Human Resources/ Open Enrollment Forms
2017 Benefits Newsletter
Online W2 Enrollment BDS Link
2017 Payroll Calendar
2017 Holiday Calendar
Health Insurance    
2017 Choices Booklet
2017 Health Rates
Empire Plan Flexible Formulary
PS 404 Health Insurance Enrollment & Change Form
Voluntary Salary Deduction Agreement for Retiree Health
Dental Insurance    
Enrollment and Change Form
Metlife Dental Plan Booklet
Flexible Benefit Programs    
DAC online
Employee User Guide for the Wealthcare Admin Portal
FAQ's for Flexible Spending Accounts
Mobile App Information
W-10 for Dependent Care Enrollment
2017 Transportation & Parking Enrollment Form
2017 Health Flex & Dependent Care Enrollment Form
2017 Healthflex Reimbursement Form
2017 Dependent Care Reimbursement Form
2017 Health & Dependent Care Qualifying Event Change Form
Health Buy Out    
2017 Health Buy Out Enrollment Form
Health Buy Out Summary of Provisions
Life Insurance    
Life Insurance Beneficiary Form
Optional Life Enrollment Form
Statement of Health
Optional Life Rate Chart
Contact your RFMH Human Resources/Payroll Team    

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