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Employee Benefits

New Employee Checklist/Forms

New Hire Enrollment Forms

Insurance

MIIA Enrollment

MIIA Application for Enrollment

MIIA Mind & Body Reimbursement Request

MIIA Fitness Reimbursement Request

E-kit

Employee Health Insurance Responsiblity Disclosure Form

Employee Insurance Rate

Vision

Blue 20/20 Application/Change Form

Clarksburg Personnel Policy Manual

Download Manual Here

OBRA Information

Nationwide Retirement Forms Center

Nationwide-Contributionchangerequestform.pdf

Rollover Out Form (0217).pdf

RequestForPurchaseOfServiceCredit.pdf

Nationwide_Distribution.pdf

Berkshire County Retirement

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Colonial Life

Colonial Life: Insurance for Life, Accident, Disability and More

175523_Active Member Class 1 Basic Life and ADD.pdf

175523_Active Member Enrollment Form.pdf

175523_Additional Life and ADD.pdf

Life Insurance Rates/Coverage

Colonial Rates

Unemployment

How to Apply for Unemployment Insurance Benefits (Form 0590A).

Please remember that every employee has the right to file a claim for unemployment benefits.

It is also the employer's responsibility to respond promptly to all requests for information from the Department of Unemployment Assistance. Timely responses help protect the employer's rights and ensure the opportunity to protest or appeal a determination when appropriate.

While employers always have the right to challenge a former employee's eligibility for unemployment benefits, the final determination of eligibility rests with the Department of Unemployment Assistance. Therefore, employer participation throughout the process is extremely important and helps ensure that determinations are made fairly, accurately, and equitably for all parties involved.

For additional information about your rights and responsibilities, please visit their website.