Employee Forms & Benefits

• Direct Deposit Form Word
• Independent Contractor vs. Employee Form PDF
  
• I-9 PDF
• Personnel Action Form Word
• Requisition Word PDF
• Expense Report Excel
• NCLM Insurance Request Change Form - Other Equipment Word
• NCLM Insurance Request Change Form - Building and Contents Word
• NCLM Insurance Request Change Form - Auto Word
• NC401k Prudential Beneficiary Form PDF
• NC401K Prudential Enrollment Form PDF
• NC401K Prudential Request for Disbursement/Termination Report PDF
• NC-4 PDF
• W4 PDF
• Sworn Law Enforcement Officers’ Separation Allowance Verification Word
• W/C Claim-NCLM- Medical Authorization and Attending Physician’s Report
  (This report must accompany every individual to the physician) TIF
• W/C Claim-Employer Report-Form 19 PDF

NC401K plan
https://www.retirement.prudential.com/ncplans/

Local Government Credit Union
http://www.lgcu.org/

North Carolina Retirement System Link
http://www.nctreasurer.com/dsthome/RetirementSystems

CIGNA Health Insurance (Medical and Dental)
http://www.cigna.com/

Pharmacare (Perscription Drug Coverage)
http://www.pharmacare.com/

Vision Service Plan (Vision Coverage)
http://www.vsp.com/

NCLM Wellness Initiative
http://www.nclm.org/insurance/WellnessInitiative.htm

Colonial Supplement Insurance
http://www.coloniallife.com
 

Town of Red Springs Employee Fringe Benefits

All Full-Time Employees:

1. Annual Leave/Vacation Leave (9 days 1st 2 years; 12 days 2-10 years; 15 days 10-20 years; 18 days- 20+ years)
2. Paid sick leave (12 days per year- 8 hour days)
3. Paid Holidays as designated by the town (see website/policy manual for Holidays Observed)
4. Workers’ Compensation (includes part-time employees)
5. FICA/Medicare
6. Employer paid health insurance offered through CIGNA See additional features of policy
   
7. Employer paid dental insurance See additional features of policy
8. Employer paid vision insurance See additional features of policy
   
9. Employer paid life insurance & AD&D
   $15,000.00 –general employees
   $25,000.00-department heads
   $50,000.00-town manager
   (benefits reduce at ages 65, 70, 75 and upon retirement)
10. Retirement through NC Local Government Retirement System (Employee Contribution= 6%, Employer Contribution- effective July 1, 2007- General Employees-11.58%, Law Enforcement-11.45%).
11. NC 401(k) Employer contribution: (5% law enforcement) Employee may contribute up to 18%
12. Paid civil leave (jury duty, court witness, etc.)
13. Paid military leave (2 weeks/year)
14. Educational leave with pay
15. Reimbursement for training expenses
16. Separation allowance for law enforcement officers

**** Additional benefits are offered by the town, through Colonial Supplemental Insurance at the expense of the employee. Colonial offers insurance such as disability, accident, cancer, critical illness, hospital confinement and life insurance. Please contact the representative directly at 1-866-265-3516. For details regarding policies/products offered go to http://www.coloniallife.com/business/Products/.
 
After viewing the products/policies offered by Colonial if you are interested in enrollment please visit the following website: https://services.coloniallife.com/callCenter/. All forms and information regarding enrollment are available through this link.

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