Payroll

Timesheet and Payroll Deadline

Forms
I-9 Form - I-9 Supplement - I-9 Form Instructions
W-4 - IRS Withholding Estimator
Idaho W-4 (Optional)
Direct Deposit Form
Drug Free Workplace Notice
Drug Free Workplace Acknowledgement

Time Sheet

Employee Assistance Program
Website
Summary
Work-Life Services

Public Employees Retirement System of Idaho (PERSI)
Website
Beneficiary Designation
Choice 401k Forms and Information

Retiree Eligibility to take advantage of unused sick leave

Standard Life Insurance Company
Policy
Standard Life Enrollment Form

 
Regence-Health & Vision

Employee Health Coverage Application

Classic $1,000 Deductible
Effective 9/1/2023
Summary of Benefits and Coverage

Persons Covered Total Cost Employee Cost
Employee $ 947.20 $     -0-
Employee/Spouse 1,989.10 1,041.90
Employee/1 Child 1,326.20 379.00
Employee/2+Children 1,894.40 947.20
Family 2,936.40 1989.10





HSA HealthPlan 3.0-$2,500 Deductible
Effective 9/1/2023
Summary of Benefits and Coverage

Persons Covered Total Cost Employee Cost
Employee $ 784.20 $     -0-
Employee/Spouse 1,646.90 862.70
Employee/1 Child  1,097.90 313.70
Employee/2+Children 1,568.40 784.20
Family 2,431.10 1,646.90
District Contribution
to HSA
163.00  

Health Savings Account Limits - 2023
Self - $3,850, Family - $7,750


Delta Dental

Website
Find a Dentist
Enrollment Form
Benefit Plan Summary

Persons Covered
Employee
Employee/Spouse
Employee/Child
Employee/Children
Family

Total Cost
$36.03
  72.06
  71.58
104.87
138.78

Employee Cost
$  -0-
  36.03
  35.55
  68.84
102.75