Forms
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Insurance - Summary Plan Descriptions
403b Summary Plan Description Effective January 1, 2019
2019 Full Time Open Enrollment Benefit Brochure
2019 Summary of Benefits and Coverage (SBC) - Enhanced Plan
2019 Summary of Benefits and Coverage (SBC) - Base Plan
2019 Part Time Open Enrollment Benefit Brochure
2019 Annual FT Benefit Rate Sheet
2019 Annual PT Benefit Rate Sheet
Base Medical Plan Description
Enhanced Medical Plan Description
Dental Plans Comparison Description
Vision Plan
VSP Benefit Summary
Flexible Benefits Plan Summary
Basic Group Life insurance ($50,000)
Voluntary Life and A&D
Long Term Disability Plan
Short Term Disability Plan -
HR & Insurance Forms
2019 Attendance Calendar
Bi-Monthly Time Sheet
403 B Booklet
403 B Account Opening Form
403 B Beneficiary Form
Employee Status Change Form (PT to FT)
Employee Status Change Form (FT to PT)
New Hire All Employees' Packet
New Hire Benefit Packet (FT)
New Hire Benefit Packet (PT)
Catholic Mutual Claim Incident Report - Liability & Property
Conference Report
Corrective Action Form
Direct Deposit Form
Education First Credit Union Information
Education First Credit Union 2019 Member Guide
Employee Evaluation Form
Employee Change Form -- Qualifying Event
Employee Diocesan Policy Manual
Employment Letter of Understanding
I-9 Homeland Security Form
I-9 Homeland Security Form Instructions
Notice of Resignation: Diocesan Offices
Notice of Resignation: Parishes
Notice of Resignation: School Laity
Ohio New Hire Reporting Form
Payroll Deduction Form
Personal Information Change Form
PTO Request
Short Term Disability Form
Spousal Form
2019 W4 Federal Tax Form
IT-4 Ohio Tax Form
W-C Incident Report
Special Events Form
*Annual Open Enrollment Period is at the Diocese’s discretion
but typically held from November 1 - 15.