Payroll and Benefits
Required Notices
Employer Sponsored Meeting Notice
Nursing Mother Employee Notice
Leave of Absence
Family and Medical Leave Act (FMLA)
Payroll Forms
Federal Tax Withholding - Federal Form W4 (Must also submit new MN W4 even if no changes are being made.)
State Withholding - State Form W4 (Must also submit new Federal W4 even if no changes are being made.)
Health Savings Account - Payroll Deduction Authorization
403(b) Salary Reduction Agreement
Insurance Forms / Information
Insurance forms are not available on the website because additional information is needed to determine action to be taken.
Coverage Summaries:
$15 Copay (Summary of Coverage)
$20 Copay (Summary of Coverage)
$1600 Deductible (Summary of Coverage)
$4000 Deductible (Summary of Coverage)
Benefit Guide - Health Partners
HealthPartners Tips and Resources
Coverage Overview & Member Handbook
Cost Calculators:
Insurance Cost Calculator - Teachers
Insurance Cost Calculator - Local 284 Multi Unit
Insurance Cost Calculator - Transportation
Insurance Cost Calculator - Community Ed.
Health Savings Accounts/Flexible Spending Accounts:
Health Savings Account - Payroll Deduction Form
HSA Account Set-Up (Magnifi)
403(b):
403(b) Salary Reduction Agreement
Group Life Term
Certificate of Insurance - Teachers
Certificate of Insurance - Support Staff
Certificate of Insurance - Transportation
Insurance - Life Beneficiary Change
Long Term Disability
Certificate of Insurance - Teachers