Health Benefits

2012 Health Insurance Information

• Prescription Press Release for PERS Select and PERS Choice Enrollees
• The Health Plan Chooser
• 2012 Premiums
• Health Benefit Summary
• Health Program Guide

COBRA

• New Employee General COBRA Notice

Dental

• Delta Dental Enrollment Form
• Dental Plan
• Summary of Dental Benefits (Effective 01/01/09)

Employee Assistance Program

• EAP Brochure

Life Insurance

• Basic Life and AD&D Summary
• Basic Life Summary
• Enrollment Form
• Evidence of Insurability Instructions and Form
• Funeral Planning and Concierge Service
• Life Insurance Brochure
• ReliaStar Rating
• Security When You Travel
• Supplemental Life Insurance Summary

Vision

• Vision Benefits
• Vision Claim Form

Voluntary Benefits

• 09-30-2011 Updated Farmington Flyer
• 200 - Pet 4 New Plans Brochure
• 300 - ID Thefti Farmington Flyer Rates
• 40 5 - GVCritical Ilness Brochure
• Farmington Contact Card
• Farmington Schedule 2011
• FSA Flyer
• ING Brochure ACC_YOUR_CHOICE
• ING Premier DI Brochure - CA
• ING Premier UL Brochure Non-NY
• Humboldt Contacts and Addresses

Worker's Compensation

• Contact Information For Company Nurse
• Acknowledgement of Receipt
• Bodily Injury and Property Damage Incident Report
• DWC-7 Notice to Employees
• WC-5020 Employer's Report of Injury or Illness
• Exposure Incident Report
• Worker's Compensation Claim Form (DWC 1)

Miscellaneous Forms

• Bank Fee Reimbursement Claim
• Claim for Damages Form and Directions
• Employee Separation Report
• ID and Access Card Request
• Incident Report Form
• Insurance Certificate Request
• Personal Effects Claim
• Security Screening General Complaint
• Threat Reporting Form
• Vehicle Accident Report
• Predesignation of Physician Form

Safety

• Target Safety/Solutions
• Hazard Condition Incident Report
• Facility Inspection
• 2011 Required Workplace Postings
• 2011 Posting Requirements - Key
• Access to Medical and Exposure Records
• Cal Osha Form 300
• Company Nurse - In Case of Workplace Injury
• Discrimination and Harassment
• Emergency Phone Numbers
• Equal Employment Opportunity
• Family and Medical Leave Act
• Family Care and Medical Leave
• GISO 3204(2) - Access to Med. Exposure Records
• IWC - Industrial Welfare Commission
• Job Safety and Health - OSHA 3165
• Minimum Wage - Federal
• Minimum Wage - State
• Notice to Employees - Injuries Caused By Work
• Pay Dates 2011
• Payday Notice
• Polygraph Protection Act Notice
• Safety and Health Protection On The Job
• Time Off To Vote
• Unemployment Benefits
• Unemployment Notice
• Whistleblowers Notice
• Workers' Compensation - If a Work Injury Occurs
• Workers' Compensation Posting and Pamphlet - Time of Hire

Approved Products

• Sanitizer Products