Current Employee Benefits and HR Information
We are pleased to provide a wide array of benefits for our employees. New employees enroll in benefits at the start of their job. Employees can change their choices either annually during the “open enrollment” period in May or with a qualifying event (such as the birth of child or a change in a spouse’s employment).
This page contains a number of forms and documents related to benefits and human resources. Click on a category to find the links. If you have questions about a form or policy, the “HR Tip Sheet” contains contact names and numbers.
Open Enrollment for Benefits for the 2020-21 School Year: Enrollment Closes May 8
Note: There are no changes to the three health insurance plans’ coverage. The vision/dental plans are enhanced.
- Benefits Enrollment Log-in and Process (open April 27- May 8, 2020)
- Plan Information
- Comparison of Plans (page 7)
- Full-Time Employees’ Health Insurance Rates eff 7-1-2020 – Current Rates vs New Rates
- Part-Time Employess’ Health Insurance Rates eff 7-1-2020 – Current Rates vs New Rates
- Dental and Vision Insurance Rates eff 7-1-2020 – Current Rates vs New Rates
- For details about individual plans, including health insurance, dental, vision, other insurance offerings, flexible spending ac counts, and dependent care accounts, see the Overview Booklet.
Benefits and Insurance Forms for 2019-20 School Year
- Full-Time Employee Health Insurance Rates 2019-20 (includes 18-19 rate info)
- Part-Time Employee Health Insurance Rates 2019-20 includes 18-19 rate info)
- Dental & Vision Insurance Rates 2019-20
Miscellaneous Forms and Information
- HR Tipsheet (contact names & numbers)
- Reimbursement Request
- Mileage Reimbursement Form
- Tuition Reimbursement
- Name/Address Change Form
- Designation of Beneficiary
- Resignation Form
- Request for Resignation Sick Leave Payout
- Sick Leave Transfer Request Form
- Dependent Care Claim Form (WageWorks)
- Medical FSA Claim Form (WageWorks)
- Verizon Wireless Discount Information
- Sprint Discount Information
Payroll Forms
- VA-4 State Taxes
- W-4 Federal Taxes
- I-9 Employment Eligibility Verification
- Payroll Distribution Form
- FLEXCOMP Explanation
- 403(b) Salary Reduction Agreement
- 457 Deferred Compensation Plan
- Prior Service Buy-Back Agreement: see Payroll Coordinator
Retirees’ Forms and Information
- Retirement Checklist
- Retirement Resignation Form
- Application for VRS Retirement
- Application for VRS Disability Retirement
- Request for VRS Defined Benefit Plan Refund
- Request for VRS Income Tax Witholding
- Authorization for VRS Direct Deposit
- Request for VRS Health Insurance Credit
- Request for Retirement Sick Leave Payout
- Virginia Retirement System Life Insurance Overview
- Designation of Beneficiary
Retirement Planning and Savings
- 457 Deferred Compensation through VRS
- 403(b) Tax-Sheltered Account Information
- Prior Service Buy-Back Agreement: see Payroll Coordinator
- Request for VRS Estimate of Retirement Benefits
Wellness Program Forms
- Employee Assistance Program through the University of Virginia (a free, confidential resource to help address personal issues)
- Health Club Access
- Hike/Bike Incentive
- “Connecting Communities” City-County Employee 5K Walk/Run