Payroll

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

Blue Cross-Health & Vision Employee Health Coverage Application Script Sourcing Benefit PPO - $1,500 Deductible Effective 9/1/2024 Summary of Benefits and Coverage Plan Document Persons Covered Total Cost Employee Cost Employee $ 908.70 $     -0- Employee/Spouse 1,917.95 1,009.25 Employee/1 Child 1,253.15 344.45 Employee/2+Children 1,769.15 860.45 Family 2,724.85 1816.15

Vision Summary of Plan HSA - $3,200 Deductible Effective 9/1/2024 Summary of Benefits and Coverage Plan Document Persons Covered Total Cost Employee Cost Employee $ 708.65 $     -0- Employee/Spouse 1,494.55 785.90 Employee/1 Child  977.40 268.75 Employee/2+Children 1,380.70 672.15 Family 2,124.20 1,415.55 District Contribution to HSA 200.05   Health Savings Account Limits - 2024 Self - $4,150, Family - $8,300

Delta Dental Website Find a Dentist Enrollment Form Benefit Plan Summary

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

Total Cost $36.75   73.50   73.01 106.97 141.56

Employee Cost $  -0-   36.75   36.26   70.22 104.81