul>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Forms and Benefits Medical, Vision, and Dental Insurance Benefits Flexible Spending Account (FSA) Family Medical Leave Act (FMLA) Michigan Public School Employees Retirement System (MPSERS) Payroll<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/sc-full-width.php","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"full-width-content","footnotes":""},"class_list":{"0":"post-32","1":"page","2":"type-page","3":"status-publish","5":"entry"},"acf":[],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/www.schoolcraft.edu\/human-resources\/wp-json\/wp\/v2\/pages\/32","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.schoolcraft.edu\/human-resources\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.schoolcraft.edu\/human-resources\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.schoolcraft.edu\/human-resources\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.schoolcraft.edu\/human-resources\/wp-json\/wp\/v2\/comments?post=32"}],"version-history":[{"count":0,"href":"https:\/\/www.schoolcraft.edu\/human-resources\/wp-json\/wp\/v2\/pages\/32\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.schoolcraft.edu\/human-resources\/wp-json\/wp\/v2\/media?parent=32"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}