Click here for Changes in the 2019-2020 Payroll & Benefits Information
- W-4 You can change this form at any time during the year. Fill it out, print it off and return it to the payroll department.
- Direct Deposit Form You can change this form at any time during the year. You may have up to ten checking or savings accounts. Fill the form out, print it off and return to payroll.
- 2019-2020 Paid Holidays
- 2019-2020 Payroll Cut-Off Dates
- Personal Leave Request
- Professional/School Business Leave Request
- Administrator Leave Request
- Exception Sheet
- Compensatory Time Form
- Staff Absence Form
Benefit & Insurance Information
Health Insurance
- Health Care, Prescription Drug, & Dental Benefits Overview
- Heath & Dental Enrollment and Declination of Coverage Form
- My Blue Flyer-Mobile App, Card Access & More
- Benefit Summary for $1,050 Deductible Plan
- Benefit Summary for $3,500 Deductible Plan
- Rates for Administrators, Certified Staff and Salaried Classified
- Rates for Hourly Classified Employees
- Blue Cross All Clear ID Brochure
- Blue Cross HSA Brochure
- Blue Cross Telehealth Brochure
PayFlex Section 125 Plan
- PayFlex Health/Dependent Care Enrollment Form
- PayFlex Limited Purpose Flexible Spending Account
- PayFlex Flexible Spending Account
- PayFlex Health/Dependent Claim Form
Vision Insurance
Cancer Insurance
- Colonial Life Cancer Plan
- Colonial Life Cancer Enrollment Form
- Colonial Life Cancer Service Guide
- Colonial Life Cancer Rider
Life Insurance
- Life Insurance-Teachers
- Life Insurance-Administrators
- Life Insurance-All Other Employees
- Life Insurance-Evidence of Insurability
Disability
- Disability Policy-Teachers & Administrators
- Disability Policy-All Other Employees
- Employee Assistance Program Brochure
403(b)
Retirement
- Beneficiary Designation Form
- Nebraska School Employee Retirement Handbook
- Employee Early Retirement Inducement Form
Helpful Links
www.paycheckcity.com Fill in your exemptions and deductions and find out how much your paycheck will be
http://npers.ne.gov Create a personal account and you can verify the amount in your retirement account, calculate the amount you will receive at retirement, find out when you are eligible for retirement, etc.
www.payflex.com A Flexible Spending Account (FSA) provides a tax-advantaged way to pay for eligible out-of-pocket healthcare expenses and work-related dependent day care expenses. Authorized by Internal Revenue Code Section 125, an FSA allows you to pay for eligible expenses with "pre-tax" dollars, thereby lowering your taxable income. Employers have the option of offering a healthcare spending account, a dependent day care account or both.
