Human Resources Information and Forms

NPERS -Retirement       800-245-5712

• NPERS Website
• New Member Packet 
• Termination Packet
• Retirement Benefit Estimator
• Seminars

BCBS - Health and Dental Insurance

• BCBS Coverage and Benefits
  • Health-EHA  $1,050 PPO/$3,800 HDHP  (4,000 HDHP for 10 month staff);  Dental-Option 5
• My Nebraska Blue - Member Benefits
  
  • 877-721-2583 - Member Services
• EHA Wellness
• HSA Accounts are facilitated by Five Points Bank of Hastings  402-462-2228

Madison National - LTD and Life Insurance

• Submit a Claim Online
  
  • Please notify the Business Office when a claim is submitted

Edward Jones - 403(b) Contributions    402-462-5565

• Tim Schirmer - Financial Advisor with Edward Jones

Supplemental Insurance

• To Submit a claim to TransAmerica click here
• Visit TASC for FSA account information
• VSP vision benefits with Ameritas

FORMS

• Ease
  
  • Enrollment for Accident, Critical Illness, Cancer, Hospital Indemnity, Vision Insurance and Section 125 Cafeteria plans.
• IRS Form W-4
• Nebraska Form W-4N
• NPERS Retirement Beneficiary Form
• Nebraska New Hire  -Subs complete this annually
• BCBS Enrollment Form
• Payroll Deduction - HSA
• YMCA Application
• AC Foundation Donation Form
• Administrator request for Background Check
• Direct Deposit changes must take place in person in the Business Office
• Workers Compensation Packet