Payroll

Forms
I-9 Form - I-9 Form Instructions
W-4 - W-4 Page 1
Direct Deposit Form
Drug Free Workplace Notice
Drug Free Workplace Acknowledgement

Time Sheet

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
Website

Employee Health Coverage Application

Employee Waiver of Coverage

Preferred Blue PPO for Statewide Schools - $1,000 Deductible

Persons Covered Total Cost Employee Cost
Employee $741.90 $-0-
Employee/Spouse 1,624.15 899.25
Employee/1 Child 1,153.30 411.40
Employee/2+Children 1,367.55 625.65
Family 1,930.70 1188.80

Summary of Benefits
Summary of Benefits 2
Summary Highlights
Rx

Common Summary of Benefits
Preventive Care Benefits
Supplemental Accident Benefit
Dental Summary of Benefits
Dental Summary Highlights
Vision Summary of Benefits
Vision Summary Highlights

Women's Health and Cancer Rights Act of 1998 Notice
Notice of Privacy Practices
BlueExtras! brochure
CVS Caremark Mail Order Form







HSA Blue PPO for Statewide Schools - Economy Option - $3,000 Deductible

Persons Covered Total Cost Employee Cost
Employee $557.95 $-0-
Employee/Spouse 1,219.50 661.55
Employee/1 Child 870.05 312.10
Employee/2+Children 1,038.30 480.35
Family 1,461.65 903.70
District Contribution
to HSA
183.95 $-0-

Summary of Benefits
Summary of Benefits 2
Summary of Benefits Highlights
HSA Preventive Drug List

Health Savings Account Limits - 2017