EMPLOYEE ASSISTANCE PROGRAM (EAP)

EAP Service Summary

EMPLOYEE HANDBOOK and POLICY

Employee Handbook

Exposure Control Plan

FORMS

• Change of Address/Name Form
• Direct Deposit Form
• Life Insurance Beneficiary Designation Form
• Tax Form - Federal W-4 
• Tax Form - State W-4

FLEXIBLE SPENDING ACCOUNT (FSA)

• FSA Enrollment Letter
• FSA Enrollment Form
• FSA Healthcare Flyer
• FSA Dependent Care Flyer
• FSA Healthcare Card Flyer
• Eligible Expenses

HEALTH INSURANCE

• Health Insurance Enrollment/Change Form
• Health Insurance Marketplace
• Health Reimbursement Account (HRA) Facts
• Health Savings Account (HSA) Facts
• HSA Benefit Wallet Informational Video
• Out of Network Claim Form
• Ingenio RX Claim Form
• Ingenio RX Home Delivery Form