New Employee Benefits Orientation - Employee Checklist
Please complete this checklist as you go through the New Employee Benefits
Orientation. If you have questions, please contact your supervisor or Personnel
Office. This process assures that you receive the relevant information related to
your employment. Submit the applicable enrollment forms to your supervisor or
Personnel Office along with the checklist.
Step One: Read about and sign up for Essential Benefits and Services,
and complete required forms:
Health Benefits
Dental Benefits
Vision Benefits
Consolidated Benefits (CoBen)
FlexElect Medical and Dependent Care Reimbursement Accounts
Medical Provider Network - Physician and Medical Facility Designation
Beneficiary Designation - Death Benefits
Military Service Declaration
Documents That May Be Requested By Your Department
Employee Action Request (EAR)
Oath of Allegiance
Step Two: Read about and sign up for Optional Benefits and Services,
and complete required forms:
Savings Plus (401(k) and 457)
ScholarShare 529 College Savings Plan
Pre-Tax Parking
Long-Term Disability (LTD) Insurance (Excluded Employees Only)
Long-Term Care Program (Enrollment Temporarily Closed)
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Group Legal Services Insurance Plan
Address Protection - Safe at Home
Home Address - Request for Non-Disclosure
Designation of Person to Receive Warrants
Employment and Salary Verification
Variable Work Schedule
Authorization to Use a Privately-Owned Vehicle on State Business
Voluntary Personal Leave Program (Specific Bargaining Units)
Direct Deposit
Annual Leave
Supplemental Life Insurance (Excluded Employees Only)
