{"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":"2026-05-13T19:40:23","modified_gmt":"2026-05-13T19:40:23","slug":"benefits-forms","status":"publish","type":"page","link":"https:\/\/www.schoolcraft.edu\/human-resources\/benefits-forms\/","title":{"rendered":"Benefits &amp; Forms"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Benefit Information and Payroll Forms<\/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<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Medical, Dental, and Vision Insurance Benefit&nbsp;Websites<\/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 &#8211; Medical and Dental (Staff)<\/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.messa.org\/\">MESSA (Faculty)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.deltadentalmi.com\/\">Delta Dental of Michigan (Faculty)<\/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=\"https:\/\/www.pnc.com\/en\/corporate-and-institutional\/pnc-benefit-plus.html\">PNC \u2013 Health Savings Account (Staff)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.healthequity.com\/\">Health Equity \u2013 Health Savings Account (Faculty)<\/a><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Health Savings Account (HSA) &#8211; Faculty<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/HSA-Guidebook.pdf\">HSA Guidebook<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/HSA-Investment-Guide.pdf\">HSA Investment Guide<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/HSA-Eligibility.pdf\">HSA Eligibility<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/HealthEquity-Mobile-App-Member-Flyer.pdf\">HealthEquity Mobile App Member Flyer<\/a><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Health Savings Account (HSA) \u2013 Non-Faculty<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/PNC-BeneFit-Plus-HSA-Overview.pdf\">PNC BeneFit Plus HSA Overview<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/About-Your-PNC-BeneFit-Plus-Debit-Card.pdf\">About Your PNC BeneFit Plus Debit Card<\/a><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Flexible Spending Accounts (FSA &amp; DCFSA)<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.pnc.com\/en\/corporate-and-institutional\/pnc-benefit-plus.html\">PNC (Faculty and Staff)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/PNC-BeneFit-Plus-FSA-Overview.pdf\">PNC BeneFit Plus FSA Overview<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/Overview-of-PNC-BeneFit-Plus-Substantiation-Requirements.pdf\">Overview&nbsp;of&nbsp;PNC BeneFit Plus Substantiation Requirements<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/About-Your-PNC-BeneFit-Plus-Debit-Card.pdf\">About Your PNC BeneFit Plus Debit Card<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/Dependent-Care-FSA-FAQs.pdf\">Dependent Care Flexible Spending Account FAQs<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/About-Flexible-Spending-Accounts-FAQs.pdf\">About Flexible Spending Accounts FAQs<\/a><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\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<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\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\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/Choosing-Your-Retirement-Plan_0924.pdf\">Choosing Your Retirement Plan<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.schoolcraft.edu\/human-resources\/wp-content\/uploads\/sites\/39\/2026\/05\/Planning-Your-Retirement.pdf\">Planning Your Retirement<\/a><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\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\">TIAA 403(b) Salary Reductions Agreement<\/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\">TIAA Deferred Compensation 457(b) Salary Reduction Agreement<\/a><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\"\/>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Benefit Information and Payroll Forms Medical, Dental, and Vision Insurance Benefit&nbsp;Websites Health Savings Account (HSA) &#8211; Faculty Health Savings Account (HSA) \u2013 Non-Faculty Flexible Spending Accounts (FSA &amp; DCFSA) 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}]}}